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痴呆症护理技术:从护理人员的角度来看,好的技术应该是什么样子的,能做些什么?

Technology for dementia care: what would good technology look like and do, from carers' perspectives?

机构信息

MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, NSW, Australia.

Deakin University, Geelong, VIC, Australia.

出版信息

BMC Geriatr. 2023 Dec 16;23(1):867. doi: 10.1186/s12877-023-04530-9.


DOI:10.1186/s12877-023-04530-9
PMID:38104074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10725604/
Abstract

BACKGROUND: The development of technology in dementia care has largely been without consultation with carers, and has primarily focused on safety, monitoring devices, and supporting activities of daily living. Further, while involving end-users in the design of technology has been recommended, this is yet to become common practice. METHOD: We conducted a mixed methods study with the aim of investigating carers' values and priorities for technology development, including prior experiences, barriers to use, and what they would like technology to do. Importantly, we asked carers for their design ideas and bespoke technology solutions for future development. RESULTS: Carers of people living with dementia (N = 127), including both unpaid (n = 102) and paid carers (n = 25) residing in Australia, completed an online survey. In addition, a subsample of carers (n = 23) participated in semi-structured interviews. Findings demonstrate that carers want technology to be person-centred, customisable, and to increase opportunities for meaningful social connection. Findings also demonstrate the ability of carers to generate creative design solutions for dementia care. CONCLUSIONS: These findings and implications will be discussed in relation to the importance of co-design with carers and engineers during the design phase of assistive technology. Also, the importance of technology to enhance, not replace, human-to-human social interactions is highlighted.

摘要

背景:痴呆症护理领域的技术发展在很大程度上没有与护理人员协商,主要集中在安全、监测设备和支持日常生活活动上。此外,尽管建议让最终用户参与技术设计,但这尚未成为普遍做法。

方法:我们进行了一项混合方法研究,旨在调查护理人员对技术发展的价值观和优先事项,包括先前的经验、使用障碍以及他们希望技术做什么。重要的是,我们询问了护理人员对未来发展的设计理念和定制技术解决方案的意见。

结果:居住在澳大利亚的痴呆症患者(N=127)的护理人员,包括无薪(n=102)和带薪护理人员(n=25),完成了在线调查。此外,护理人员的一个亚组(n=23)参加了半结构化访谈。研究结果表明,护理人员希望技术以人为本、可定制,并增加有意义的社交联系的机会。研究结果还展示了护理人员为痴呆症护理生成创意设计解决方案的能力。

结论:这些发现和意义将根据在辅助技术设计阶段与护理人员和工程师共同设计的重要性进行讨论。此外,还强调了技术增强而非取代人与人之间社交互动的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/4d038e45390f/12877_2023_4530_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/d0df7e78839e/12877_2023_4530_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/71e930b2a701/12877_2023_4530_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/b726d34cc508/12877_2023_4530_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/59aba771821d/12877_2023_4530_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/6a1d8fd94453/12877_2023_4530_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/4d038e45390f/12877_2023_4530_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/d0df7e78839e/12877_2023_4530_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/71e930b2a701/12877_2023_4530_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/b726d34cc508/12877_2023_4530_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/59aba771821d/12877_2023_4530_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/6a1d8fd94453/12877_2023_4530_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9860/10725604/4d038e45390f/12877_2023_4530_Fig6_HTML.jpg

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[4]
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[5]
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[6]
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[7]
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BMC Geriatr. 2024-1-29

本文引用的文献

[1]
Changes in the prevalence of dementia in Australia and its association with geographic remoteness.

PLoS One. 2023

[2]
Carers using assistive technology in dementia care at home: a mixed methods study.

BMC Geriatr. 2022-6-8

[3]
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Carers' experiences of assistive technology use in dementia care: a cross sectional survey.

BMC Geriatr. 2021-8-25

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"When I hear my language, I travel back in time and I feel at home": Intersections of culture with social inclusion and exclusion of persons with dementia and their caregivers.

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