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使用数字生活故事来支持对老年痴呆症患者的以人为本的护理:一项范围综述。

The use of a digital life story to support person-centred care of older adults with dementia: A scoping review.

作者信息

Dellkvist Helén, Dallora Ana Luiza, Christiansen Line, Skär Lisa

机构信息

Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.

Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.

出版信息

Digit Health. 2024 Mar 20;10:20552076241241231. doi: 10.1177/20552076241241231. eCollection 2024 Jan-Dec.

DOI:10.1177/20552076241241231
PMID:38510573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10953038/
Abstract

INTRODUCTION

A life story (LS) is a tool healthcare professionals (HCPs) use to help older adults with dementia preserve their identities by sharing their stories. Applied health technology can be considered a niche within welfare technology. Combining technology and nursing, such as using life stories in digital form, may support person-centred care and allow HCPs to see the person behind the disease.

OBJECTIVE

The study's objective was to summarise and describe the use of life stories in digital form in the daily care of older adults with dementia.

METHODS

A scoping review was conducted in five stages. Database searches were conducted in Cinahl, PubMed, Scopus, Web of Science, and Google Scholar; 31 articles were included. A conventional qualitative content analysis of the collected data was conducted.

RESULTS

The qualitative analysis resulted in three categories: (1) benefits for older adults, (2) influence on HCPs' work, and (3) obstacles to implementing a digital LS in daily care.

CONCLUSION

Older adults with dementia can receive person-centred care through a digital LS based on their wishes. A digital LS can enable symmetric communication and serve as an intergenerational communication tool. It can be used to handle behavioural symptoms. Using a digital LS in the later stages of dementia may differ from using it earlier in dementia. However, it may compensate for weakening abilities in older adults by enhancing social interaction.

摘要

引言

人生故事(LS)是医疗保健专业人员(HCPs)用来帮助患有痴呆症的老年人通过分享他们的故事来保留其身份的一种工具。应用健康技术可被视为福利技术中的一个细分领域。将技术与护理相结合,例如以数字形式使用人生故事,可能会支持以患者为中心的护理,并使医疗保健专业人员能够看到疾病背后的个体。

目的

该研究的目的是总结和描述数字形式的人生故事在患有痴呆症的老年人日常护理中的应用。

方法

进行了五个阶段的范围综述。在护理学与健康领域数据库(Cinahl)、医学期刊数据库(PubMed)、Scopus数据库、科学引文索引(Web of Science)和谷歌学术中进行了数据库检索;纳入了31篇文章。对收集到的数据进行了传统的定性内容分析。

结果

定性分析产生了三个类别:(1)对老年人的益处,(2)对医疗保健专业人员工作的影响,以及(3)在日常护理中实施数字人生故事的障碍。

结论

患有痴呆症的老年人可以根据自己的意愿通过数字人生故事接受以患者为中心的护理。数字人生故事可以实现对称沟通,并作为一种代际沟通工具。它可用于处理行为症状。在痴呆症后期使用数字人生故事可能与在痴呆症早期使用有所不同。然而,它可能通过增强社交互动来弥补老年人能力的衰退。

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Behavior change techniques to promote healthcare professionals' eHealth competency: A systematic review of interventions.
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Int J Med Inform. 2021 May;149:104432. doi: 10.1016/j.ijmedinf.2021.104432. Epub 2021 Feb 23.
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