Sensing a problem: Proof of concept for characterizing and predicting agitation
Sensing a problem: Proof of concept for characterizing and predicting agitation
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DOI：
10.1002/trc2.12079
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发表时间：
2020-01-01
影响因子：
4.8
通讯作者：
Kaye, Jeffrey
中科院分区：
文献类型：
--
作者：
Au-Yeung, Wan-Tai M.;Miller, Lyndsey;Kaye, Jeffrey
引言：痴呆症患者经历的躁动难以管理，对护理人员来说也很有压力。目前，激越主要由护理人员或临床医生根据自我报告或非常短暂的观察期进行评估。这限制了全面或足够敏感的报告的可用性，以发现早期的躁动迹象或识别其诱发因素。这篇文章的目的是提供一个概念的证明，用于表征和预测使用一个系统，连续监测患者的活动和生活环境内的记忆护理设施的激越。使用行为传感器来实现对参与者的连续和不引人注目的监视，所述行为传感器包括被动红外运动传感器、门接触传感器、可穿戴的体动记录设备，以及安装在参与者的生活区中的床压垫传感器。环境传感器还用于持续评估温度、光、声音和湿度。护理人员报告了激越发作。138天收集的数据分为8小时的护理班次。从激动的变化的功能进行了比较，从非激动的变化，使用t-tests.Results：共37集的激动，报告为男性参与者，64岁的阿尔茨海默氏症，生活在一个记忆护理单位。参与者的活动指标（例如，在起居室内的转换，来自床垫的睡眠评分，以及来自活动记录仪的总活动计数）与夜间躁动的发生显著相关（P
Introduction: Agitation, experienced by patients with dementia, is difficult to manage and stressful for caregivers. Currently, agitation is primarily assessed by caregivers or clinicians based on self-report or very brief periods of observation. This limits availability of comprehensive or sensitive enough reporting to detect early signs of agitation or identify its precipitants. The purpose of this article is to provide proof of concept for characterizing and predicting agitation using a system that continuously monitors patients' activities and living environment within memory care facilities.Methods: Continuous and unobtrusive monitoring of a participant is achieved using behavioral sensors, which include passive infrared motion sensors, door contact sensors, a wearable actigraphy device, and a bed pressure mat sensor installed in the living quarters of the participant. Environmental sensors are also used to continuously assess temperature, light, sound, and humidity. Episodes of agitation are reported by nursing staff. Data collected for 138 days were divided by 8-hour nursing shifts. Features from agitated shifts were compared to those from non-agitated shifts using t-tests.Results: A total of 37 episodes of agitation were reported for a male participant, aged 64 with Alzheimer's disease, living in a memory care unit. Participant activity metrics (eg, transitions within the living room, sleep scores from the bedmat, and total activity counts from the actigraph) significantly correlated with occurrences of agitation at night (P