College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
School of Nursing, Sam Ratulangi University, Manado, Indonesia.
J Clin Nurs. 2021 Nov;30(21-22):3139-3152. doi: 10.1111/jocn.15856. Epub 2021 May 26.
The role of robotic care has been studied because it may be a care option applicable to dementia care. However, the effects of robotic care in dementia care are still inconclusive.
To explore the span of the effects of robotic care intervention among patients with dementia.
Systematic review and meta-analysis.
This study searched systematically using the following databases: Academic Search Complete, CINAHL, Cochrane Library, MEDLINE, PubMed, SocINDEX, UpToDate (OVID) and Web of Science. The eligibility criteria were patients with dementia, randomised controlled trials and publications in English. The PEDro scale was used to assess the methodological quality in the included studies. The meta-analysis was performed using a fixed-effects model to calculate the pooled effects of robotic care interventions. STATA 16.0 was used for statistical analysis. The results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
A total of 15 studies met the eligibility criteria and included 1684 participants. Overall, the robotic care interventions had positive effects on agitation (SMD = 0.09; 95% CI [-0.22-0.33]), anxiety (SMD = -0.07; 95% CI [-0.42-0.28]), cognitive function (SMD = 0.16; 95% CI [-0.08-0.40]), depression (SMD = -0.35; 95% CI [-0.69-0.02]), neuropsychiatric symptoms (SMD = 0.16; 95% CI [-0.29-0.61]), total hours of sleep during daytime (SMD = -0.31; 95% CI [-0.55 to 0.07]) and quality of life (SMD = 0.24; 95% CI [-0.23-0.70]).
Robotic care intervention may be an effective and alternative intervention for improving the health outcomes for people with dementia. The robotic care effect on anxiety should be confirmed. Further studies may consider the frequency, duration of intervention and possible negative outcomes after robotic care interventions.
As a non-pharmacological approach, nursing staff may consider the robotic care intervention in providing care for patients with dementia since this intervention has clinical benefits.
机器人护理的作用已经得到了研究，因为它可能是一种适用于痴呆症护理的护理选择。然而，机器人护理对痴呆症护理的效果仍不确定。
探讨机器人护理干预对痴呆症患者的影响范围。
系统评价和荟萃分析。
本研究系统地搜索了以下数据库：学术搜索完整、CINAHL、考科兰图书馆、医学在线、PubMed、SocINDEX、UpToDate（OVID）和 Web of Science。纳入标准为痴呆症患者、随机对照试验和英文出版物。使用 PEDro 量表评估纳入研究的方法学质量。使用固定效应模型进行荟萃分析，计算机器人护理干预的汇总效果。使用 STATA 16.0 进行统计分析。结果根据系统评价和荟萃分析的首选报告项目（PRISMA）指南进行报告。
共有 15 项研究符合纳入标准，纳入了 1684 名参与者。总体而言，机器人护理干预对激越（SMD=0.09；95%CI[-0.22-0.33]）、焦虑（SMD=-0.07；95%CI[-0.42-0.28]）、认知功能（SMD=0.16；95%CI[-0.08-0.40]）、抑郁（SMD=-0.35；95%CI[-0.69-0.02]）、神经精神症状（SMD=0.16；95%CI[-0.29-0.61]）、白天总睡眠时间（SMD=-0.31；95%CI[-0.55-0.07]）和生活质量（SMD=0.24；95%CI[-0.23-0.70]）有积极影响。
机器人护理干预可能是改善痴呆症患者健康结果的一种有效替代干预措施。机器人护理对焦虑的影响需要进一步确认。进一步的研究可能需要考虑干预的频率、持续时间以及机器人护理干预后的可能负面后果。
作为一种非药物治疗方法，护理人员可以考虑在为痴呆症患者提供护理时使用机器人护理干预，因为这种干预具有临床益处。
