认知障碍患者智能机器人使用体验的Meta整合

Cognitive impairment patients′experiences of using intelligent robots:a Meta-synthesis

目的系统评价和整合认知障碍患者对智能机器人使用体验的质性研究,为临床开展机器人技术实践提供借鉴。方法计算机检索中英文数据库从建库至2024年4月收录的关于认知障碍患者对智能机器人使用体验的质性研究。运用JBI质性研究评估工具评价文献质量,采用汇集性整合方法进行结果整合。结果共纳入14篇文献,提炼出48个主要研究结果,归纳为10个新类别,并综合成3个整合结果:身心社会各层面益处交织,患者体验多重使用价值;多重顾虑及障碍交织,影响患者使用体验;患者对机器人的期待。结论认知障碍患者在使用机器人技术中正性、负性体验交织,并期望进一步优化机器人外观及功能。需重视患者负性心理体验,建立健全社会支持体系及制度规范,并以患者需求为中心不断优化智能机器人功能,提升认知障碍患者使用体验及智能机器人技术的可推广性。

Objective To systematically review the qualitative research on the experiences of patients with cognitive impairment using intelligent robots,and to provide references for better clinical practice of robot technology.Methods A comprehensive computer search was conducted in domestic and foreign electronic databases for articles related to the experiences of patients with cognitive impairment using intelligent robots.The search time frame was limited from the inception of database through April 2024.The JBI qualitative research evaluation tool was used to assess the quality of the literature,and the results were integrated by using the aggregative integration method.Results A total of 14 papers were included,yielding 48 key findings factored into 10 new categories,which were further synthesized into 3 integrated findings:physical,psychosocial,and social benefits were intertwined,with patients experiencing multiple values of use;multiple concerns and barriers were intertwined,affecting patients′experience of use;patients′expectations for robots.Conclusion Patients with cognitive impairment have both positive and negative experiences when using intelligent robot technology.They hope to further optimize the appearance and functions of intelligent robots.Therefore,it is necessary to pay attention to the negative psychological experiences of patients,establish a sound social support system and institutional norms,and continuously optimize the functions of intelligent robots based on the needs of patients,in order to enhance the user experience of patients with cognitive impairment and the scalability of robot technology.