Effectiveness of Robot Paro in Intramural Psychogeriatric Care: A Multicenter Quasi-Experimental Study
Effectiveness of Robot Paro in Intramural Psychogeriatric Care: A Multicenter Quasi-Experimental Study
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DOI：
10.1016/j.jamda.2015.05.007
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发表时间：
2015-11-01
影响因子：
7.6
通讯作者：
de Witte, Luc
中科院分区：
文献类型：
--
作者：
Bemelmans, Roger;Gelderblom, Gert Jan;de Witte, Luc
背景资料：与护理专业人员一起，为海豹机器人Paro.Objectives开发了特定的老年精神病护理应用程序：本研究旨在评估已开发的Paro干预措施的结果，将机器人应用于老年精神病护理。设计：进行了一项多中心准实验性时间序列ABAB研究（n = 91），并进行了受试者内比较，以评估短期Paro干预治疗应用的长期效果，以及护理提供者对日常护理活动的促进作用。（每个机构8-10名住院医生），分布在6个不同的地点，在荷兰3个护理机构进行校内老年精神病护理。共91例痴呆患者，在痴呆的所有阶段。干预：两个以用户为中心的干预类型，一个用于治疗目的，一个用于促进日常护理活动。测量：有效性用目标实现量表（IPPA）和情绪量表测量结果：91名参与者共定义了106个用户特定的干预措施; 71名参与者完成了研究，14名男性和57名女性。所有干预措施相结合显示出显着的效果（P < .001）。结论：帕罗应被视为一种工具，为护理人员，而不是作为一种替代护理。Paro在日常精神科护理实践中的成功实施可以提高老年人的护理质量和生活质量。(C)2015年AMDA -急性后和长期护理医学协会。
Background: Together with care professionals, specific psychogeriatric care applications were developed for the seal robot Paro.Objectives: This study aims to evaluate the outcomes of the developed Paro interventions, applying the robot in psychogeriatric care.Design: A multicenter quasi-experimental time series ABAB study (n = 91) with within-subject comparison was conducted to assess both the short-term effects of the Paro interventions for therapeutic applications, and the facilitation of daily care activities by care providers.Setting: Small-scale care units (8-10 residents each), spread over 6 different locations, in 3 Dutch care institutions for intramural psychogeriatric care.Participants: A total of 91 patients with dementia, in all stages of dementia.Intervention: Two user-centered intervention types were applied, one for therapeutic purposes and one for the facilitation of daily care activities.Measurements: Effectiveness was measured with a goal attainment scale (IPPA) and a mood scale (Coop/Wonca), by means of a registration form.Results: A total of 106 user-specific interventions were defined for 91 participants; 71 participants completed the study, 14 were men and 57 were women. All interventions combined show a significant effect (P < .001).Conclusion: Paro should be seen as a tool for care staff and not as a replacement of care. Successful implementation of Paro in daily intramural psychogeriatric care practice can increase the quality of care and the quality of life for the elderly. (C) 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.