关键词: Caregivers Cuidadores Demencia Dementia Telemedicina Telemedicine

Mesh : Humans Dementia Caregivers Male Female Aged Telemedicine Aged, 80 and over

来  源:   DOI:10.1016/j.regg.2024.101492

Abstract:
BACKGROUND: Given the growing increase in dementia, the need to control these patients, together with the rise of new technologies, makes a change in the current control system imperative.
METHODS: We have carried out a single-center, clinical study with two groups, a control group of 72 patients/caregivers, who followed the usual controls in consultations, and another telematic group of 76 patients/caregivers, who followed the controls through of the Tecuide platform. The platform had a survey part to detect problems in patients and caregiver claudication, another training part and another chat for direct communication when the caregiver needed it and also served to respond when a problem was detected.
RESULTS: After a year of monitoring with the platform we have obtained: a)in patients, reduce behavioral disorders and use of drugs, increase physical exercise and delay institutionalization (DS not found); b)in caregivers there is an improvement in satisfaction with respect to the control of patients with cognitive impairment, and c)in terms of resources, visits to emergency services and dementia consultations have decreased, although admissions to the psychogeriatric unit have increased.
CONCLUSIONS: The use of Tecuide as a telematic tool in the control of patients with cognitive impairment does not seem to be inferior to the usual controls in consultations and improves caregiver satisfaction.
摘要:
背景:考虑到痴呆症的增加,需要控制这些病人,随着新技术的兴起,使得改变当前的控制系统势在必行。
方法:我们进行了单中心,两组临床研究,对照组72名患者/护理人员,在协商中遵循通常的控制,和另一个由76名患者/护理人员组成的远程通信小组,通过Tecuide平台跟踪控制。该平台有一个调查部分,以检测患者和护理人员跛行的问题,另一个培训部分和另一个聊天,用于在护理人员需要时进行直接沟通,并在检测到问题时做出回应。
结果:经过一年的平台监测,我们获得了:a)在患者中,减少行为障碍和药物的使用,增加体育锻炼并延迟制度化(未找到DS);b)护理人员对认知障碍患者的控制满意度有所改善,和c)在资源方面,对紧急服务和痴呆症咨询的访问有所减少,虽然精神科的入院人数有所增加。
结论:使用Tecuide作为远程信息处理工具来控制认知障碍患者,在咨询中似乎并不逊色于通常的控制,并提高了护理人员的满意度。
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