辅助技术和就地老龄化用于痴呆症和残疾患者:具有互动通信功能的家庭被动远程监测的概念验证研究。
Assistive technologies and aging in place for people with dementia and disabilities: a proof-of-concept study with in-home passive remote monitoring with interactive communication functions.
机构信息
Faculty of Healthcare Management, Nihon Fukushi University, Mihama, Aichi, Japan.
Social Welfare Corporation Tokyo Seishin-kai, Nishitokyo, Tokyo, Japan.
出版信息
Disabil Rehabil Assist Technol. 2024 Aug;19(6):2341-2354. doi: 10.1080/17483107.2023.2287148. Epub 2023 Dec 24.
PURPOSE
Can assistive technologies (ATs) support aging in place for people with dementia and disability? In seeking to go beyond the persistent institutional care delivery paradigm, this proof-of-concept study tested the feasibility of home care delivery using sensors and remote communication devices. This article reports the collaborative efforts among care professionals, care recipients and family caregivers in their private home environment and the impact of in-home passive remote monitoring (PRM) system on the users. The purpose of this study was to investigate the usability and impact of a PRM system combining in-house passive remote monitoring and an interactive communication function.
METHODS
In order to realize AT-supported, person-centered aging in place, a new care delivery model was designed, developed and tested for the duration of 12 weeks. The study was conducted with 5 older people (1 with severe disability and 4 with dementia), their primary family carers with 15 care professionals as users.
RESULTS
The findings indicate that there were some technical issues. However, the overall assessment of the system performance was positive, and the users expressed favorable views regarding its preventive and interactive nature. The importance of team-based care delivery, adjusted to fit the PRM equipment, was also highlighted. Faced with the challenge of meeting the increasing demand for person-centered care with limited resources, there will be a greater need for better integration of improved ATs. The study indicates ATs' potential for enhancing the quality of life for those involved in caregiving, while stressing the significance of stakeholders' engagement, skills and teamwork.
目的
辅助技术(ATs)能否支持痴呆症和残疾患者的就地养老?为了超越持续的机构护理提供模式,本概念验证研究测试了使用传感器和远程通信设备进行家庭护理的可行性。本文报告了护理专业人员、护理接受者和家庭照顾者在其私人家庭环境中的协作努力,以及家庭被动远程监测(PRM)系统对用户的影响。本研究旨在调查结合了户内被动远程监测和互动通信功能的 PRM 系统的可用性和影响。
方法
为了实现支持辅助技术的、以个人为中心的就地养老,设计、开发并测试了一种新的护理提供模式,为期 12 周。该研究招募了 5 名老年人(1 名患有严重残疾,4 名患有痴呆症)及其主要家庭照顾者,以及 15 名护理专业人员作为用户。
结果
研究结果表明存在一些技术问题。然而,对系统性能的总体评估是积极的,用户对其预防性和互动性表示满意。基于团队的护理提供方式,根据 PRM 设备进行调整,也得到了强调。面对资源有限、满足以人为中心的护理需求不断增加的挑战,将需要更好地整合改进的 ATs。该研究表明了 ATs 在提高护理人员生活质量方面的潜力,同时强调了利益相关者参与、技能和团队合作的重要性。