移动健康应用程序在失智症患者照护中的应用进展

doi:10.3761/j.issn.0254-1769.2021.06.024

摘要/Abstract

摘要：

失智症患者照护作为全球公共卫生工作重点,已引起公众高度关注。该文介绍移动健康应用程序的定义、发展背景及其在失智症患者照护中的应用类型,包括早期筛查、认知训练、日常辅助、活动监测、社交活动、照护者支持六大类,并对各类型的应用效果、优缺点进行总结。根据国内应用现状,提出利用多学科团队开发符合中国文化的移动健康应用程序并实施干预,以期为国内开展相关失智症患者移动健康照护的研究提供参考和依据。

关键词: 失智症, 移动健康, 应用程序, 护理, 综述

Abstract:

As the focus of global public health,dementia has aroused great public concerns. This paper introduces the definition,development background and application types of mobile health applications in nursing care of patients with dementia,including early screening,cognitive training,daily assistance,activity monitoring,social activities and caregivers support. It sums up advantages and disadvantages of the various types of application effects. According to the domestic current situation of the application,it is proposed to use multidisciplinary teams to develop mobile health applications in line with Chinese culture and implement interventions,so as to provide references and bases for the research on mobile health care of patients with dementia in China.

Key words: Dementia, Mobile Health, Applications, Nursing Care, Review

李雪,李冬梅,胡紫燕,周瑶,平燕汝,许虹. 移动健康应用程序在失智症患者照护中的应用进展[J]. 中华护理杂志, 2021, 56(6): 942-947.

LI Xue,LI Dongmei,HU Ziyan,ZHOU Yao,PING Yanru,XU Hong. Research progress of mobile health application in family care of patients with dementia[J]. Chinese Journal of Nursing, 2021, 56(6): 942-947.

