[居家老人康复中的远程医疗]。

IF 1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
P Benzinger, M Pauls, N Hölzer, S Grund, J M Bauer, M Bongartz
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引用次数: 0

摘要

背景:保持老年人的自主性、独立性和社会参与是老年护理的基石。在人口变化和住院康复能力停滞不前的背景下,新的护理模式越来越受到关注。远程康复可能是对现有结构的一种有希望的补充。目的:分析老年人居家环境远程康复的潜力、挑战和证据。方法:综合文献综述,介绍远程康复在老年人中的应用和有效性证据。此外,还指出了促进或阻碍其实施和利用的因素。结果:远程医疗服务扩大了康复范围。迄今为止,已经应用了各种传播媒介和康复内容。老年人远程康复方案显示出功能和社会心理方面的益处;然而,只有少数研究调查了可转移到德国老年病学护理结构的多专业方案。讨论:在全国范围内将远程康复纳入老年护理需要适应的概念。可行性和有效性必须在德国护理结构的背景下进行研究。此外,法律和结构框架条件需要进一步发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Telemedicine in the rehabilitation of older people living at home].

Background: Maintaining the autonomy, independence and social participation of older adults is a cornerstone of geriatric care. Against the background of demographic change and the stagnating expansion of inpatient rehabilitation capacities, new care models are of increasing interest. Telerehabilitation could be a promising supplementation to existing structures.

Objective: This article analyzes the potential, challenges and evidence for telerehabilitation in the home environment of older adults.

Methods: A comprehensive literature review is used to present applications and evidence of the effectiveness of telerehabilitation in older adults. In addition, factors that promote or hinder its implementation and utilization are identified.

Results: Telemedical services enable an extension of the rehabilitative range. To date, various communication media and rehabilitation contents have been applied. Telerehabilitation options for older people demonstrate functional and psychosocial benefits; however, only a few studies have investigated a multiprofessional program which would be transferable to the care structures of geriatrics in Germany.

Discussion: Adapted concepts are required for the nationwide integration of telerehabilitation into geriatric care. The feasibility and effectiveness must be studied within the context of the German care structures. In addition, legal and structural framework conditions need to be further developed.

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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.
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