影响老年人参与数字健康干预相关因素的范围综述  

A scoping review of related factors affecting the participation of the elderly in digital health interventions

作　　者：李珍 张燕 秦月兰[3] 刘彤碧[1] 张斯齐 石泽亚[5] 陶美伊[5] Li Zhen;Zhang Yan;Qin Yuelan;Liu Tongbi;Zhang Siqi;Shi Zeya;Tao Meiyi(Geriatrics First Ward,Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Obstetrical Department,Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Department of Nursing,Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Orthopedics Second Ward,Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China;Nursing Teaching and Research Section,Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha 410005,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)老年科一病区,长沙410005 [2]湖南省人民医院(湖南师范大学附属第一医院)产科,长沙410005 [3]湖南省人民医院(湖南师范大学附属第一医院)护理部,长沙410005 [4]湖南省人民医院(湖南师范大学附属第一医院)骨科二病区,长沙410005 [5]湖南省人民医院(湖南师范大学附属第一医院)护理教研室,长沙410005

出　　处：《中国实用护理杂志》2023年第3期234-240,F0003,共8页Chinese Journal of Practical Nursing

基　　金：湖南创新型省份建设重点领域研发计划(2019SK2142);中国卫生人才培养项目护理研究子项目(2021-HLYJ-005);湖南省哲学社会科学基金(18YBA316)。

摘　　要：目的对影响老年人参与数字健康干预的相关因素进行范围综述,以期为智慧养老技术的应用与发展提供一定的参考。方法以澳大利亚乔安娜布里格斯研究所2019年发布的范围综述指南为框架,根据PCCS原则确定纳入标准,检索PubMed、Cochrane Library、JBI、CINAHL、Web of Science、Scopus、中国知网、万方数据库及中国生物医学文献数据库中的中英文文献。检索时限为建库至2021年11月30日。由2名研究者独立阅读,并采用EndNote X9与Excel表格提取文献中的相关数据进行汇总与分析。结果纳入20篇文献,其中混合研究2篇,横断面研究10篇,质性研究6篇,类实验研究2篇。影响老年人参与数字健康干预的相关因素涉及数字健康干预系统开发方、运用方及使用者自身等利益相关者,具体包括系统开发的系统整合程度、发挥老年人自主性程度、系统设备的可信度、可及性与易用性;运用过程中设备的兼容性程度、数字基础设施配置程度、互联网普及程度、健康信息资源可获得性及可靠性程度、培训及教育程度、与老年人参与过程中的沟通程度、财政支付力度等;老年人4个自身内在因素包括技术使用的成本问题、技术焦虑问题、隐私安全问题、健康需求问题。结论老年人、医护人员、开发商等利益相关方应共同参与决策老年人数字健康干预系统的研发与管理,尤其应邀请与赋能老年人,完善系统运用和使用过程的培训及反馈,加快技术资源的普及及推广,并加大社会资本及财政支付的激励,减轻老年人及医疗系统的负担。Objective To review the scope of related factors that affect the elderly′s participation in digital health intervention,and to provide a certain reference for the application and development of smart elderly technology.Methods Based on the scope review guidelines issued by the Joanna Briggs Institute in Australia in 2019,the inclusion and exclusion criteria were determined according to the PCCS principles.Chinese and English literatures were searched in PubMed,Cochrane Library,JBI,CINAHL,Web of Science,Scopus,CNKI,Wanfang database and Chinese biomedical literature database.The search time limit was from the establishment of the database to November 30,2021.Two researchers independently read,and used EndNoteX9 and Excel tables to extract relevant data from the literature for summary and analysis.Results Totally 20 articles were selected,including 2 mixed studies,10 cross-sectional studies,6 qualitative studies,and 2 quasi-experimental studies.Relevant factors affecting the participation of the elderly in digital health interventions involved the developers,users and the user himself of digital health intervention systems,including the degree of system integration of system development,the degree of autonomy of the elderly,the credibility and accessibility of system equipment and ease of use;the degree of compatibility of equipment in the process of use,the degree of digital infrastructure configuration,the degree of Internet penetration,the availability and reliability of health information resources,the degree of training and education,the degree of communication with the elderly in the process of participation,financial payment,etc.;the four inherent factors of the elderly included the cost of technology use,technical anxiety,privacy and safety,and health needs.Conclusions The elderly,medical staff,developers and other stakeholders should jointly participate in decision-making on the development and management of the digital health intervention system for the elderly,especially by inviting and empowering the e

关 键 词：老年人 影响因素 综述 数字健康 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]