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跨学科合作使用音乐与运动干预来促进痴呆症患者及其家人的福祉:基于证据的干预方案的制定。

Interdisciplinary collaboration in the use of a music-with-movement intervention to promote the wellbeing of people with dementia and their families: Development of an evidence-based intervention protocol.

作者信息

Lai Claudia K Y, Lai Daniel L L, Ho Jacqueline S C, Wong Kitty K Y, Cheung Daphne S K

机构信息

School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

Department of Child Education and Community Services, Hong Kong Institute of Vocational Education, Sha Tin, Hong Kong.

出版信息

Nurs Health Sci. 2016 Mar;18(1):79-84. doi: 10.1111/nhs.12238. Epub 2015 Sep 10.

DOI:10.1111/nhs.12238
PMID:26354593
Abstract

The music-with-movement intervention is particularly suitable for people with dementia because their gross motor ability is preserved until the later stage of dementia. This study examines the effect of music-with-movement on reducing anxiety, sleep disturbances, and improving the wellbeing of people with dementia. This paper reports the first stage of the study - developing the intervention protocol that staff can use to teach family caregivers. A registered music therapist developed a music-with-movement protocol and taught staff of two social service centers over five weekly 1.5 h sessions, with center-in-charges (social workers and occupational therapists) and our research team joining these sessions to provide comments from their professional perspective. Each discipline had different expectations about the content; therefore, numerous meetings and discussions were held to bridge these differences and fine-tune the protocol. Few healthcare professionals doubt the merits of interdisciplinary collaboration at all levels of health promotion. In practice, interdisciplinary collaboration is complex and requires commitment. Openness and persistence is required from all stakeholders to achieve a successful intervention for consumers.

摘要

音乐与运动干预特别适合患有痴呆症的人,因为他们的粗大运动能力在痴呆症后期之前都能得以保留。本研究考察了音乐与运动对减轻痴呆症患者焦虑、改善睡眠障碍以及提升幸福感的效果。本文报告了该研究的第一阶段——制定工作人员可用于培训家庭护理人员的干预方案。一名注册音乐治疗师制定了音乐与运动方案,并在每周一次、每次1.5小时、为期五周的课程中培训了两个社会服务中心的工作人员,各中心负责人(社会工作者和职业治疗师)以及我们的研究团队也参与了这些课程,以便从他们的专业角度提供意见。每个学科对内容都有不同的期望;因此,我们召开了多次会议并进行了讨论,以弥合这些差异并对方案进行微调。几乎没有医疗保健专业人员会怀疑跨学科合作在各级健康促进中的价值。在实践中,跨学科合作很复杂,需要各方投入。所有利益相关者都需要保持开放和坚持,才能为消费者实现成功的干预。

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引用本文的文献

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A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2 Cluster-Randomized Effectiveness-Implementation Design.基于家庭的音乐与运动双重干预对痴呆症患者及其照护者的效果:混合 2 型聚类随机对照设计。
Clin Interv Aging. 2022 Aug 11;17:1199-1216. doi: 10.2147/CIA.S370661. eCollection 2022.
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Mouvement de passage: Creating connections through movement among persons with dementia.过渡运动:通过痴呆症患者之间的运动建立联系。
Dementia (London). 2021 Oct;20(7):2573-2596. doi: 10.1177/14713012211004009. Epub 2021 Apr 20.
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Systematic scoping review of frameworks used to develop rehabilitation interventions for older adults.
系统范围综述:用于制定老年人康复干预措施的框架。
BMJ Open. 2019 Feb 22;9(2):e024185. doi: 10.1136/bmjopen-2018-024185.
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A case study on a home-based caregiver-delivered music-with-movement intervention for people with early dementia.一项针对早期痴呆症患者的居家护理人员提供的音乐与运动干预的案例研究。
SAGE Open Med Case Rep. 2017 Sep 13;5:2050313X17730264. doi: 10.1177/2050313X17730264. eCollection 2017.