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双耳节拍音乐联合节奏性闪光刺激对长期照护机构中伴有抑郁症状的老年人的疗效:一项准实验性 pilot 研究。

Effectiveness of binaural beat music combined with rhythmical photic stimulation on older people with depressive symptoms in long-term care institution: a quasi-experimental pilot study.

机构信息

Department of Healthcare Administration, College of Medical and Health Science, Asia University, 500, Lioufeng Rd, 41354, Wufeng, Taichung, Taiwan, R.O.C..

Department of Health and Beauty, Shu Zen Junior College of Medicine and Management, Kaohsiung, 821, Taiwan.

出版信息

Aging Clin Exp Res. 2024 Apr 1;36(1):86. doi: 10.1007/s40520-024-02737-3.

Abstract

BACKGROUND

Many older adults residing in long-term care often face issues like poor sleep, reduced vitality, and depression. Non-pharmacological approaches, specifically Binaural Beat Music (BBM) and Rhythmic Photic Stimulation (RPS), may alleviate these symptoms, yet their efficacy in this demographic has not been extensively explored.

AIMS

This study investigated the effects of combined BBM and RPS interventions on sleep quality, vitality, and depression among older residents with depressive symptoms in long-term care facilities.

METHODS

Using a quasi-experimental design, a total of 88 older adults with depressive symptoms from Taiwanese daytime care centers were divided into the BBM with RPS, and Sham groups (44 each). They underwent 20-minute daily sessions of their assigned treatment for two weeks. The BBM with RPS group listened to 10 Hz binaural beat music with 10 Hz photic stimulation glasses, and the Sham group received non-stimulating music and glasses.

RESULTS

After the intervention, participants in the BBM with RPS groups showed significant improvements in vitality and depressive mood, with a notable increase in sympathetic nervous system activity. Conversely, the Sham group exhibited significant deterioration in vitality and mental health, with a significant increase in parasympathetic activity. Additionally, compared with the Sham group, the BBM and RPS groups showed significant improvements in vitality, mental health, and depression, with a significant increase in sympathetic nervous activity.

CONCLUSION

The two-week intervention suggests that the combination of BBM and RPS, as a non-invasive intervention, can potentially improve vitality, mental health, and depressive mood among older adults in long-term care institutions.

摘要

背景

许多长期居住在养老院的老年人常常面临睡眠质量差、活力降低和抑郁等问题。非药物方法,特别是双耳节拍音乐(Binaural Beat Music,BBM)和节律性光刺激(Rhythmic Photic Stimulation,RPS),可能缓解这些症状,但这些方法在这一人群中的效果尚未得到广泛研究。

目的

本研究旨在探讨联合 BBM 和 RPS 干预对长期护理机构中患有抑郁症状的老年居民睡眠质量、活力和抑郁的影响。

方法

采用准实验设计,将来自台湾日间护理中心的 88 名患有抑郁症状的老年人分为 BBM 和 RPS 组(每组 44 人)。他们每天接受 20 分钟的指定治疗,持续两周。BBM 和 RPS 组听 10 Hz 双耳节拍音乐和 10 Hz 光刺激眼镜,而 Sham 组则接受无刺激的音乐和眼镜。

结果

干预后,BBM 和 RPS 组的参与者在活力和抑郁情绪方面有显著改善,交感神经系统活动显著增加。相反,Sham 组的活力和心理健康状况明显恶化,副交感神经系统活动显著增加。此外,与 Sham 组相比,BBM 和 RPS 组在活力、心理健康和抑郁方面有显著改善,交感神经系统活动显著增加。

结论

为期两周的干预表明,BBM 和 RPS 的联合作为一种非侵入性干预方法,可能改善长期护理机构中老年人的活力、心理健康和抑郁情绪。

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本文引用的文献

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Factors that Influence Sleep among Residents in Long-Term Care Facilities.影响长期护理机构居民睡眠的因素。
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