Noh Dabok, Shim Mi-So
College of Nursing, Eulji University, Seongnam 13135, Republic of Korea.
College of Nursing, Keimyung University, Daegu 42601, Republic of Korea.
Healthcare (Basel). 2023 Aug 19;11(16):2341. doi: 10.3390/healthcare11162341.
This review was performed to evaluate the effects of robot interventions on cognitive and psychological outcomes among older adults with cognitive impairment. Three databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) were searched for studies published in English between January 2015 and August 2021. We included studies that involved older adults with cognitive impairment, interventions using robots, outcome measures related to cognitive and psychological status, and randomized controlled trials. Ten studies included in the systematic review, and nine studies derived from these ten articles were included in the meta-analyses. The meta-analyses revealed that robot interventions significantly decreased anxiety and agitation but exerted no significant effects on cognitive function, neuropsychiatric symptoms, and quality of life. The subgroup analyses according to robot types revealed that pet-type robot interventions reduced anxiety and agitation. In addition, subgroup analysis according to the intervention format of robot interventions found that individual intervention was effective for improving agitation, but a group-based intervention was effective for improving depression. We suggest using robot interventions to improve psychological outcomes such as anxiety and agitation; however, further research is needed to determine whether robot interventions affect symptoms such as cognitive function, neuropsychiatric symptoms, and quality of life.
本综述旨在评估机器人干预对认知受损老年人认知和心理结局的影响。检索了三个数据库（PubMed、Embase和Cochrane对照试验中央注册库），以查找2015年1月至2021年8月期间发表的英文研究。我们纳入了涉及认知受损老年人的研究、使用机器人的干预措施、与认知和心理状态相关的结局指标以及随机对照试验。系统评价纳入了10项研究，这10篇文章中的9项研究被纳入荟萃分析。荟萃分析显示，机器人干预显著降低了焦虑和激越，但对认知功能、神经精神症状和生活质量没有显著影响。根据机器人类型进行的亚组分析显示，宠物型机器人干预可减轻焦虑和激越。此外，根据机器人干预的形式进行的亚组分析发现，个体干预对改善激越有效，而基于小组的干预对改善抑郁有效。我们建议使用机器人干预来改善焦虑和激越等心理结局；然而，需要进一步研究以确定机器人干预是否会影响认知功能、神经精神症状和生活质量等症状。
