Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taiwan.
Int J Geriatr Psychiatry. 2011 Jul;26(7):670-8. doi: 10.1002/gps.2580. Epub 2010 Jul 29.
This study explored the effectiveness of group music intervention against agitated behavior in elderly persons with dementia.
This was an experimental study using repeated measurements. Subjects were elderly persons who suffered from dementia and resided in nursing facilities. In total, 104 participants were recruited by permuted block randomization and of the 100 subjects who completed this study, 49 were in the experimental group and 51 were in the control group. The experimental group received a total of twelve 30-min group music intervention sessions, conducted twice a week for six consecutive weeks, while the control group participated in normal daily activities. In order to measure the effectiveness of the therapeutic sessions, assessments were conducted before the intervention, at the 6th and 12th group sessions, and at 1 month after cessation of the intervention. Longitudinal effects were analyzed by means of generalized estimating equations (GEEs).
After the group music therapy intervention, the experimental group showed better performance at the 6th and 12th sessions, and at 1 month after cessation of the intervention based on reductions in agitated behavior in general, physically non-aggressive behavior, verbally non-aggressive behavior, and physically aggressive behavior, while a reduction in verbally aggressive behavior was shown only at the 6th session.
Group music intervention alleviated agitated behavior in elderly persons with dementia. We suggest that nursing facilities for demented elderly persons incorporate group music intervention in routine activities in order to enhance emotional relaxation, create inter-personal interactions, and reduce future agitated behaviors.
本研究旨在探讨团体音乐干预对老年痴呆症患者激越行为的疗效。
这是一项采用重复测量的实验研究。研究对象为患有痴呆症并居住在护理院的老年人。共通过区组随机化方法招募了 104 名参与者，其中 100 名完成本研究的受试者中，49 名被分配到实验组，51 名被分配到对照组。实验组接受了总共 12 次 30 分钟的团体音乐干预，每周两次，持续六周，而对照组则参加正常的日常活动。为了衡量治疗效果，在干预前、第 6 次和第 12 次团体治疗时以及干预结束后 1 个月进行了评估。采用广义估计方程（GEE）分析纵向效果。
经过团体音乐治疗干预后，实验组在第 6 次和第 12 次团体治疗时以及干预结束后 1 个月时的激越行为表现均有所改善，总体激越行为、非躯体攻击行为、非言语攻击行为和躯体攻击行为均有所减少，而言语攻击行为仅在第 6 次时有所减少。
团体音乐干预可减轻老年痴呆症患者的激越行为。我们建议痴呆老年人护理机构将团体音乐干预纳入常规活动中，以增强情绪放松、创造人际互动，并减少未来的激越行为。
