以系統性文獻回顧法探討成人慢性病患遠距居家照護之成效指標

A Systematic Review of Effectiveness Indicators for the Tele-home Care in Adults with Chronic Diseases

呂如分(Ju-Fen Lu) ； 陳靜敏(Ching-Min Chen)

《長期照護雜誌》 14卷3期 (2010/12) Pp. 335-346

https://doi.org/10.6317/LTC.201012_14(3).0008

摘要

隨著人口老化，健康照護資源的負荷會隨著慢性疾病人口增加而更加明顯，因此使用網路通訊科技的遠距照護已成為長期照護服務的主要趨勢。故本文旨在以系統性文獻回顧方式搜尋2000-2010年間，MEDLINE和CINAHL的英文資料庫中，以遠距居家照護為主要介入措施之臨床性實驗性研究，共有27篇相關文章，但只有8篇為隨機控制實驗(Randomized Control Trial, RCT)。彙整後發現，有6篇文章其照護成效呈正向結果，而生理監測為居家遠距照護的重要部分，亦為主要的成效指標。檢視遠距居家照護的研究對象、設備、照護內容及成效指標，將有助於遠距居家照護的推行，並提供未來研究設計及研究方向之建議。

關鍵字

遠距居家照護 ； 系統性文獻回顧 ； 慢性疾病

並列摘要

s the population aging, there is significant strain on healthcare resources with an increasing number of people affected by chronic conditions. Using internet and communication technologies has become a mainstream trend in long-term care services. The purpose of this article was to systematic review to search literature published during 2000-2010, in MEDLINE and CINAHL databases. The articles focus on tele-home care that used randomized control trials (RCT). A total of 27 relevant articles were obtained, but only 8 articles included in the current review. The results showed 6 articles found tele-home care can deliver positive effects. The physiological monitoring was essential part in tele-home care and can have effective outcomes. In order to explore the effect of tele-home care, research subjects, tele-equipments, intervention contexts and effective indexes should be comprehensively reviewed. Results of this reviewed should help to carry out tele-home care systems and further provide design guidance and direction for future research.

並列關鍵字

tele-home care ； systematic review ； chronic diseases