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利用技术为痴呆症患者创造个性化、有意义的活动:系统评价。

The use of technology in creating individualized, meaningful activities for people living with dementia: A systematic review.

机构信息

Norwegian University of Science and Technology, Trondheim, Norway.

Norwegian University of Science and Technology, Trondheim, Norway; Norwegian Centre for eHealth Research, University Hospital of North Norway, Tromsø, Norway.

出版信息

Dementia (London). 2021 May;20(4):1442-1469. doi: 10.1177/1471301220928168. Epub 2020 May 31.

Abstract

There is a growing interest in using technology to provide meaningful activities for people living with dementia. The aim of this systematic review was to identify and explore the different types of digital technologies used in creating individualized, meaningful activities for people living with dementia. From 1414 articles identified from searches in four databases, 29 articles were included in the review. The inclusion criteria were the study used digital technology to deliver an individually tailored activity to participants with dementia, the process of individualization was described, and findings relating to the mental, physical, social, and/or emotional well-being of the participant were reported. Data extracted from the included studies included participant demographics, aims, methods, and outcomes. The following information on the technology was also extracted: purpose, type, training, facilitation, and the individualization process. A narrative synthesis of the results grouped the various technologies into four main purposes: reminiscence/memory support, behavior management, stimulating engagement, and conversation/communication support. A broad range of technologies were studied, with varying methods of evaluation implemented to assess their effect. Overall, the use of technology in creating individualized, meaningful activities seems to be promising in terms of improving behavior and promoting relationships with others. Furthermore, most studies in this review involved the person with dementia in the individualization process of the technology, indicating that research in this area is adopting a more co-creative and inclusive approach. However, sample sizes of the included studies were small, and there was a lack of standardized outcome measures. Future studies should aim to build a more concrete evidence base by improving the methodological quality of research in this area. Findings from the review indicate that there is also a need for more evidence concerning the feasibility of implementing these technologies into care environments.

摘要

人们越来越感兴趣的是使用技术为患有痴呆症的人提供有意义的活动。本系统评价的目的是确定和探索用于为患有痴呆症的人创建个性化、有意义的活动的不同类型的数字技术。从四个数据库的搜索中确定了 1414 篇文章,其中 29 篇文章被纳入了综述。纳入标准是研究使用数字技术向痴呆症患者提供个性化的活动,描述了个体化的过程,以及与参与者的心理、身体、社会和/或情感健康相关的发现。从纳入的研究中提取的数据包括参与者的人口统计学资料、目的、方法和结果。还从纳入的研究中提取了关于技术的以下信息:目的、类型、培训、促进和个体化过程。对结果进行的叙述性综合将各种技术分为四个主要目的:怀旧/记忆支持、行为管理、刺激参与和对话/沟通支持。研究了广泛的技术,实施了不同的评估方法来评估它们的效果。总的来说,在创建个性化、有意义的活动方面,使用技术似乎有很大的前景,可以改善行为,促进与他人的关系。此外,本综述中的大多数研究都让痴呆症患者参与到技术的个体化过程中,这表明该领域的研究正在采用更具协作性和包容性的方法。然而,纳入研究的样本量较小,且缺乏标准化的结果测量。未来的研究应该旨在通过提高该领域研究的方法学质量,建立更坚实的证据基础。综述结果表明,还需要更多关于将这些技术应用于护理环境的可行性的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9abb/8132010/0c59c44617a1/10.1177_1471301220928168-fig1.jpg

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