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团体音乐与运动干预对台湾机构养老痴呆老人激越行为的影响

The effects of group music with movement intervention on agitated behaviours of institutionalized elders with dementia in Taiwan.

作者信息

Sung Huei-Chuan, Chang Shu-Min, Lee Wen-Li, Lee Ming-Shinn

机构信息

Tzu Chi College of Technology, Hualien, Taiwan.

出版信息

Complement Ther Med. 2006 Jun;14(2):113-9. doi: 10.1016/j.ctim.2006.03.002. Epub 2006 May 11.

Abstract

BACKGROUND

Agitated behaviours are identified by caregivers as the most challenging in dementia care. Alternative approaches reducing occurrence of agitated behaviours and the need for chemical or physical restraints become valuable for institutionalized elders with dementia.

OBJECTIVE AND SETTING

This study was to evaluate the effects of group music with movement intervention on occurrence of agitated behaviours of institutionalized elders with dementia in Taiwan.

METHODS

A randomized controlled trial was used. Thirty-six institutionalized elders with dementia completed the study, with 18 in the experimental group receiving group music with movement intervention twice a week for 4 weeks and 18 in the control group receiving usual care without intervention. Modified Cohen-Mansfield Agitation Inventory was used to assess agitated behaviours at baseline, weeks 2 and 4.

RESULTS

Agitated behaviours were significantly reduced in the experimental group following 4 weeks of group music with movement intervention compared to that of the control group (p<0.001).

CONCLUSIONS

Group music with movement intervention can be beneficial in managing agitated behaviours of those with dementia and should be incorporated into care routines in residential facilities.

摘要

背景

照护者认为激越行为是痴呆症照护中最具挑战性的问题。对于患有痴呆症的机构养老老年人而言,减少激越行为发生以及减少使用药物或身体约束的替代方法变得很有价值。

目的与背景

本研究旨在评估团体音乐与运动干预对台湾机构养老痴呆症老年人激越行为发生情况的影响。

方法

采用随机对照试验。36名机构养老痴呆症老年人完成了研究,其中18名实验组老年人每周接受两次团体音乐与运动干预,共4周;18名对照组老年人接受常规护理,不进行干预。采用改良的科恩-曼斯菲尔德激越量表在基线、第2周和第4周评估激越行为。

结果

与对照组相比,实验组在接受4周团体音乐与运动干预后,激越行为显著减少(p<0.001)。

结论

团体音乐与运动干预有助于管理痴呆症患者的激越行为,应纳入养老机构的护理常规中。

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