The psychosocial impact of interactive computer use within a vulnerable elderly population: A report on a randomized prospective trial in a home health care setting
The psychosocial impact of interactive computer use within a vulnerable elderly population: A report on a randomized prospective trial in a home health care setting
复制标题
DOI：
10.1046/j.1525-1446.2001.00138.x
复制
发表时间：
2001-03-01
影响因子：
2.1
通讯作者：
Billipp, SH
中科院分区：
文献类型：
--
作者：
Billipp, SH
对脆弱的老年客户的护理质量使得考虑交互式计算机使用作为在家庭保健环境中出于社交、功能和/或卫生保健目的进行交流的一种手段的心理社会影响是重要的。在一项为期3个月的随机前瞻性试验中，在65岁及以上的计算机文盲的私人住宅中安装了电信终端，为来访的护士提供了用三种不同的培训方法教授计算机使用的机会。对照组每周都有类似的护士来访，但没有使用电脑终端。使用Rosenberg自尊量表和老年抑郁量表进行前后测，比较使用电脑的客户的自尊和抑郁得分的变化与对照组客户的得分。单独使用交互式计算机并不能显著改变分数。然而，与对照组相比，当互动计算机使用伴随每周护士计算机培训时，自尊和抑郁的改善有显著变化。每周与重要的另一半一起训练，作为护士培训师的替代品，显著提高了自尊得分，但没有提高抑郁得分。互动电脑的使用与自尊降低或抑郁加重无关。态度的变化和对这项研究中使用的特定电信服务的反应喜忧参半，这表明未来的研究应该基于改善电信系统，使其能够获得更多实际应用于老年客户需求的项目。
Quality of care for vulnerable elderly clients makes it important to consider the psychosocial effects of interactive computer use as a means to communicate for social, functional, and/or health care purposes in a home health care setting. In a 3-month randomized prospective trial, telecommunications terminals were installed in the private residences of computer-illiterate persons, 65-years-of-age and older, providing visiting nurses the opportunity to teach computer use with three different training methods. The control group had similar weekly nurse visits, but no computer terminal use. Pre-posttests using the Rosenberg Self-Esteem Scale and the Geriatric Depression Scale compared change in self-esteem and depression scores of computer-use clients with the scores of the control group clients. Interactive computer use, alone, did not significantly change scores. Compared to the control group, however, there was a significant change toward improved self-esteem and depression when interactive computer use was accompanied with weekly nurse computer training. Weekly training with a significant other, as a substitute for the nurse trainer, significantly improved self-esteem scores but not depression scores. Interactive computer use was not associated with decreased self-esteem or increased depression. Attitude changes and responses to the particular telecommunication service used in this study were mixed, suggesting future research should be based on improved telecommunication systems with access to programs that have greater practical application to the needs of elderly clients.