Home Healthc Now. 2023;41(4):214-220. doi: 10.1097/NHH.0000000000001187.
Parkinson's disease (PD) is the fastest growing neurological disease worldwide with more than 8.5 million people diagnosed. Assistive technologies for people with PD support the user to maximize independence. The purpose of this integrative literature review was to critique and synthesize the literature on the impact of assistive technologies on quality of life of home-dwelling individuals with PD. A literature search for studies on assistive technologies for people with PD with a primary outcome measure of quality of life was conducted. Of 156 articles screened for eligibility, 6 met selection criteria, including 4 quantitative studies, 1 qualitative study, and 1 mixed-method. Levels of evidence were scored as a percentage of quality criteria met, from 60% to 100% using the Mixed Methods Appraisal Tool. Using home monitoring devices was associated with significant improvements in walking, especially during freezing of gait. Evidence supports the use of assistive technologies including voice-activated technology, home automation, and home monitoring devices. Further research is needed to determine the effect of assistive technology on quality of life.
帕金森病(PD)是全球增长最快的神经退行性疾病,全球有超过 850 万人被诊断为 PD。针对 PD 患者的辅助技术支持用户实现最大程度的独立。本综述性文献旨在对有关辅助技术对 PD 患者居家生活质量影响的文献进行批判性评估和综合。我们对 PD 患者辅助技术的研究进行了文献检索,其主要结局指标为生活质量。在筛选出的 156 篇合格文章中,有 6 篇符合选择标准,包括 4 项定量研究、1 项定性研究和 1 项混合方法研究。使用混合方法评价工具,根据满足质量标准的百分比,将证据水平评为 60%至 100%。使用家庭监测设备与行走能力,尤其是步态冻结时的显著改善相关。有证据支持使用辅助技术,包括语音激活技术、家庭自动化和家庭监测设备。需要进一步研究来确定辅助技术对生活质量的影响。