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Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review

장기요양시설 거주 노인 대상 테크놀로지 활용 중재에 관한 체계적 문헌고찰

  • Kim, Da Eun (College of Nursing, Seoul National University) ;
  • Kim, Hyang (College of Nursing, Seoul National University) ;
  • Hyun, Junghee (Centers for Disease Control & Prevention) ;
  • Lee, Hyojin (College of Nursing, Seoul National University) ;
  • Sung, Hyehyun (College of Nursing, Seoul National University) ;
  • Bae, Soyoung (College of Nursing, Seoul National University) ;
  • Tak, Sunghee H (Research Institute of Nursing Science, Seoul National University) ;
  • Park, Yeon-Hwan (Research Institute of Nursing Science, Seoul National University) ;
  • Yoon, Ju Young (Research Institute of Nursing Science, Seoul National University)
  • 김다은 (서울대학교 간호대학) ;
  • 김향 (서울대학교 간호대학) ;
  • 현정희 (질병관리본부) ;
  • 이효진 (서울대학교 간호대학) ;
  • 성혜현 (서울대학교 간호대학) ;
  • 배소영 (서울대학교 간호대학) ;
  • 탁성희 (서울대학교 간호과학연구소) ;
  • 박연환 (서울대학교 간호과학연구소) ;
  • 윤주영 (서울대학교 간호과학연구소)
  • Received : 2017.12.18
  • Accepted : 2018.04.30
  • Published : 2018.06.30

Abstract

Purpose: Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents. Methods: Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997-2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents. Results: A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service. Conclusion: This review demonstrates that incorporating technologies into nursing home care have positive effects on residents' psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Keywords

References

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