认知障碍老人智能照护设备使用困境、隐私风险及社区干预路径

Challenges, Privacy Risks and Community Intervention Paths in the Use of Intelligent Care Devices for the Elderly with Cognitive Impairments

摘要: 深度老龄化下，智能照护设备是认知障碍老人居家监护的重要工具，但受老人自身认知、家庭、产品、监管等多重因素影响，设备闲置、老人数据隐私泄露问题突出。本文结合多地社区实践案例，依托社会支持、社会排斥、治理共同体理论，梳理设备使用难题与全流程隐私隐患，构建以社区为核心的一体化干预方案。研究表明，失智老人设备使用难属于多层因素叠加形成的数字排斥；设备数据采集、存储、共享各环节存在伦理安全漏洞。依托社区统筹推进设备适配、家属帮扶、隐私管控与常态化上门服务，既能保障老人居家安全，也能守护其人格尊严，推动智慧养老惠及认知障碍老年群体。

Abstract: Under deep aging, intelligent caregiving devices serve as crucial tools for monitoring elderly individuals with cognitive impairments at home. However, due to multiple factors such as the elderly’s own cognition, family dynamics, product limitations, and regulatory gaps, issues like device underutilization and data privacy breaches remain prominent. This study draws on community practice cases from multiple regions and leverages theories of social support, social exclusion, and governance communities to analyze challenges in device usage and privacy risks across the entire process. It proposes an integrated intervention strategy centered on community support. Research indicates that difficulties in device usage among dementia patients stem from multi-layered factors creating digital exclusion, with ethical security vulnerabilities present in each stage of data collection, storage, and sharing. By coordinating device adaptation, family assistance, privacy control, and regular home visits through community efforts, both the safety and dignity of the elderly can be safeguarded, ensuring smart elderly care benefits individuals with cognitive impairments.