Liao S J, Tan M P, Chong M C, Chua Y P
a University of Malaya , Department of Nursing Science, Faculty of Medicine , Kuala Lumpur , Malaysia.
b Department of Nursing Science , Ya'an Polytechnic College , Ya'an City , Sichuan Province , China.
Issues Ment Health Nurs. 2018 May;39(5):398-402. doi: 10.1080/01612840.2017.1417519. Epub 2018 Feb 13.
The effectiveness of pharmacological treatment may be limited in older persons. Several studies using Tai Chi or music therapy separately confirmed positive effects in the reduction of depressive symptoms. We conducted a cluster randomized controlled trial to evaluate the possible synergistic effect of combined music and Tai Chi on depressive symptoms.
One hundred and seven older adults with mild to moderate depressive symptoms were recruited from Ya'an city. Fifty-five participants were cluster randomized to combined music and Tai Chi group for three months, while the other fifty-two individuals were randomized to the control group that entailed routine health education delivered monthly by community nurses. The primary outcome of depressive symptoms was measured with the Geriatric Depression Scale (GDS) at baseline and monthly for three months.
At three-month follow-up, a statistically significant improvement in depressive symptoms was found in the intervention group compared with control group (F(3,315) = 69.661, P < 0.001). Following adjustments for socio-demographic data, the true effect of intervention on depressive symptoms was significant (F = 41.725, P < 0.01, η = 0.574).
Combined music and Tai Chi reduced depressive symptoms among community-dwelling older persons. This represents an economically viable solution to the management of depression in highly populous developing nations.
药物治疗对老年人的有效性可能有限。多项分别使用太极拳或音乐疗法的研究证实了其在减轻抑郁症状方面的积极作用。我们进行了一项整群随机对照试验，以评估音乐与太极拳联合应用对抑郁症状的可能协同作用。
从雅安市招募了107名有轻度至中度抑郁症状的老年人。55名参与者被整群随机分配到音乐与太极拳联合组，为期三个月，而另外52人被随机分配到对照组，该组接受社区护士每月进行的常规健康教育。抑郁症状的主要结局在基线时以及三个月内每月使用老年抑郁量表（GDS）进行测量。
在三个月的随访中，与对照组相比，干预组的抑郁症状有统计学上的显著改善（F(3,315) = 69.661，P < 0.001）。在对社会人口统计学数据进行调整后，干预对抑郁症状的实际效果显著（F = 41.725，P < 0.01，η = 0.574）。
音乐与太极拳联合应用可减轻社区居住老年人的抑郁症状。这为人口众多的发展中国家抑郁症的管理提供了一种经济可行的解决方案。
