Bufalini John, Eslinger Paul, Lehman Erik, George Daniel R
Penn State College of Medicine, Hershey, PA, USA.
Departments of Neurology, Neural & Behavioral Sciences, and Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
J Alzheimers Dis Rep. 2022 Feb 2;6(1):43-48. doi: 10.3233/ADR-210043. eCollection 2022.
Given the challenges of developing disease-modifying treatments for Alzheimer's disease and related disorders, non-pharmacological interventions represent an increasingly promising approach in long-term care settings. Music-based interventions have been effective in improving the quality of life by influencing biopsychosocial factors that play a role in the progression of illnesses such as depression and anxiety. However, approaches have tended to focus exclusively on the person with dementia rather than integrating caregivers.
This study aimed to determine the impact of a music-based intervention on the quality of life of persons with dementia and their caregivers.
A mixed-methods study was conducted with seven dyads consisting of residents (aged 76-92) with diagnoses of dementia and their caregivers (aged 53-84) at a skilled nursing facility in Pennsylvania. Eight music intervention sessions were completed in the presence of the resident and caregiver using personalized playlists created for the dyad. Pre- and post-intervention questionnaires were administered during each session, and observational data for both residents and caregivers were collected.
Caregivers reported feeling less overwhelmed after the intervention with a mean difference of -0.24±0.14, = 0.016. Mean difference in the other 5 responses showed that listening to music had a beneficial impact for resident/caregiver dyads. Observations of interpersonal behavior supported the benefit of the intervention for these dyads.
Quantitative analysis of a personalized music intervention for residents/caregivers showed positive trends in increasing personal connection, and qualitative data identified greater appreciation of the relationship and increased bonding.
鉴于开发针对阿尔茨海默病及相关疾病的疾病修饰疗法面临挑战，非药物干预在长期护理环境中是一种越来越有前景的方法。基于音乐的干预已通过影响在抑郁症和焦虑症等疾病进展中起作用的生物心理社会因素，有效改善了生活质量。然而，以往的方法往往只专注于痴呆症患者，而没有将照顾者纳入其中。
本研究旨在确定基于音乐的干预对痴呆症患者及其照顾者生活质量的影响。
在宾夕法尼亚州一家专业护理机构，对七对由患有痴呆症的居民（年龄76 - 92岁）及其照顾者（年龄53 - 84岁）组成的二元组进行了一项混合方法研究。在居民和照顾者在场的情况下，使用为该二元组创建的个性化播放列表完成了八次音乐干预课程。每次课程期间都进行了干预前和干预后的问卷调查，并收集了居民和照顾者的观察数据。
照顾者报告称，干预后感觉压力减轻，平均差异为 -0.24±0.14，P = 0.016。其他5项回答的平均差异表明，听音乐对居民/照顾者二元组有有益影响。对人际行为的观察支持了该干预对这些二元组的益处。
对居民/照顾者的个性化音乐干预的定量分析显示，在增强人际关系方面呈现积极趋势，定性数据表明对关系的认可度更高且联系更紧密。
