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合理实践:探索在急性心理健康住院病房中组建音乐小组的益处。

Sound practice: Exploring the benefits of establishing a music group on an acute mental health inpatient unit.

机构信息

Hunter New England Mental Health, University of Newcastle, Newcastle, Australia.

Hunter New England Mental Health, Newcastle, Australia.

出版信息

Int J Ment Health Nurs. 2019 Jun;28(3):697-705. doi: 10.1111/inm.12569. Epub 2019 Jan 28.

DOI:10.1111/inm.12569
PMID:30693630
Abstract

There is evidence supporting the use of formal music therapy in the treatment of mental health consumers. Despite this, it appears to be an intervention which has not been routinely offered to consumers in Australian acute mental health inpatient units, possibly due to the lack of trained music therapists (or inadequate funding to employ them), as well as the challenges posed by the acuity of presentations and the short duration of admissions. Less formal therapeutic music activities may benefit consumers within these settings. This article describes how a music group activity facilitated by clinical staff with no music therapy qualifications was established. The first phase of this evaluation is then described using a descriptive qualitative method. We undertook a series of consumer and staff focus groups to explore the impact of a music group activity on an acute mental health inpatient unit. Five themes emerged from the transcripts of the focus groups' discussions, effects on mood, relationships and engagement, social connectedness and inclusion, the ward atmosphere and noise/agitation. Positive effects were shown across these areas, suggesting that the music group activity we established was beneficial for consumers and staff, and enhanced the ward atmosphere.

摘要

有证据支持在心理健康消费者的治疗中使用正规音乐疗法。尽管如此,它似乎是一种干预措施,尚未在澳大利亚急性心理健康住院病房中常规提供给消费者,这可能是由于缺乏经过培训的音乐治疗师(或没有足够的资金聘请他们),以及介绍的紧迫性和入院时间短带来的挑战。在这些环境中,不那么正规的治疗性音乐活动可能对消费者有益。本文描述了如何由没有音乐治疗资格的临床工作人员来建立音乐小组活动。然后,使用描述性定性方法来描述该评估的第一阶段。我们进行了一系列消费者和工作人员焦点小组讨论,以探讨音乐小组活动对急性心理健康住院病房的影响。从焦点小组讨论的记录中出现了五个主题,分别是情绪、人际关系和参与度、社交联系和包容性、病房氛围和噪音/躁动。这些方面都显示出了积极的影响,这表明我们建立的音乐小组活动对消费者和工作人员都有益,并改善了病房氛围。

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