Maryam Maleki, Abbas Mardani, Edris Kakemam, Ariadna Huertas-Zurriaga, Mojtaba Vaismoradi
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引用次数: 0
Abstract
Introduction: Medication errors and non-adherence in older adults are major issues linked to polypharmacy, cognitive decline, and caregiver burden. Medication management robots offer promise in improving patient care but require thorough evaluation . This review synthesizes the experiences of patients and caregivers, assesses the effectiveness of MMR in enhancing medication safety and minimizing errors, and offers insights into its broader implications for elderly home care.
Methods: A mixed-methods systematic review was conducted using PRISMA guidelines. Searches were performed across six databases - PubMed, Scopus, Web of Science, Embase, CINAHL, and ProQuest - without publication date limits. Studies were appraised using the Mixed Methods Appraisal Tool (MMAT), and findings were synthesized through a convergent approach.
Results: Six studies (3 qualitative, 2 quantitative, 1 mixed-methods) from Sweden, Finland, and the U.S.A. were included. MMRs improved adherence, reduced medication errors, enhanced coordination among healthcare providers, and supported patient autonomy. Key challenges involved technical issues, such as incompatibility with liquid medications, concerns about privacy, and reluctance from users due to diminished human contact.
Conclusion: MMRs show promise in elderly care, but successful adoption depends on structured training, ethical safeguards, and user-centered design. Further research is required to validate their long-term impact and optimize implementation strategies.
Registration: The protocol for this review was registered with PROSPERO (registration number: CRD42024611310): https://www.crd.york.ac.uk/PROSPERO/view/CRD42024611310.
在家庭和长期护理环境中，老年人用药错误和不依从性是由多种用药、认知能力下降和照顾者负担等因素驱动的重大问题。新兴技术，如药物管理机器人（MMRs），提供了有希望的解决方案，但需要严格的、系统的评估。本综述综合了患者和护理人员的经验，评估了MMR在提高用药安全性和减少错误方面的有效性，并提供了其对老年人家庭护理的更广泛影响的见解。方法：采用PRISMA指南进行混合方法系统评价。在PubMed、Scopus、Web of Science、Embase、CINAHL和ProQuest六个数据库中进行检索，没有出版日期限制。使用混合方法评估工具（MMAT）对研究进行评估，并通过收敛方法对研究结果进行综合。结果：纳入来自瑞典、芬兰和美国的6项研究（3项定性，2项定量，1项混合方法）。mmr改善了依从性，减少了用药错误，加强了医疗保健提供者之间的协调，并支持了患者的自主权。主要挑战涉及技术问题，例如与液体药物不相容、对隐私的担忧以及由于人际接触减少而导致使用者不愿意使用。结论：mmr在老年护理中表现出良好的前景，但成功采用取决于结构化培训、道德保障和以用户为中心的设计。需要进一步研究以验证其长期影响并优化实施战略。注册：本综述的方案已在PROSPERO注册（注册号：CRD42024611310）： https://www.crd.york.ac.uk/PROSPERO/view/CRD42024611310。
期刊介绍：
Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review.
The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections:
Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results
Article Highlights – an executive summary of the author’s most critical points.
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