在帕金森病的数字包容:一个病例对照研究
Vincenzo Canoro1, Andrea Pilotto2, Francesco Lena3
1Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Neuroscience Section University of Salerno, Baronissi, Italy.
Movement disorders clinical practice
|June 9, 2025
概括
患有帕金森病的人 (pwPD) 经历了显著的数字排斥,特别是在数字技能方面,阻碍了远程医疗的访问. 这种排斥会随着疾病的严重程度而恶化,影响那些最需要远程护理的人.
科学领域:
- 神经学 神经学
- 数字健康数字健康
- 老年学是一门学科.
背景情况:
- 帕金森病患者是远程医疗的理想候选人.
- 数字排斥对 pwPD 实施远程医疗构成了重大障碍.
研究的目的:
- 为了比较pwPD和健康对照 (HC) 之间的数字包容水平.
- 确定影响 pwPD 数字排斥的社会人口和疾病特异性因素.
主要方法:
- 490个 pwPD 和 140个HC 填写了数字包容性调查问卷 (DIQUEST).
- 收集的数据包括人口统计和临床特征 (Hoehn & Yahr,MDS-UPDRSIII,抑郁症,认知衰退).
- 非参数测试和多变量线性回归分析了数字排除预测器.
主要成果:
- pwPD的数字排斥比HC更大,主要是由于数字技能较低.
- 抑郁症,冷漠和轻度认知衰退与增加的数字排斥相关.
- 帕金森病的存在和严重程度独立地预测了更高的数字排斥.
结论:
- pwPD面临着相当大的数字排斥,限制了远程医疗的采用.
- 具有更先进的帕金森病的个体具有悖论性地更被数字排除在外,尽管对远程服务的需求更大.
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