The application of an information support robot to reduce agitation in an older adult with Alzheimer's disease living alone in a community dwelling: a case study.

Jumpei Mizuno, Ken Sadohara, Misato Nihei, Shinichi Onaka, Yuko Nishiura, Takenobu Inoue
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Abstract

Objective/background: Agitation is a common behaviour of Alzheimer's Disease (AD). Although healing robots have previously been used for alleviating agitation for people with dementia in hospitals and other healthcare facilities, its effects remain unclear whether an information-support robot capable of disseminating information with user needs may have similar effects when it is applied in community dwellings. This study was to investigate the effects of information-support robots for reducing agitation in older people with AD residing alone in community-dwellings.

Methods: One participant with AD who lived alone in a community-dwelling was recruited. Participant's frequencies, durations, and time courses of four patterns of agitation at home at baseline and during intervention were analysed. In this study, agitation was defined as: (a) restlessness going to the corridor (RLtoC), (b) restlessness going to the toilet (RLtoT), (c) restlessness going to the entrance (RLtoE), and (d) restlessness going to multiple places (RLtoMP). In the intervention phase, the information-support robot disseminated daily schedule or date information to the participant.

Results: RLtoC and RLtoMP were significantly reduced in frequency during the intervention. The durations of each episode of RLtoT and RLtoMP in the intervention were slightly reduced than those at the baseline. There were no differences in time courses of episodes of RLtoC and RLtoMP after the intervention.

Conclusion: This case study showed that information-support robot was useful to alleviate agitation of an older adult with AD living alone in a community-dwelling. Further study is warranted.

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应用信息支持机器人减少社区独居老年痴呆症患者的躁动:案例研究。
目的/背景:躁动是阿尔茨海默病(AD)的一种常见行为。虽然治疗机器人以前曾被用于缓解医院和其他医疗机构中痴呆症患者的躁动,但其效果仍不明确,因为能够根据用户需求传播信息的信息支持机器人在社区住宅中应用时是否会产生类似效果。本研究旨在调查信息支持机器人对减少独居在社区住宅中的患有注意力缺失症的老年人的躁动的效果:方法:招募一名独自居住在社区住宅的 AD 患者。分析了基线和干预期间参与者在家中四种躁动模式的频率、持续时间和时间进程。本研究将躁动定义为(a) 走到走廊就烦躁不安(RLtoC),(b) 走到厕所就烦躁不安(RLtoT),(c) 走到门口就烦躁不安(RLtoE),(d) 走到多个地方就烦躁不安(RLtoMP)。在干预阶段,信息支持机器人向受试者发布每日日程或日期信息:结果:在干预期间,RLtoC 和 RLtoMP 的频率明显降低。干预期间,RLtoT 和 RLtoMP 每次发作的持续时间比基线时略有减少。干预后,RLtoC 和 RLtoMP 的发作时间过程没有差异:本病例研究表明,信息支持机器人对于缓解独居老人的躁动非常有用。值得进一步研究。
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