Hilliard Russell E
State University of New York at New Paltz, NY, USA.
J Music Ther. 2004 Winter;41(4):266-81. doi: 10.1093/jmt/41.4.266.
This study analyzed the use of music therapy for residents in nursing homes receiving hospice care. An ex-post facto design was utilized to evaluate participants' length of life on the hospice program, time of death in relation to last visit by the social worker and music therapist, the number of sessions and total number of minutes spent in direct care by the social worker and music therapist, and care plan needs treated by the nurse, social worker, and music therapist. A total of 80 participants' medical records were randomly selected for this study. All participants were in nursing homes, 40 of whom had been referred to music therapy. Results showed no significant differences on the time of death in relation to last visit by hospice professional, but there were significant differences in the length of life for those receiving music therapy. Females in this study lived significantly longer than males. Participants received significantly more music therapy sessions than social work sessions, and music therapists spent significantly more time in direct care with participants than did social workers. Care plan needs were analyzed graphically and indicate that music therapists meet important needs of participants.
本研究分析了音乐疗法在接受临终关怀的养老院居民中的应用情况。采用事后回溯设计来评估参与者在临终关怀项目中的生命长度、与社会工作者和音乐治疗师最后一次探访相关的死亡时间、社会工作者和音乐治疗师提供直接护理的疗程数量和总时长,以及护士、社会工作者和音乐治疗师所处理的护理计划需求。本研究共随机选取了80名参与者的医疗记录。所有参与者均居住在养老院,其中40人接受了音乐疗法。结果显示,与临终关怀专业人员最后一次探访相关的死亡时间没有显著差异,但接受音乐疗法的参与者在生命长度上存在显著差异。本研究中的女性比男性寿命显著更长。参与者接受的音乐疗法疗程显著多于社会工作疗程,并且音乐治疗师与参与者进行直接护理的时间显著多于社会工作者。对护理计划需求进行了图表分析,结果表明音乐治疗师满足了参与者的重要需求。