Hooper Jeff, Carson Derek, Lindsay Bill
Strathmartine Centre, Dundee.
Nurs Times. 2012;108(48):22-4.
People with learning disabilities can disrupt mealtimes with non-cooperative, aggressive and self-injurious behaviours that challenge other people to tolerate and manage them. These behaviours appear to arise because the proximity of other people, and the heightened activity and noise of a dining room, causes anxiety and agitation.
To examine how delivering calming background music via headphones affected anxiety-driven behaviours that disrupted mealtimes.
A sample of 30 adults with mild, moderate or severe learning disabilities were videotaped during mealtimes on two consecutive days. On the first day, half the group ate without any calming music while the other half sat opposite them wearing earphones and listening to calming music. On the second day, the non-music and music groups swapped around.
Of the participants who tolerated the earphones, only three showed disruptive behaviour; all three had been sitting at the table waiting for their food. With so few examples, meaningful inferential analysis was not possible. However, there were signs that calming music had a positive effect on disruptive mealtime behaviours. It eliminated physical harm, complaining and verbal repetition in one person, and stopped another from shouting/swearing. It also reduced the incidence of shouting/swearing, restlessness and vocalising.
Calming music and reduced waiting at tables for food may reduce disruptive behaviours.
有学习障碍的人可能会出现不合作、攻击性和自我伤害行为，干扰用餐时间，这让其他人很难容忍和应对。这些行为似乎是因为他人的靠近以及餐厅里增加的活动和噪音导致焦虑和烦躁而产生的。
研究通过耳机播放舒缓的背景音乐如何影响干扰用餐时间的焦虑驱动行为。
对30名患有轻度、中度或重度学习障碍的成年人进行连续两天用餐时间的录像。第一天，一半人在没有舒缓音乐的情况下用餐，另一半人坐在他们对面戴着耳机听舒缓音乐。第二天，无音乐组和音乐组互换。
在能容忍耳机的参与者中，只有三人表现出干扰行为；这三人都一直坐在餐桌旁等待食物。由于此类例子太少，无法进行有意义的推断分析。然而，有迹象表明舒缓音乐对干扰用餐时间的行为有积极影响。它消除了一人的身体伤害、抱怨和言语重复，还让另一人停止了喊叫/咒骂。它还减少了喊叫/咒骂、坐立不安和发声的发生率。
舒缓的音乐以及减少在餐桌旁等待食物的时间可能会减少干扰行为。
