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PARO 如何帮助养老院中的老年人:一项 RCT 的系统评价。

How PARO can help older people in elderly care facilities: A systematic review of RCT.

机构信息

Nursing Department, the First Affiliated Hospital of Chongqing Medical University, Yuzhong district, #1 Youyi road, Chongqing, 400014, China.

出版信息

Int J Nurs Knowl. 2022 Jan;33(1):29-39. doi: 10.1111/2047-3095.12327. Epub 2021 May 7.

Abstract

PURPOSE

This review aims to systematically evaluate the effects of Paro on older adults and provide a stronger basis for the rational application of Paro in aged care facilities.

METHODS

Articles published between January 2003 and January 2020 via five databases (PubMed, Web of Science, EMBASE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Chinese database SinoMed) were searched. The Cochrane collaboration tool for randomized controlled trials was used to assess the quality of all included studies.

RESULTS

Nine articles were included in this systematic review. All articles were summarized according to three themes: quality of life, and biopsychological conditions, and drug usage.

CONCLUSIONS

The review demonstrated that interaction with Paro can be beneficial for improving quality of life (QOL), biopsychological conditions, and reducing psychotropic and pain medical usage. Since the differences of the study design and low to moderate quality of these studies, however, we should be cautious to make positive comments on the role of Paro.

IMPLICATIONS OF NURSING PRACTICE

The implications of Paro in aged care facilities have positive effects on nursing outcomes. This review helps caregivers understand the advantages and disadvantages of care robots, and promotes the integration of intelligent technology and manual services in nursing practice.

摘要

目的

本综述旨在系统评估 Paro 对老年人的影响,为 Paro 在养老院中的合理应用提供更有力的依据。

方法

通过五个数据库(PubMed、Web of Science、EMBASE、Cochrane 图书馆、护理和联合健康文献累积索引 (CINAHL) 和中国数据库 SinoMed),检索了 2003 年 1 月至 2020 年 1 月期间发表的文章。使用 Cochrane 协作随机对照试验工具评估所有纳入研究的质量。

结果

本系统评价纳入了 9 篇文章。所有文章均根据三个主题进行了总结:生活质量、生物心理状况和药物使用。

结论

综述表明,与 Paro 互动有助于改善生活质量 (QOL)、生物心理状况,并减少精神类药物和止痛药物的使用。然而,由于研究设计的差异以及这些研究的质量较低且为中等,我们在对 Paro 的作用做出积极评价时应保持谨慎。

护理实践意义

Paro 在养老院中的应用对护理结果具有积极影响。本综述有助于护理人员了解护理机器人的优缺点,并促进智能技术与护理实践中的人工服务的整合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/902c/9292779/118eb7c114fb/IJNT-33-29-g007.jpg

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