Skingley A, Vella-Burrows T
Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Folkestone.
Nurs Stand. 2010;24(19):35-41. doi: 10.7748/ns2010.01.24.19.35.c7446.
To identify how music and singing may be used therapeutically by nurses in caring for older people.
A multimethod approach was taken, comprising a search of the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Medline databases, and the extraction of relevant articles from three existing reviews.
Two reviews and 16 research reports were identified, the majority of which were intervention studies. All the studies reported benefits from music or singing for older people. Positive findings related to dementia, specific disorders (osteoarthritis pain, post-operative delirium, sleep difficulties, chronic obstructive pulmonary disease), and older people living at home. Recommendations for nursing were made, although there is a need for clarification on how nursing interventions should be implemented.
The evidence base to support the benefits of music and singing is increasing, and it is suggested that nurses may contribute to appropriate interventions and referrals. There is a need for further research, both to support these findings and to explore the nursing role in relation to providing music and singing therapies.
确定护士在照顾老年人时如何将音乐和歌唱用于治疗目的。
采用多方法途径,包括检索护理及相关健康文献累积索引(CINAHL)和医学文献数据库(Medline),并从三篇现有综述中提取相关文章。
确定了两篇综述和16篇研究报告,其中大部分是干预性研究。所有研究均报告了音乐或歌唱对老年人有益。积极的研究结果涉及痴呆症、特定疾病(骨关节炎疼痛、术后谵妄、睡眠困难、慢性阻塞性肺疾病)以及居家老年人。针对护理工作提出了建议,不过在如何实施护理干预方面仍需进一步明确。
支持音乐和歌唱有益效果的证据基础正在不断增加,建议护士可参与适当的干预措施并进行转诊。需要进一步开展研究,以支持这些研究结果,并探索护士在提供音乐和歌唱疗法方面的作用。