Department of Nursing, I-Shou University, Kaohsiung, Taiwan; College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Am Med Dir Assoc. 2015 Jan;16(1):71-7. doi: 10.1016/j.jamda.2014.10.004. Epub 2014 Nov 20.
To conduct a systematic review and a meta-analysis of current studies to determine whether music therapy affects the cognitive function of older people.
The databases surveyed include PsycINFO, PsycARTICLES, PubMed, MEDLINE, CINAHL, AgeLine, Cochrane Library, and the Chinese Electronic Periodical Services (CEPS) as well as the reference lists of the included studies. The Consolidated Standards of Reporting Trials (CONSORT) extension checklist for nonpharmacologic treatment was used to evaluate the literature.
Music therapy intervention offered in nursing homes, hospitals, or communities.
A total of 234 participants from 5 studies were assessed in the meta-analysis, with a mean age per study of 71.4 to 82.0 years.
Cognitive outcome domains were analyzed in a systematic review. The short-term effects of music therapy in Mini-Mental State Examination data for meta-analysis were compiled. A forest plot was constructed using a fixed effect model to obtain a pooled mean difference.
Active music therapy comprising singing and other musical activities was generally determined to effect a significant improvement in the Mini-Mental State Examination according to individual retrieval studies. However, this study showed no significant improvement in the short-term effects of music therapy when all related studies in meta-analysis were combined. The pooled mean difference was 0.73 (95% confidence interval -0.07 to 1.54; Z = 1.79; P = .07) for using music therapy overall and 0.74 (95% confidence interval -0.08 to 1.56; Z = 1.76; P = .08) for using active music therapy.
The findings of the meta-analysis indicate that the short-term effects of music therapy do not improve the cognitive function of older people. Future studies that utilize a good quality methodology with a long-term design and diversified active music therapy are recommended.
对现有研究进行系统评价和荟萃分析，以确定音乐疗法是否影响老年人的认知功能。
调查的数据库包括 PsycINFO、PsycARTICLES、PubMed、MEDLINE、CINAHL、AgeLine、Cochrane 图书馆以及中国电子期刊服务（CEPS），以及纳入研究的参考文献列表。使用非药物治疗的 CONSORT 扩展报告标准检查表来评估文献。
在疗养院、医院或社区提供音乐治疗干预。
荟萃分析评估了来自 5 项研究的共 234 名参与者，每项研究的平均年龄为 71.4 至 82.0 岁。
在系统评价中分析认知结果领域。对荟萃分析中使用简易精神状态检查表数据的音乐治疗短期效果进行了编译。使用固定效应模型构建森林图以获得合并平均差异。
个体检索研究普遍表明，包括唱歌和其他音乐活动在内的主动音乐疗法可显著改善简易精神状态检查表的结果。然而，当综合所有相关研究进行荟萃分析时，这项研究并未显示音乐治疗的短期效果有显著改善。合并平均差异为 0.73（95%置信区间 -0.07 至 1.54；Z=1.79；P=0.07），整体使用音乐治疗，0.74（95%置信区间 -0.08 至 1.56；Z=1.76；P=0.08）用于主动音乐治疗。
荟萃分析的结果表明，音乐治疗的短期效果并不能改善老年人的认知功能。建议未来的研究采用高质量的方法，设计长期并多样化的主动音乐疗法。
