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音乐疗法与体育活动缓解有额颞叶变性体征的痴呆症患者的焦虑、烦躁、易怒和攻击性

Music Therapy and Physical Activity to Ease Anxiety, Restlessness, Irritability, and Aggression in Individuals With Dementia With Signs of Frontotemporal Lobe Degeneration.

作者信息

Langhammer Birgitta, Sagbakken Mette, Kvaal Kari, Ulstein Ingun, Nåden Dagfinn, Rognstad May Karin

出版信息

J Psychosoc Nurs Ment Health Serv. 2019 May 1;57(5):29-37. doi: 10.3928/02793695-20190124-02. Epub 2019 Feb 12.

DOI:10.3928/02793695-20190124-02
PMID:30753735
Abstract

The purpose of the current study was to evaluate whether a combined intervention of physical activity and music therapy could reduce anxiety, restlessness, irritability, and aggression among individuals with severe dementia. An exploratory design was used to evaluate a combined intervention of physical activity, music therapy, and daily walking. Interventions were systematically implemented for 8 weeks. Target groups were individuals with dementia with frontal lobe symptoms in institutional care. Primary outcome measure was the Brøset Violence Checklist (BVC). Four men and two women (mean age = 84.3 years) and their primary caretakers (n = 6) participated. The most prominent symptoms among participants at baseline were confusion, irritability, and verbal threats. The individual BVC total scores indicated significant improvements (p = 0.03). Implementation of individualized music therapy combined with increased physical activity for 8 weeks was a feasible intervention that reduced anxiety, restlessness, irritability, and aggression in the current study. [Journal of Psychosocial Nursing and Mental Health Services, 57(5), 29-37.].

摘要

本研究的目的是评估体育活动与音乐疗法的联合干预是否能减轻重度痴呆患者的焦虑、烦躁、易怒和攻击性。采用探索性设计来评估体育活动、音乐疗法和日常散步的联合干预。干预措施系统实施了8周。目标群体是机构护理中患有额叶症状痴呆症的个体。主要结局指标是布罗泽特暴力检查表(BVC)。四名男性和两名女性(平均年龄 = 84.3岁)及其主要照顾者(n = 6)参与了研究。基线时参与者中最突出的症状是困惑、易怒和言语威胁。个体BVC总分显示有显著改善(p = 0.03)。在本研究中,实施个性化音乐疗法并增加体育活动8周是一种可行的干预措施,可减轻焦虑、烦躁、易怒和攻击性。[《心理社会护理与心理健康服务杂志》,57(5),29 - 37。]

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