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老年居家照护客户对数字化的体验:一项关于使用机器人管理药物的体验的定性研究。

Older home care clients' experiences of digitalisation: A qualitative study of experiences of the use of robot for medicines management.

机构信息

Unit of Continuous Learning, Savonia University of Applied Sciences, Kuopio, Finland.

Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.

出版信息

Scand J Caring Sci. 2023 Jun;37(2):561-570. doi: 10.1111/scs.13141. Epub 2022 Dec 27.

Abstract

BACKGROUND

Home-living older people with multiple medications are a key target group for medication robots. However, our understanding of how robots for medicines management work in older people's daily lives is limited.

AIM

The aim of this study was to describe older home care clients' experiences of the implementation and use of a robot for medicines management at home.

DESIGN

A qualitative interview study.

METHODS

Data were collected during spring and autumn 2021 using semi-structured individual interviews with older home care clients (n = 38). The data were analysed using inductive content analysis.

RESULTS

The older home care clients had positive experiences with the use of technology for the medication process, but they also faced challenges in their daily life activities. Implementation and use of the robot required open-mindedness, satisfaction with the implementation, and the opportunity to practice the use of the robot with a nurse. However, the current design and size of the robot for medicines management in home care still need development, given that our research participants did not feel included in the robot development process.

CONCLUSION

The use of digital solutions will increase older people's home care. Therefore, there is a need to deepen our understanding of the implementation and use of digital solutions to prevent digital challenges and to provide a more comprehensive picture of this phenomenon. In addition, research focusing on whether the use of the robot affects medication administration incidents and medication adherence should be conducted to improve the safety of medicines management.

摘要

背景

居家生活且服用多种药物的老年人是药物管理机器人的重点目标人群。然而,我们对药物管理机器人在老年人日常生活中的运作方式的了解有限。

目的

本研究旨在描述居家老年护理客户对家庭中使用药物管理机器人的实施和使用体验。

设计

定性访谈研究。

方法

2021 年春季和秋季期间,采用半结构式个体访谈的方式收集了 38 名居家老年护理客户的数据。使用归纳内容分析法对数据进行分析。

结果

居家老年护理客户对药物管理过程中使用技术的体验是积极的,但他们在日常生活活动中也面临挑战。机器人的实施和使用需要思想开放、对实施感到满意,并有机会在护士的指导下练习使用机器人。然而,鉴于我们的研究参与者没有感到自己参与了机器人的开发过程,目前家庭护理中药物管理机器人的设计和尺寸仍需要进一步发展。

结论

数字解决方案的使用将增加老年人的居家护理。因此,需要加深对数字解决方案的实施和使用的理解,以预防数字挑战,并更全面地了解这一现象。此外,应开展关于机器人使用是否会影响药物管理事件和药物依从性的研究,以提高药物管理的安全性。

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