实时压力监测对智障人士的影响

Vera Van Der Nulft, Stefan de Vries, Josien Visschedijk, R. Smits, F. Meiland, E. Adam, H. Smaling, E. Meinders
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摘要

智力残疾的人很容易受到压力的影响,这可能导致具有挑战性的行为,如冷漠、自残或攻击。通过实时监测压力,专业护理人员可以及时干预,防止压力升级,提高患者和自己的生活质量。本研究的目的是调查使用压力检测系统HUME实时压力监测对严重智力残疾患者及其专业护理人员生活质量的影响。这项研究包括两个部分。对智力残疾的长期护理患者进行了一项案例系列研究(n=12),以验证HUME。基于生理数据和训练有素的人工智能模型,收集了休谟压力测量数据,并与专业护理人员的标记视频观察结果进行了比较。第二项研究是为了测量休谟和诱导干预对生活质量的影响。收集生理数据和生活质量评分。休谟压力预测被用于1)早期预警,以部署基于专业护理人员认为最好的干预措施,2)作为评估工具,以了解护理干预措施的有效性。通过问卷对患者(n=41)和专业护理人员(n=31)的生活质量进行评估。结果表明,HUME能够在所有情况下检测到压力,并且HUME检测到的压力事件与行为观察一致。使用HUME进行实时压力监测以及随后的干预措施是有效的。智障患者的压力减轻了,生活质量也得到了改善。此外,专业护理人员认为,在休谟使用期间,生活质量有所提高。在大多数情况下,基于休谟的干预措施导致升级、固定和自我伤害行为的减少。需要进一步的随机对照研究来证实这些结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of real-time stress monitoring in people with an intellectual disability
People with an intellectual disability are vulnerable to stress, which can result in challenging behaviour, such as apathy, self-harm, or aggression. By monitoring stress in real-time, professional caregivers can timely intervene to prevent escalations and improve the quality of life for both the client and themselves. The aim of this study was to investigate the impact of real-time stress monitoring using the stress-detection system HUME on the quality of life of people with a severe intellectual disability and their professional caregivers. The study comprised two parts. A case series study (n=12) was conducted with long-term care clients with intellectual disabilities to validate the HUME. HUME stress measurements, based on physiological data and trained artificial intelligence models, were collected, and compared with labelled video observations of professional caregivers. A second study was conducted to measure the impact of HUME and the induced interventions on quality of life. Physiology data and quality of life scores were collected. The HUME stress prediction was used 1) for early warning to deploy interventions based on what the professional caregiver deemed best, and 2) as an assessment tool to understand the effectiveness of care interventions. The quality of life for both the client (n=41) and professional caregiver (n=31) was evaluated via a questionnaire. Results showed that the HUME was able to detect stress in all cases, and stressful events detected by the HUME were consistent with the behavioural observations. The real-time stress monitoring using HUME, along with subsequent interventions, was effective. Clients with intellectual disabilities experienced reduced stress and an improvement in their perceived quality of life. Also, professional caregivers perceived an increase in the quality of life during the period the HUME was used. In most of the cases, HUME-based interventions led to a reduction in escalations, fixations, and self-harming behaviour. Further randomized controlled studies are needed to substantiate these results.
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