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器乐疗法降低了中风患者的抑郁水平。

Instrumental music therapy reduced depression levels in stroke patients.

作者信息

Sumakul Vione Deisi Oktavina, Notobroto Hari Basuki, Widani Ni Luh, Aima M Havidz

机构信息

Doctoral Program of Public Health.

Department of Biostatistics and Population, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya.

出版信息

J Public Health Res. 2020 Jul 3;9(2):1847. doi: 10.4081/jphr.2020.1847.

DOI:10.4081/jphr.2020.1847
PMID:32728586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7376470/
Abstract

Stroke is the fifth cause of death and disability, leading also to depression. However, depression in stroke patients is hardly handled optimally. The purpose of this study therefore is to determine the effectiveness of instrumental music therapy in reducing depressive symptoms in stroke patients. It used a quasi-experiment pre-post design with a simple random sampling with 59 respondents. The respondents were divided into 3 groups as follows; group A (standard treatment), group B (instrumental music therapy), and group C (combined treatment). The results show that the combined treatment provided the most significant influence on reducing the level of depression (P=0.001) with a contribution of 68.6% compared to the group A which was given standard treatment (P=0.001) with a contribution of 61.7%. Instrumental music therapy had no effect (P=0.986), though it contributed most among the three interventions, specifically 82.6%. The study recommended further improvement to include music as treatment options for reducing depression among stroke patients.

摘要

中风是导致死亡和残疾的第五大原因,还会引发抑郁症。然而,中风患者的抑郁症很难得到最佳治疗。因此,本研究的目的是确定器乐疗法在减轻中风患者抑郁症状方面的有效性。该研究采用前后对照的准实验设计,通过简单随机抽样选取了59名受访者。受访者被分为3组,如下所示:A组(标准治疗)、B组(器乐疗法)和C组(联合治疗)。结果表明,与接受标准治疗的A组(P = 0.001,贡献率为61.7%)相比,联合治疗对降低抑郁水平的影响最为显著(P = 0.001,贡献率为68.6%)。器乐疗法没有效果(P = 0.986),尽管它在三种干预措施中贡献最大,具体为82.6%。该研究建议进一步改进,将音乐纳入减轻中风患者抑郁症状的治疗选择中。

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本文引用的文献

1
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J Tradit Chin Med. 2017 Oct;37(5):675-680.
2
Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association.《2019年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2019 Mar 5;139(10):e56-e528. doi: 10.1161/CIR.0000000000000659.
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The impact of music on the bioelectrical oscillations of the brain.音乐对大脑生物电振荡的影响。
Acta Med Litu. 2018;25(2):101-106. doi: 10.6001/actamedica.v25i2.3763.
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Mediating effects of burden on quality of life for caregivers of first-time stroke patients discharged from the hospital within one year.一年内出院的首次中风患者照顾者负担对生活质量的中介作用。
BMC Neurol. 2018 Apr 25;18(1):50. doi: 10.1186/s12883-018-1057-9.
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Music-Evoked Emotions-Current Studies.音乐诱发的情感——当前研究
Front Neurosci. 2017 Nov 24;11:600. doi: 10.3389/fnins.2017.00600. eCollection 2017.
6
Burden and factors associated with post-stroke depression in East central Nigeria.尼日利亚中东部地区中风后抑郁症的负担及相关因素。
Afr Health Sci. 2017 Sep;17(3):859-867. doi: 10.4314/ahs.v17i3.29.
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Music for the ageing brain: Cognitive, emotional, social, and neural benefits of musical leisure activities in stroke and dementia.针对衰老大脑的音乐:中风和痴呆症患者参与音乐休闲活动对认知、情感、社交及神经方面的益处
Dementia (London). 2018 Aug;17(6):670-685. doi: 10.1177/1471301217729237. Epub 2017 Sep 12.
8
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