参考文献 42

[1]	李峥. 老年痴呆相关概念辨析[J]. 中华护理杂志, 2011,46(10):1045.
	Li Z. Discrimination of related concepts of senile dementia[J]. Chin J Nurs, 2011,46(10):1045.
[2]	Alzheimer’s Disease International. World Alzheimer Report 2019:attitudes to dementia[EB/OL].(2019-09)[2020-10-10]. https://www.alz.co.uk/research/world-report-2019.
[3]	Meyer C, O’Keefe F. Non-pharmacological interventions for people with dementia:a review of reviews[J]. Dementia, 2020,19(6):1927-1954. DOI URL
[4]	陈娇娇, 马红梅, 贾玉玲, 等. 音乐疗法在失智症患者中的应用现状[J]. 中华护理教育, 2019,16(12):901-905.
	Chen JJ, Ma HM, Jia YL, et al. The music therapy applied in caring of patients with dementia[J]. Chin J Nurs Educ, 2019,16(12):901-905.
[5]	陈梦婷, 玄令美, 颛孙雯, 等. 模拟家人在场疗法在痴呆患者护理中的应用进展[J]. 中华护理杂志, 2019,54(11):1757-1760.
	Chen MT, Xuan LM, Zhuan SW, et al. Application progress of simulated presence therapy in caring of dementia patients[J]. Chin J Nurs, 2019,54(11):1757-1760.
[6]	刘璇, 肖泽梅. 小丑照护在老年痴呆患者中的应用研究进展[J]. 护理学杂志, 2020,35(17):28-31.
	Liu X, Xiao ZM. Application of clown care in patients with dementia:a review[J]. J Nurs Sci, 2020,35(17):28-31.
[7]	Kouzuki M, Kitao S, Kaju T, et al. Evaluation of the effect of aroma oil as a bath salt on cognitive function[J]. Psychogeria-trics, 2020,20(2):163-171.
[8]	黄聪, 谌永毅, 刘翔宇, 等. 移动医疗在护理领域的应用进展[J]. 中华护理杂志, 2019,54(8):1264-1269.
	Huang C, Chen YY, Liu XY, et al. Application progress of mobile medicine in nursing field[J]. Chin J Nurs, 2019,54(8):1264-1269.
[9]	张博文, 金新政. 移动健康管理研究[J]. 中国卫生信息管理杂志, 2016,13(1):41-44,50.
	Zhang BW, Jin XZ. The research of mobile health management[J]. Chin J Heal Informatics Manag, 2016,13(1):41-44,50.
[10]	Bateman DR, Srinivas B, Emmett TW, et al. Categorizing health outcomes and efficacy of mHealth apps for persons with cognitive impairment:a systematic review[J]. J Med Internet Res, 2017,19(8):e301. DOI URL
[11]	Prabhakaran D, Jha D, Singh K, et al. Effectectiveness of mHea-lth based decision support system for integrated management of chronic conditions in primary care:the mWellcare trial[J]. Circulation, 2018,138(25):758-759.
[12]	Guo Y, Yang F, Hu F, et al. Existing mobile phone Apps for self-care management of people with alzheimer disease and related dementias:systematic analysis[J]. JMIR Aging, 2020,3(1):e18754. DOI URL
[13]	Chinner A, Blane J, Lancaster C, et al. Digital technologies for the assessment of cognition:a clinical review[J]. Evid Based Ment Heal, 2018,21(2):67-71.
[14]	Wohlfahrt-Laymann J, Hermens H, Villalonga C, et al. Mobile-CogniTracker[J]. J Ambient Intell Human Comput, 2019,10(6):2143-2160. DOI URL
[15]	Sindi S, Calov E, Fokkens J, et al. The CAIDE eementia risk score App:the development of an evidence-based mobile application to predict the risk of dementia[J]. Alzheimer’s Dement:Diagn Assess Dis Monit, 2015,1(3):328-333.
[16]	Martínez-Alcalá CI, Rosales-Lagarde A, Hernández-Alonso E, et al. A mobile App(iBeni)with a neuropsychological basis for cognitive stimulation for elderly adults:pilot and validation study[J]. MIR Res Protoc, 2018,7(8):e172.
[17]	Cavallo M, Angilletta C. Long-lasting neuropsychological effects of a computerized cognitive training in patients affected by early stage Alzheimer’s disease:are they stable over time?[J]. J Appl Gerontol, 2019,38(7):1035-1044. DOI PMID
[18]	Moon S, Park K. The effect of digital reminiscence therapy on people with dementia:a pilot randomized controlled trial[J]. BMC Geriatr, 2020,20:166. DOI URL
[19]	Inel Manav A, Simsek N. The effect of reminiscence therapy with Internet-based videos on cognitive status and apathy of older people with mild dementia[J]. J Geriatr Psychiatry Neu-rol, 2019,32(2):104-113.
[20]	Imbeault H, Gagnon L, Pigot H, et al. Impact of AP@LZ in the daily life of three persons with Alzheimer’s disease:long-term use and further exploration of its effectiveness[J]. Neuropsychol Rehabil, 2018,28(5):755-778. DOI PMID
[21]	Lancioni GE, Singh NN, O’Reilly MF, et al. Technology-based behavioral interventions for daily activities and supported ambulation in people with Alzheimer’s disease[J]. Am J Alzhei-mers Dis Other Demen, 2018,33(5):318-326.
[22]	Mahoney DF, Burleson W, Lozano C, et al. Prototype Development of a responsive emotive sensing system(DRESS) to aid older persons with dementia to dress independently[J]. Geron-technology, 2015,13(3):345-358.
