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团体音乐干预对养老院老年人抑郁的影响。

Effects of Group Music Intervention on Depression for Elderly People in Nursing Homes.

机构信息

Department of Nursing, St. Mary's Junior College of Medicine, Nursing and Management, Sanshing Township, Yilan 26647, Taiwan.

Department of Nursing, Tzu Chi University, Hualien 97074, Taiwan.

出版信息

Int J Environ Res Public Health. 2022 Jul 29;19(15):9291. doi: 10.3390/ijerph19159291.

Abstract

Depression is the most common mental problem among the elderly, especially in long-term care facilities. The purpose of the present study was to examine the effects of group music intervention on depression for elderly people in nursing homes. Methods: A randomized control trial consisting of sixty-three elderly participants randomly and blindly assigned to a music group or control group was utilized. The music group received 20 sessions of group music intervention (two 30-min sessions per week for 10 weeks), and the control group received usual care with no music intervention. The Geriatric Depression Scale-Short Form (GDS-SF) and salivary cortisol at baseline, 5 weeks, and 10 weeks were collected for analysis. Results of the GEEs (generalized estimating equations) analysis indicated that after 20 sessions for 10 weeks of group music intervention, the groups showed a statistically significant difference in depression at 5 weeks and 10 weeks. There was no significant difference in the salivary cortisol concentration between the two groups. The results show that the group music intervention may effectively reduce the depression scores for elderly people in nursing homes. Conclusion: The group music intervention has positive effects on depression.

摘要

抑郁是老年人中最常见的心理问题,尤其是在长期护理机构中。本研究的目的是探讨团体音乐干预对养老院老年人抑郁的影响。方法:采用随机对照试验,共纳入 63 名老年参与者,随机和盲法分为音乐组和对照组。音乐组接受 20 次团体音乐干预(每周两次,每次 30 分钟,共 10 周),对照组接受常规护理,无音乐干预。在基线、5 周和 10 周时收集老年抑郁量表-短式(GDS-SF)和唾液皮质醇进行分析。广义估计方程(GEEs)分析结果表明,经过 10 周 20 次团体音乐干预后,两组在 5 周和 10 周时的抑郁评分存在统计学差异。两组间唾液皮质醇浓度无显著差异。结果表明,团体音乐干预可能有效降低养老院老年人的抑郁评分。结论:团体音乐干预对抑郁有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/9368414/311e91588f6f/ijerph-19-09291-g001.jpg

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