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群体音乐疗法对改善养老院痴呆患者抑郁状况的影响:一项随机对照试验。

The impact of group music therapy in ameliorating the depression among patients with dementia in care homes: A randomized control trial.

机构信息

College of Music, Hunan Normal University, Changsha, 410081, China; College of Music, Guizhou University, Guiyang, 550025, China.

Wuhan Conservatory of Music, Wuhan, 430060, China.

出版信息

Geriatr Nurs. 2024 Mar-Apr;56:304-311. doi: 10.1016/j.gerinurse.2024.02.021. Epub 2024 Feb 27.

Abstract

Despite the increasing use of music therapy to treat patients with dementia, studies focused on developing nations are still in their embryonic stages. In this view, this study examined the impact of group music therapy intervention in ameliorating depression levels among older people in two care homes. A randomized control trial (RCT) was carried out in which a total of 121 patients were randomly divided into control 61 and experimental group 60. After 6 weeks, 12-session experiment which involved passive and active music therapy, it was found that music group therapy intervention reduced the depression level of older persons in the experimental group, compared to those who were not exposed to the music therapy; control group. The music therapy session also influenced the salivary cortisol of the patients as it was shown to reduce their salivary cortisol levels. It was also observed that after three months of follow-up, participants in the experimental group still maintained a low level of depression and salivary cortisol level, but the control group's level was still high, thus, substantiating the effect of music in reducing depression among older people. We encouraged clinicians, nursing practitioners and care homes in Nigeria to incorporate music therapy as part of the treatment offered to patients with dementia.

摘要

尽管音乐疗法在治疗痴呆症患者方面的应用越来越多,但针对发展中国家的研究仍处于起步阶段。基于这一观点,本研究考察了团体音乐疗法干预对改善两个养老院中老年人抑郁水平的影响。本研究采用随机对照试验(RCT),共有 121 名患者被随机分为对照组 61 名和实验组 60 名。经过 6 周、共 12 次的被动和主动音乐疗法干预后,结果发现与未接受音乐疗法的对照组相比,实验组的音乐团体疗法干预降低了老年人的抑郁水平。音乐疗法还影响了患者的唾液皮质醇,因为它显示可以降低他们的唾液皮质醇水平。研究还观察到,在三个月的随访后,实验组的参与者仍然保持较低的抑郁和唾液皮质醇水平,但对照组的水平仍然较高,从而证实了音乐在降低老年人抑郁方面的作用。我们鼓励尼日利亚的临床医生、护理从业者和养老院将音乐疗法纳入为痴呆症患者提供的治疗方案中。

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