Troy University, Phenix City, AL, USA.
J Holist Nurs. 2024 Jun;42(2):133-142. doi: 10.1177/08980101231198717. Epub 2023 Sep 6.
Alzheimer's disease (AD) is a crippling epidemic that is predicted to affect over 15 million people worldwide by the year 2050. Symptoms such as refusal to cooperate, impaired communication and cognition, and agitation and anxiety can play a large part in the difficulties that surround caring for an AD patient. There are medications that are marketed to treat AD symptoms, but many have harmful side effects. Holistic methods, such as music therapy, are gaining attention for their ease of implementation and limited side effects. The purpose of this project was to implement a music therapy intervention for people with AD in hospice and evaluate the levels of agitation experienced by the patient. The study was conducted over a period of eight weeks. Music therapy was administered nightly for 20 minutes by caregivers and the Pittsburgh Agitation Scale was completed at the beginning of the study, at four weeks into the study, and at the completion of the study. The intervention was found to be significant in reducing aberrant vocalization, motor agitation, aggressiveness, and resisting care. Based on the findings, music therapy may be useful as a holistic intervention for decreasing agitation in individuals with AD.
阿尔茨海默病（AD）是一种严重的流行病，预计到 2050 年，全球将有超过 1500 万人受到影响。拒绝合作、沟通和认知障碍、烦躁和焦虑等症状在照顾 AD 患者时会带来很多困难。有一些药物被市场销售来治疗 AD 症状，但许多都有有害的副作用。整体方法，如音乐疗法，因其易于实施和有限的副作用而受到关注。本项目的目的是为临终关怀中的 AD 患者实施音乐治疗干预，并评估患者的烦躁程度。该研究持续了八周。由护理人员每晚进行 20 分钟的音乐治疗，在研究开始时、研究进行到四周时和研究结束时完成匹兹堡躁动量表。研究发现，该干预措施在减少异常发声、运动性躁动、攻击性和抗拒护理方面具有显著效果。基于这些发现，音乐疗法可能作为一种整体干预措施，用于减少 AD 患者的烦躁。
