Zhang Hong, Liao Xiaoyan, Liang Shuang, Tong Lifang, Shen Jun, Peng Bin, Wu Lin, Gao Lu, Jia Qianying, Ren Liu, Luo Lanyue, Wang Yixin, Zhang Xiaoli
Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chongqing Nursing Vocational College, Chongqing, China.
Front Public Health. 2025 Apr 7;13:1560306. doi: 10.3389/fpubh.2025.1560306. eCollection 2025.
China's smart aging policy system has been evolving to become more comprehensive, continuously promoting the application of information technology in nursing homes. This study explores the adaptation process and experiences of disabled older adults with the use of information technology in nursing homes from four perspectives: physiological, psychological, social, and environmental, and examines its impact on their quality of life.
An interpretative phenomenological approach was adopted, with purposive sampling used to recruit participants. Semi-structured interviews were conducted with 14 disabled older adults, and the data were analyzed using Van Manen's phenomenology of practice method.
Four main themes and 16 sub-themes were identified: subjective health perception, physical functioning, chronic disease management, sleep quality, and nutritional status; attitudes toward aging, negative emotions, emotional companionship, and sense of meaning in life; interactions with family and friends, participation in social activities, social roles, and social support; and safety and comfort of the living environment, ease of independent mobility, the 'digital divide', and protection of personal privacy and data.
The application of information technology in nursing homes in China has partially resolved longstanding issues in traditional older adults care, such as inaccurate health management, lack of personalized and diverse services, and inefficient resource allocation. These advancements have contributed to improving the quality of life for older adults in nursing homes. However, new challenges have emerged, including the 'digital divide,' data misuse, and privacy breaches. To fully leverage the benefits of information technology, it is crucial to enhance the digital literacy of disabled older adults, provide robust technical support during implementation, and prioritize data security and privacy protection. These measures will help maximize the positive effects of information technology on the quality of life of disabled older adults.
中国的智慧养老政策体系不断发展完善,持续推动信息技术在养老院中的应用。本研究从生理、心理、社会和环境四个维度,探究残疾老年人在养老院使用信息技术的适应过程与体验,并考察其对生活质量的影响。
采用诠释现象学方法,通过目的抽样招募参与者。对14名残疾老年人进行半结构化访谈,并运用范曼的实践现象学方法分析数据。
确定了四个主要主题和16个子主题:主观健康认知、身体机能、慢性病管理、睡眠质量和营养状况;对衰老的态度、负面情绪、情感陪伴和生活意义感;与家人和朋友的互动、参与社会活动、社会角色和社会支持;以及生活环境的安全性和舒适性、自主行动便利性、“数字鸿沟”、个人隐私和数据保护。
中国养老院中信息技术的应用部分解决了传统养老中存在的长期问题,如健康管理不准确、缺乏个性化和多样化服务以及资源分配效率低下等。这些进步有助于提高养老院中老年人的生活质量。然而,也出现了新的挑战,包括“数字鸿沟”、数据滥用和隐私泄露。为充分发挥信息技术的优势,提高残疾老年人的数字素养、在实施过程中提供有力的技术支持以及优先保障数据安全和隐私保护至关重要。这些措施将有助于最大化信息技术对残疾老年人生活质量的积极影响。