住家老年人使用药物提醒技术的影响:系统性审查
Olli Salmensuu1, Jenni Isotalo1, Mieke Rijken1,2
1Department of Health and Social Management, University of Eastern Finland Faculty of Social Sciences and Business Studies, Kuopio, Finland.
Age and ageing
|February 5, 2026
概括
药物提醒技术显示了改善老年人临床健康结果的适度证据. 然而,需要更多的研究来证实独立生活和医疗服务利用的更广泛益处.
科学领域:
- 老年学和健康信息学
- 在医疗保健中采用技术
- 公共卫生干预 公共卫生干预
背景情况:
- 人口老龄化需要独立生活的解决方案,而药物管理是一个重大挑战.
- 在家生活的老年人需要支持,以有效地管理他们的药物.
- 五重目标框架指导医疗保健干预措施的评估.
研究的目的:
- 评估提醒技术对老年人独立生活的影响.
- 评估五重目标领域的结果:用户体验,职业经验,健康/福祉,服务利用/成本和公平.
- 综合关于药物提醒技术有效性的证据.
主要方法:
- 在2017年1月至2025年9月期间,对多个数据库 (Scopus,CENTRAL,PubMed,Web of Science,CINAHL,PsycINFO,Cochrane Reviews) 进行了系统的搜索.
- 数据提取和质量评估由两位独立作者进行.
- 证据使用四级评分:强有力的,中等的,有限的,或没有证据.
主要成果:
- 包括23项原始研究和9项系统性审查,共43项原始研究.
- 在20/40的健康结果研究中观察到显著的益处,在服务利用方面观察到1/4的益处.
- 没有发现对患者/护理人员体验或成本效益有重大影响;没有评估专业经验和公平性.
- 适度的证据支持提醒临床健康结果的有效性,特别是缩血压和身体症状.
结论:
- 药物提醒技术表明,在老年人中观察到的临床健康益处.
- 进一步进行高质量的研究至关重要,以确定对人口老龄化挑战的更广泛影响,包括卫生服务压力和成本.
- 这些技术在支持独立生活和减少医疗保健支出方面的潜力需要进一步研究.
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