聆聽愉悅熟悉音樂對社區失智症老人進食問題的成效

Effect of Pleasant Familiar Music Listening on Feeding Problems in Community-Dwelling Elders with Dementia

石惠真(Hui-Chih Shih) ； 李明憲(Ming-Shinn Lee) ； 林祝君(Zu-Chun Lin) ； 李浩銘(Haw-Ming Lee) ； 宋惠娟(Huei-Chuan Sung)

《長期照護雜誌》 13卷3期 (2009/12) Pp. 305-323

https://doi.org/10.6317/LTC.200912_13(3).0004

摘要

The study aimed to evaluate the effect of pleasant familiar music listening on feeding problems, food intake, nutrition condition, and body weight in community-dwelling elders with dementia. This study used a one-group repeated-measures quasi-experimental design. Eleven participants listened to pleasant familiar music via a CD player during dinner time for 1 hour daily for 4 weeks provided by the trained caregiver at home. Feeding problems measured by Edinburgh Feeding Evaluation in Dementia Scale (EdFED Scale), nutrition condition measured by Mini Nutritional Assessment (MNA), and body weight measured by a reliable weighting scale of all participants were assessed at baseline and week 1, 2, 3, and 4. Friedman test revealed that elders with dementia listened to pleasant familiar music during dinner time for 1 hour daily for 4 weeks at home had a significant decrease on the feeding problems score (χ^2=41.75, p＜.001), a significant increase on their nutrition status (χ^2=41.02, p＜.001) and body weight (χ^2=28.25, p＜.001), and also had a significant increase on the food intake (χ^2=123.4, p＜.001). Music listening intervention is a non-invasive, cheap, and convenient complimentary therapy to improve feeding problems and nutrional status of those with dementia living at home. This was the first study which evaluated use of pleasant familiar music listening intervention for feeding problems of those with dementia in the community setting. This pilot study results can provide community care nurses useful information in their care for community-dwelling elders with dementia and patient education for those with dementia and their caregivers in dealing with feeding problems and nutrition.

關鍵字

音樂聆聽 ； 社區 ； 老人 ； 失智症 ； 進食問題

並列摘要

The study aimed to evaluate the effect of pleasant familiar music listening on feeding problems, food intake, nutrition condition, and body weight in community-dwelling elders with dementia. This study used a one-group repeated-measures quasi-experimental design. Eleven participants listened to pleasant familiar music via a CD player during dinner time for 1 hour daily for 4 weeks provided by the trained caregiver at home. Feeding problems measured by Edinburgh Feeding Evaluation in Dementia Scale (EdFED Scale), nutrition condition measured by Mini Nutritional Assessment (MNA), and body weight measured by a reliable weighting scale of all participants were assessed at baseline and week 1, 2, 3, and 4. Friedman test revealed that elders with dementia listened to pleasant familiar music during dinner time for 1 hour daily for 4 weeks at home had a significant decrease on the feeding problems score (χ^2=41.75, p＜.001), a significant increase on their nutrition status (χ^2=41.02, p＜.001) and body weight (χ^2=28.25, p＜.001), and also had a significant increase on the food intake (χ^2=123.4, p＜.001). Music listening intervention is a non-invasive, cheap, and convenient complimentary therapy to improve feeding problems and nutrional status of those with dementia living at home. This was the first study which evaluated use of pleasant familiar music listening intervention for feeding problems of those with dementia in the community setting. This pilot study results can provide community care nurses useful information in their care for community-dwelling elders with dementia and patient education for those with dementia and their caregivers in dealing with feeding problems and nutrition.

並列關鍵字

music listening ； community ； elders ； dementia ； feeding problem