[23]	Megges H, Freiesleben SD, Jankowski N, et al. Technology for home dementia care:a prototype locating system put to the test[J]. Alzheimers Dement(N Y), 2017,3(3):332-338.
[24]	Yilmaz Ö. An ambient assisted living system for dementia patients[J]. Turk J Elec Eng & Comp Sci, 2019,27(3):2361-2378.
[25]	冷敏敏, 张萍, 胡明月, 等. 宠物机器人在老年痴呆患者照护中的应用进展[J]. 中华护理杂志, 2018,53(12):1498-1503.
	Leng MM, Zhang P, Hu MY, et al. Application of pet robots in the care of patients with dementia[J]. Chin J Nurs, 2018,53(12):1498-1503.
[26]	Samuelsson C, Ekström A. Digital communication support in interaction involving people with dementia[J]. Logop Phoniatr Vocology, 2019,44(1):41-50.
[27]	Critten V, Kucirkova N. ‘It brings it all back,all those good times;it makes me go close to tears’. Creating digital personalised stories with people who have dementia[J]. Dementia(London), 2019,18(3):864-881.
[28]	Hughes TF, Flatt JD, Fu B, et al. Interactive video gaming compared with health education in older adults with mild cognitive impairment:a feasibility study[J]. Int J Geriatr Psychiatry, 2014,29(9):890-898. DOI URL
[29]	World Health Organization. Global action plan on the public health response to dementia 2017-2025[EB/OL]. (2017-09-12)[2020-08-08]. http://apps.who.int/iris/bitstream/10665/259615/1/97-89241513487-eng.pdf?ua=1.
[30]	Halbach T, Solheim I, Ytrehus S, et al. A mobile application for supporting dementia relatives:a case study[J]. Stud Health Technol Inform, 2018,256:839-846. PMID
[31]	Välimäki TH, Martikainen JA, Hallikainen IT, et al. Depressed spousal caregivers have psychological stress unrelated to the progression of alzheimer disease[J]. J Geriatr Psychiatry Neurol, 2015,28(4):272-280. DOI URL
[32]	O’Connor MF, Arizmendi BJ, Kaszniak AW. Virtually supportive:a feasibility pilot study of an online support group for dementia caregivers in a 3D virtual environment[J]. J Aging Stud, 2014,30:87-93. DOI URL
[33]	周蕾, 罗丹, 江景娟, 等. 基于移动技术的音乐治疗在阿尔茨海默病患者家庭照料者中的应用[J]. 中华保健医学杂志, 2016,18(3):227-229.
	Zhou L, Luo D, Jiang JJ, et al. Application of music therapy based on mobile technology in family caregivers of patients with Alzheimer’s disease[J]. Chin J Heal Care Med, 2016,18(3):227-229.
[34]	Berg JL, Durant J, Léger GC, et al. Comparing the electronic and standard versions of the Montreal cognitive assessment in an outpatient memory disorders clinic:a validation study[J]. J Alzheimers Dis, 2018,62(1):93-97. DOI URL
[35]	Scharre DW, Chang SI, Nagaraja HN, et al. Digitally translated Self-Administered Gerocognitive Examination(eSAGE):relationship with its validated paper version,neuropsychological evaluations,and clinical assessments[J]. Alz Res Therapy, 2017,9:44. DOI URL
[36]	Pereira-Morales AJ, Cruz-Salinas AF, Aponte J, et al. Efficacy of a computer-based cognitive training program in older people with subjective memory complaints:a randomized study[J]. Int J Neurosci, 2018,128(1):1-9. DOI URL
[37]	王轶, 王志稳, 郝薇, 等. 居家痴呆老年人愉悦性活动参与情况及影响因素研究[J]. 中华护理杂志, 2017,52(5):524-529.
	Wang Y, Wang ZW, Hao W, et al. The status and influencing factors of pleasant events among community-dwelling dementia patients[J]. Chin J Nurs, 2017,52(5):524-529.
[38]	Thorpe J, Forchhammer BH, Maier AM. Adapting mobile and wearable technology to provide support and monitoring in rehabilitation for dementia:feasibility case series[J]. JMIR Form Res, 2019,3(4):e12346. DOI URL
[39]	Wigg JM. Recent developments in technological support for wanderers[J]. Curr Geri Rep, 2020,9(2):101-106. DOI URL
[40]	Elfrink TR, Zuidema SU, Kunz M, et al. The effectiveness of creating an online life story book on persons with early dementia and their informal caregivers:a protocol of a randomized controlled trial[J]. BMC Geriatr, 2017,17:95. DOI URL
[41]	Laird EA, Ryan A, McCauley C, et al. A using mobile technology to provide personalized reminiscence for people living with dementia and their carers:appraisal of outcomes from a quasi-experimental study[J]. JMIR Ment Health, 2018,5(3):e57. DOI URL
[42]	Rathnayake S, Jones C, Calleja P, et al. Family carers’ perspectives of managing activities of daily living and use of mHealth applications in dementia care:a qualitative study[J]. J Clin Nurs, 2019,28(23/24):4460-4470. DOI URL