scholarly journals A Smart Technology-Assisted Home-Nursing Care Program for Family Caregivers of Older Persons with Dementia and Hip Fracture: A Mixed-Methods Study (Preprint)

JMIR Aging ◽  
10.2196/22300 ◽  
2020 ◽  
Author(s):  
Yea-Ing Shyu ◽  
Yi-Jun Hou ◽  
Sih-Ying Zeng ◽  
Chung-Chih Lin ◽  
Ching-Tzu Yang ◽  
...  
2020 ◽  
Author(s):  
Yea-Ing Shyu ◽  
Yi-Jun Hou ◽  
Sih-Ying Zeng ◽  
Chung-Chih Lin ◽  
Ching-Tzu Yang ◽  
...  

BACKGROUND Smart care and remote health technology have been developed to facilitate family caregiving at home for older persons with physical or cognitive impairment. However, smart technologies have made only modest contributions to supporting caregivers, and their effectiveness is supported by little empirical evidence. OBJECTIVE The purpose of this preliminary study was to understand family caregivers’ experiences of receiving a smart technology-assisted (STA) home nursing care program to provide a knowledge base for future modifications. METHODS Participants included seven persons with dementia recruited from neurological clinics and six persons discharged after hip-fracture surgery from surgical wards of a medical center, along with their 13 family caregivers. Data were collected and analyzed using a mixed-methods approach. RESULTS Our STA-home nursing program increased family caregivers’ knowledge of older care receivers’ situation and condition, informed health care providers about care receivers’ condition, helped home care nurses provide timely interventions, balanced care receivers’ exercise and safety, motivated older persons to exercise, helped family caregivers balance work and caregiving, and provided guidance for caregiving activities. Family caregivers suggested that the STA-home nursing care program be modified by prompt feedback with more specific information analyzing care receiver activity, increased variety of wearable devices (smart clothing), and improving the stability and decreasing interference of electronic transmission and devices. CONCLUSIONS The STA home-nursing care program was beneficial to family caregivers and their care receivers. However, we suggest that future studies use larger samples, randomized controlled trials, and longer follow-ups to explore the how this STA-home nursing care program is experienced.


2020 ◽  
Author(s):  
Yea-Ing Shyu ◽  
Chung-Chih Lin ◽  
Ching-Tzu Yang ◽  
Pei-Ling Su ◽  
Jung-Ling Hsu

BACKGROUND Wearable devices have been developed and implemented to improve data collection in remote health care and smart care. Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. In this study, we developed and implemented a smart-care system using smart clothing for persons with dementia and with hip fracture. We conducted a preliminary study to understand family caregivers’ and care receivers’ experiences of receiving a smart technology-assisted (STA) home-nursing care program. OBJECTIVE This paper reports the difficulties we encountered and strategies we developed during the feasibility phase of studies on the effectiveness of our STA home-nursing care program for persons with dementia and hip fracture. METHODS Our care model, a STA home-nursing care program for persons with dementia and those with hip fracture included a remote-monitoring system for elderly persons wearing smart clothing was used to facilitate family caregivers’ detection of elderly persons’ movements. These movements included getting up at night, staying in the bathroom for more than 30 minutes, not moving more than 2 hours during the day, leaving the house, and daily activities. Participants included 13 families with 5 patients with hip fracture and 7 with dementia. Research nurses documented the difficulties they encountered during the process. RESULTS Difficulties encountered in this smart-care study were categorized into problems setting up the smart-care environment, problems running the system, and problems with participant acceptance/adherence. These difficulties caused participants to drop out, the system to not function or delayed function, inability to collect data, extra costs of manpower, and financial burden. Strategies to deal with these problems are also reported. CONCLUSIONS During the implementation of smart care at home for persons with dementia or hip fracture, different aspects of difficulties were found and strategies were taken. The findings of this study can provide a reference for future implementation of similar smart-home devices.


2005 ◽  
Author(s):  
K. L. Calvin ◽  
Gail R. Casper ◽  
Ben-Tzion Karsh ◽  
Patricia F. Brennan ◽  
Laura J. Burke ◽  
...  

2016 ◽  
Vol 53 (2) ◽  
pp. 133-142
Author(s):  
Kumiko Tanaka ◽  
Keiko Takeda ◽  
Keiko Suyama ◽  
Akiko Kooka ◽  
Satsuki Nakamura

Kontakt ◽  
2007 ◽  
Vol 9 (1) ◽  
pp. 32-41
Author(s):  
Mária Nemčeková ◽  
Mária Tabaková

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