Earticle

초록

영어

Pressure injuries continue to impose a substantial clinical and economic burden on hospitalized adults and older adults in long-term care, despite the availability of established prevention bundles and specialized support surfaces. At the same time, recent advances in voice interfaces, flexible sensors, explainable analytics, and textile-based thermal systems have made it increasingly plausible to conceptualize an integrated prevention platform. The purpose of this study was to synthesize the technological components, clinical evidence, and translational limitations of voice-based pressure injury neglect alerts and pressureredistribution smart cooling/heating systems. A structured literature review was performed across PubMed, Web of Science Core Collection, Scopus, IEEE Xplore, ScienceDirect, SpringerLink, Wiley Online Library, JMIR, and MDPI for studies published from January 2020 to May 2026. Eligible studies addressed pressure injury prevention or enabling technologies directly relevant to prevention, including voice interaction, multimodal sensing, posture classification, predictive analytics, support surfaces, microclimate management, and cooling/heating actuation. Thirty-seven studies were included in the qualitative synthesis, and 34 representative international journal articles were prioritized in this manuscript. The strongest clinical evidence remained concentrated in multicomponent prevention bundles and specialized support surfaces. The highest engineering maturity was observed in battery-free or flexible multimodal sensing of pressure, temperature, hydration, and posture. Voice-based systems were promising for repositioning adherence, remote follow-up, and caregiver escalation, but direct trials using pressure injury incidence as the primary endpoint were scarce. Active cooling/heating technologies were advancing rapidly in smart textiles and thermoelectric wearables, yet translation to fully integrated medical support surfaces remained limited. The most realistic next-generation architecture is therefore a layered platform that combines multimodal sensing, explainable risk alerts, voice interaction, pressure redistribution, and adjunctive microclimate control. Prospective clinical trials should evaluate pressure injury incidence, interface pressure, local temperature/humidity, alarm burden, caregiver workload, and cost-effectiveness simultaneously.

목차

Abstract
1. INTRODUCTION
2. RESEARCH METHODS AND PROCEDURES
2.1. Review Design
2.2. Data Sources and Search Strategy
2.3. Eligibility Criteria
2.4. Selection and Synthesis
3. RESULTS
3.1. Evidence Profile of the Included Literature
3.2. Voice-Based Alerting and Conversational Support
3.3. Multimodal Sensing and Predictive Analytics
3.4. Pressure Redistribution and Microclimate Management
3.5. Smart Cooling and Heating Technologies
4. DISCUSSION
5. CONCLUSION
REFERENCES

키워드

저자

• Poram Choi [ Department of Kinesiology, Mississippi State University, Mississippi State, USA ]
• HongYoung Jang [ Department of Human Service, Hanshin University,Gyeonggi, South Korea ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  International Journal of Intelligent Technologies and Innovative Practices

• 간기

  계간

• eISSN

  3092-412X

• 수록기간

  2026~2026

• 십진분류

  KDC 323 DDC 338