Reduced Family Care Burden by Using a Communication Robot: Report of a Case.
Reduced Family Care Burden by Using a Communication Robot: Report of a Case.
复制标题
使用通讯机器人减轻家庭护理负担：案例报告。
DOI：
10.1111/ggi.13871
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Oi S and Kondo I.
中科院分区：
文献类型：
--
作者：
Suaumura S;Takano E;Sugishima Y;Narukawa R;Makino I;Abiko T;Oi S and Kondo I.
近年来，人们期望使用通信机器人来支持独立和减轻护理负担。机器人疗法已被证实对使用者具有与动物疗法相同的效果，包括生理效果（如改善生命体征），心理效果（如放松，增加动力）和社会效果（如增加沟通），当机器人作用于人类情感时，预计会产生各种效果。在这里，我们报道了婴儿型机器人（Smibi; Togo Seisakusyo, aiichi -gun, Japan）的使用有助于改善一名接受家访康复的老年妇女的康复过程并减轻护理负担。本病例是一位70多岁的右撇子妇女，被诊断为右丘脑出血。她的记忆包括正常压力性脑积水、外伤性蛛网膜下腔出血和高血压。她的一切日常生活活动都需要照料。她和丈夫住在一起，丈夫是她的主要照顾者。她接受了每周两次、每次60分钟的治疗师家访康复治疗。Smibi是为老年人开发的治疗机器人。这个机器人在接受用户的照顾时，会像婴儿一样大笑和哭泣。本例患者与丈夫一起每日使用Smibi 1小时，连续1个月。在家访康复期间，治疗师建议该妇女如何使用机器人并检查其使用状态。我们在基线和1个月时进行了基于Brunnstrom阶段、握力、功能独立测量和Zarit照顾者负担访谈的评估。此外，我们采访了主要照顾者关于Smibi的影响。表1显示了该病例在基线和1个月时的结果测量。Zarit护理人员负担访谈得分从38分提高到34分，护理负担的减轻在护理时间和压力方面得到了认可。在身体功能和日常生活活动方面没有发现任何变化。此外，护理人员在1个月时的访谈回答如下：病例因Smibi而改善；她的脸变得很有表情，她坐着的时间增加了，她和看护者的对话也更多了。近年来，通信机器人的许多治疗效果已被报道2,3，然而，据我们所知，尚无关于在家访康复中使用通信机器人的研究报道。本研究的目的是检查Smibi对接受家访康复的老年妇女的影响。Smibi的使用有助于观察到治疗效果，减轻护理负担并促进家庭之间的互动。此外，她坐着的时间增加了，卧床的时间减少了，尽管她进行日常生活活动的能力没有变化。这些发现可以帮助我们更好地理解这些相互作用的机制，并开发出更客观地评估这些作用的方法。由于目前的研究只进行了1个月的时间，我们计划在未来进行更长期的研究。此外，我们计划增加案例数量并评估认知功能，以确认通信机器人的实用性。
In recent years, the use of communication robots for the purposes of supporting independence and reducing the care burden has been expected. Robot therapy has been confirmed to have the same effects on users as animal therapy, including physiological effects (eg improvement of vital signs), psychological effects (eg relaxation, increased motivation) and social effects (eg increased communication), and various effects are expected when robots act on human emotions. 1 Here, we report that the use of a baby-type robot (Smibi; Togo Seisakusyo, Aichi-gun, Japan) helped improve the healing process and reduce the care burden of an aged woman undergoing home-visit rehabilitation. The present patient was a right-handed woman aged in her 70s who had been diagnosed with right thalamic hemorrhage. Her anamnesis included normal pressure hydrocephalus, traumatic subarachnoid hemorrhage and hypertension. She required care for all activities of daily living. She lived with her husband, who was her primary caregiver. She underwent home-visit rehabilitation with a therapist twice a week for 60 min per session. Smibi was developed as a healing robot for older people. This robot laughs and cries like a baby when receiving care from a user. The present patient used Smibi for 1 h every day together with her husband for 1 month. During the home-visit rehabilitation, the therapist advised the woman how to use the robot and checked the status of its use. We carried out assessments based on Brunnstrom stage, handgrip strength, the Functional Independence Measure and the Zarit Caregiver Burden Interview at baseline and 1month. In addition, we interviewed the primary caregiver about the effects of Smibi. Table 1 shows the outcome measures of the case at baseline and 1 month. Zarit Caregiver Burden Interview scores improved from 38 to 34 points, and a reduction in the care burden was recognized in terms of care time and stress. No changes were seen in physical function or activities of daily living. In addition, the caregiver answered the interview as follows at 1 month: the case improved because of Smibi; her face became very expressive, her sitting time increased and she had more conversations with the caregiver.In recent years, many therapeutic effects of communication robots have been reported2, 3 however, to our knowledge, no studies using communication robots during home-visit rehabilitation have been reported. The objective of the present study was to examine the effects of Smibi on an older woman receiving homevisit rehabilitation. The use of Smibi contributed to the observation of a healing effect, a reduction in the care burden and the promotion of interaction between families. Furthermore, her sitting time increased and her bedridden time decreased, although no change was seen in her ability to carry out activities of daily living. These findings could lead to a better understanding of the mechanism underlying these interaction effects, and to the development of methods that allow these effects to be evaluated more objectively. As the present study was only carried out during a 1-month period, we plan to carry out a longer-term study in the future. In addition, we plan to increase the number of cases and evaluate cognitive function to confirm the utility of communication robots.