PDF(Pubmed)
Abstract：
BACKGROUND: Today, many older adults use health technologies, approach their final days with laptops, smartphones, and tablets. Telepalliative care is a service that remotely delivers palliative care through videoconferencing, telephonic communication, or remote symptom monitoring. The service meets the needs of patients who want to die at home and reducing unnecessary hospitalizations. The objective of this study is to map the literature on the use of technology by the terminally ill older adult population being cared for at home, to identify which technology systems are in use, to determine how technology can change communication between palliative care professionals and patients, and to explore the strengths or weaknesses patients perceive regarding the use of technology.
METHODS: We conducted a scoping review following the methodology of Arksey and O\'Malley. A literature search was conducted in the MEDLINE, Embase, Web of Science, SCOPUS, PsycINFO, CINAHL, Ilisi and Google Scholar databases.
RESULTS: Fourteen eligible papers identified various tools available in clinical practice and found that most older adults are comfortable and satisfied using them. Despite being physically distanced from clinicians, patients felt cared for even though eye contact was lacking. Being unfamiliar with technology emerged as a barrier to telepalliative care in addition to difficulties caused by screen size and internet connection problems.
CONCLUSIONS: Older adults in palliative care at home perceive technology as a means of receiving efficient care. However, future research is needed to investigate what they look for in a technological tool and to develop more suitable technologies for them.
BACKGROUND: The protocol of this study has been published in the Open Science Framework (OSF) preregistrations at https://osf.io/acv7q to enhance replicability and transparency and reduce any publication or reporting bias.
METHODS: We conducted a scoping review following the methodology of Arksey and O\'Malley. A literature search was conducted in the MEDLINE, Embase, Web of Science, SCOPUS, PsycINFO, CINAHL, Ilisi and Google Scholar databases.
RESULTS: Fourteen eligible papers identified various tools available in clinical practice and found that most older adults are comfortable and satisfied using them. Despite being physically distanced from clinicians, patients felt cared for even though eye contact was lacking. Being unfamiliar with technology emerged as a barrier to telepalliative care in addition to difficulties caused by screen size and internet connection problems.
CONCLUSIONS: Older adults in palliative care at home perceive technology as a means of receiving efficient care. However, future research is needed to investigate what they look for in a technological tool and to develop more suitable technologies for them.
BACKGROUND: The protocol of this study has been published in the Open Science Framework (OSF) preregistrations at https://osf.io/acv7q to enhance replicability and transparency and reduce any publication or reporting bias.
摘要：
背景：今天，许多老年人使用健康技术，用笔记本电脑接近他们的最后一天，智能手机,和药片。远程姑息治疗是一项通过视频会议远程提供姑息治疗的服务，电话通信,或远程症状监测。该服务满足了希望在家中死亡的患者的需求，并减少了不必要的住院治疗。这项研究的目的是绘制有关在家中照顾绝症老年人口使用技术的文献，为了确定正在使用哪些技术系统，为了确定技术如何改变姑息治疗专业人员和患者之间的沟通，并探索患者对技术使用的优势或劣势。
方法：我们遵循Arksey和O\'Malley的方法进行了范围审查。在MEDLINE进行了文献检索，Embase,WebofScience,Scopus,PsycINFO,CINAHL,Ilisi和谷歌学者数据库。
结果：14篇符合条件的论文确定了临床实践中可用的各种工具，并发现大多数老年人使用它们感到舒适和满意。尽管身体上与临床医生保持距离，即使缺乏眼神接触，患者也感到受到照顾。除了屏幕尺寸和互联网连接问题造成的困难之外，不熟悉技术也成为心灵感应治疗的障碍。
结论：在家中接受姑息治疗的老年人将技术视为接受有效护理的一种手段。然而,未来的研究需要调查他们在技术工具中寻找什么，并为他们开发更合适的技术。
背景：本研究的协议已在https://osf.io/acv7q的开放科学框架（OSF）预注册中发布，以增强可复制性和透明度并减少任何发布或报告偏见。
方法：我们遵循Arksey和O\'Malley的方法进行了范围审查。在MEDLINE进行了文献检索，Embase,WebofScience,Scopus,PsycINFO,CINAHL,Ilisi和谷歌学者数据库。
结果：14篇符合条件的论文确定了临床实践中可用的各种工具，并发现大多数老年人使用它们感到舒适和满意。尽管身体上与临床医生保持距离，即使缺乏眼神接触，患者也感到受到照顾。除了屏幕尺寸和互联网连接问题造成的困难之外，不熟悉技术也成为心灵感应治疗的障碍。
结论：在家中接受姑息治疗的老年人将技术视为接受有效护理的一种手段。然而,未来的研究需要调查他们在技术工具中寻找什么，并为他们开发更合适的技术。
背景：本研究的协议已在https://osf.io/acv7q的开放科学框架（OSF）预注册中发布，以增强可复制性和透明度并减少任何发布或报告偏见。
