一个农村社区的弱势老年人语音远程护理计划:单臂试点临床研究
Geon Young Jang1, Sunghwan Ji1,2, Ji Yeon Baek1
1Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea, 82 230103308.
JMIR aging
|November 14, 2025
概括
这种基于语音的远程护理计划改善了老年人的心理健康和生活质量,同时减少了护理人员的负担感知. 高水平的遵守表明对弱势群体的可行性.
科学领域:
- 数字健康数字健康
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于语音的技术对老年人来说是可行的,但往往忽视了护理人员的需求和与现有服务的整合.
- 对护理需求和服务整合的有限关注阻碍了数字健康工具对老年人的持续影响.
- 现有的基于语音的数字健康解决方案显示出潜力,但需要更好地与护理需求和医疗保健系统保持一致.
研究的目的:
- 评估一个全面的基于语音的远程护理计划的可行性和有效性,以社会经济弱势的老年人.
- 评估一项新的程序,将智能扬声器,应急响应和人工智能福利电话与公共卫生中心相结合.
- 为了确定为期6个月的基于语音的干预对护理人员负担和老年人的心理健康的影响.
主要方法:
- 一项单臂临床研究,涉及100名居住在社区的老年人 (临床虚弱度量表4-5).
- 参与者参与了为期6个月的计划,每天检查智能扬声器,应急响应和AI福利电话.
- 照顾者负担 (扎里特负担采访),抑郁 (PHQ-9),焦虑 (GAD-7) 和生活质量 (K-CRPS) 是主要和次要结果.
主要成果:
- 高度完成计划 (96%) 和坚持 (中位数为184天).
- 照顾者负担显示非显著下降,但唯一支持的感知显著减少 (P=.003).
- 年长的成年人在抑郁症 (P<.001),焦虑 (P=.008) 和生活质量 (P=.048) 方面经历了显著改善.
结论:
- 基于语音的程序虽然没有显著减少护理人员的整体负担,但却减轻了作为唯一支持者的负担.
- 该干预措施对老年人的心理健康产生了积极影响,减少了抑郁和焦虑,同时提高了生活质量.
- 较高的坚持和参与度证实了农村环境中弱势老年人可扩展数字健康干预措施的可行性和可接受性.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Community Based Intervention
264
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
264
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Bioavailability Study Design: Healthy Subjects Versus Patients
137
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
137
Clinical Trials
10.1K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.1K
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K


