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老龄化慢性病患者的治疗依从性:农村地区护理与健康离线助手(ACHO)的用途、功能及文化适应性

Treatment Adherence in Chronic Conditions during Ageing: Uses, Functionalities, and Cultural Adaptation of the Assistant on Care and Health Offline (ACHO) in Rural Areas.

作者信息

Conde-Caballero David, Rivero-Jiménez Borja, Cipriano-Crespo Carmen, Jesus-Azabal Manuel, Garcia-Alonso Jose, Mariano-Juárez Lorenzo

机构信息

Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, 10003 Cáceres, Spain.

Department of Computer and Telematic Systems Engineering, Polytechnic School, University of Extremadura, 10003 Cáceres, Spain.

出版信息

J Pers Med. 2021 Mar 2;11(3):173. doi: 10.3390/jpm11030173.

DOI:10.3390/jpm11030173
PMID:33801439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7999645/
Abstract

The increasingly common scenario of an ageing population is related to a rise in the prevalence of problems associated with chronic conditions and comorbidities. Polypharmacy is frequent among this population, and it is a situation that can create medication management and adherence issues. This article introduces the features and functionalities of a voice assistant (Assistant on Health and Care Offline, ACHO) that aims to facilitate treatment adherence among elderly adults. Specifically adapted for its use in rural contexts, it does not require an Internet connection. Its development consisted of two stages: a first stage of problem diagnosis, in which the classic tools of ethnographic fieldwork were used, and a second stage of design implementing methodologies developed by Ambient Assisted Living (AAL) programmes. The main design characteristic of this new digital care system is that it is adapted to the needs of its end-users. It includes features such as voice customisation and the personal identification of medication, it can be connected to other digital devices, and information is introduced and supervised by healthcare professionals. These custom features introduce a safer medication administration procedure, improve supervision strategies, and increase patients' trust in the prescription process.

摘要

人口老龄化这一日益普遍的情况与慢性病和共病相关问题的患病率上升有关。多重用药在这一人群中很常见,这种情况会引发药物管理和依从性问题。本文介绍了一种语音助手(健康与护理离线助手,ACHO)的特点和功能,该语音助手旨在促进老年人的治疗依从性。它经过专门调整以适用于农村环境,无需互联网连接。其开发包括两个阶段:第一阶段是问题诊断,使用了人种志实地调查的经典工具;第二阶段是设计,采用了环境辅助生活(AAL)项目开发的方法。这个新的数字护理系统的主要设计特点是它适应最终用户的需求。它包括语音定制和药物个性化识别等功能,可以连接到其他数字设备,并且信息由医疗专业人员录入和监督。这些定制功能引入了更安全的用药程序,改进了监督策略,并增强了患者对处方过程的信任。

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Health and Nutritional Beliefs and Practices among Rural Elderly Population: An Ethnographic Study in Western Spain.农村老年人群的健康和营养信念与实践:西班牙西部的民族志研究。
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