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老年痴呆患者音乐疗法的行为学与内分泌学评估

Behavioral and endocrinological evaluation of music therapy for elderly patients with dementia.

作者信息

Suzuki Mizue, Kanamori Masao, Watanabe Motoko, Nagasawa Shingo, Kojima Emi, Ooshiro Hajime, Nakahara Daiichirou

机构信息

School of Nursing, Mie Prefectual College of Nursing, 1-1-1 Yumegaoka, Tsu, Mie 514-0116, Japan.

出版信息

Nurs Health Sci. 2004 Mar;6(1):11-8. doi: 10.1111/j.1442-2018.2003.00168.x.

Abstract

The present study investigated the effectiveness of music therapy for dementia patients using endocrinological and behavioral evaluations. The study comprised 10 patients with senile dementia who received music therapy; six had Alzheimer's dementia and four had vascular dementia. Music therapy was performed twice a week for 8 consecutive weeks (16 sessions). As a result, total scores on the Mini-Mental State Examination (MMSE) did not significantly change, but the scores of a subscale, "language", improved significantly. According to the Multidimensional Observation Scale For Elderly Subjects (MOSES), scores for "irritability" decreased significantly. Regarding changes in salivary chromogranin A (CgA) levels, the average was significantly decreased before session 16 compared to after this. These results suggest that the combination of endocrinological measurements, behavioral evaluations and functional assessment methods are useful in evaluating the effects of music therapy in persons with senile dementia.

摘要

本研究通过内分泌和行为评估,调查了音乐疗法对痴呆症患者的有效性。该研究包括10名接受音乐疗法的老年痴呆症患者;其中6例为阿尔茨海默病性痴呆,4例为血管性痴呆。音乐疗法每周进行两次,连续进行8周(共16节)。结果,简易精神状态检查表(MMSE)的总分没有显著变化,但其中一个子量表“语言”的得分显著提高。根据老年受试者多维观察量表(MOSES),“易怒”得分显著降低。关于唾液嗜铬粒蛋白A(CgA)水平的变化,与第16节之后相比,第16节之前的平均值显著下降。这些结果表明,内分泌测量、行为评估和功能评估方法相结合,有助于评估音乐疗法对老年痴呆症患者的疗效。

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