團體音樂治療對社區日托老人憂鬱情形及生活品質之成效

The Effects of Group Music Therapy on Depression and Quality of Life among Elders Attending Community Day-Care Services

陳頌琪(Sung-Chi Chen) ； 邱子瑄(Tzu-Hsuan Chiu) ； 黃詩儀(Shi-Yi Hung) ； 徐慧敏(Huei-Min Syu) ； 蔣欣芷(Hsin-Chih Chiang) ； 陳姿吟(Tzu-Yin Chen) ； 方俐潔(Li-Chien Fang) ； 宋惠娟(Huei-Chuan Sung)

《長期照護雜誌》 12卷4期 (2008/12) Pp. 377-389

https://doi.org/10.6317/LTC.200812_12(4).0004

摘要

This study aimed to determine the effect of group music therapy on level of depression and quality of life among elders attending community day-care services. The study used a quasi-experimental design with a purposive sample of elders who attended two church-based community day-care services with one as the experimental and another as the control group. Twenty elders in the experimental group received 20-minute group music therapy in the morning, twice a week for 4 weeks. The group music therapy was designed based on use of elders' familiar Chinese and Taiwanese music from the past, percussion instruments, and body movements suitable for elders. Thirteen elders in the control group received routine care with no group music therapy. Level of depression was assessed by Geriatric Depression Scale, and quality of life was assessed by WHOQOL-BREF scale at baseline and week 4. Group music therapy had a significant reduction on the level of depression (Z=-3.1, p=.002), a significant improvement on social health domain (Z=-3.62, p＜.001) and environment domain (Z=-2.12, p=.03) of quality of life among the elders in the experimental group compared to those of the control group. The study results suggested that group music therapy can be incorporated into day-care activity program in order to improve community-dwelling elders' mental health.

關鍵字

音樂治療 ； 憂鬱 ； 生活品質 ； 老人 ； 日托

並列摘要

This study aimed to determine the effect of group music therapy on level of depression and quality of life among elders attending community day-care services. The study used a quasi-experimental design with a purposive sample of elders who attended two church-based community day-care services with one as the experimental and another as the control group. Twenty elders in the experimental group received 20-minute group music therapy in the morning, twice a week for 4 weeks. The group music therapy was designed based on use of elders' familiar Chinese and Taiwanese music from the past, percussion instruments, and body movements suitable for elders. Thirteen elders in the control group received routine care with no group music therapy. Level of depression was assessed by Geriatric Depression Scale, and quality of life was assessed by WHOQOL-BREF scale at baseline and week 4. Group music therapy had a significant reduction on the level of depression (Z=-3.1, p=.002), a significant improvement on social health domain (Z=-3.62, p＜.001) and environment domain (Z=-2.12, p=.03) of quality of life among the elders in the experimental group compared to those of the control group. The study results suggested that group music therapy can be incorporated into day-care activity program in order to improve community-dwelling elders' mental health.

並列關鍵字

music therapy ； depression ； quality of life ； elders ； day-care