樂齡音樂治療活動健康照護計畫對失智症長者之護理經驗

Nursing Experience during Community Care Involving a Music Therapy Program for an Elderly Man with Alzheimer's Disease

林美珠(Mei-Chu Lin) ； 吳盈蓁(Ying-Chen Wu) ； 瞿蕙娟(Hu-Jane Chiu) ； 高木榮(Mu-Jung Kao)

《北市醫學雜誌》 7卷4期 (2010/12) Pp. 382-393

https://doi.org/10.6200/TCMJ.2010.7.4.07

摘要

失智症會造成生理功能退化、心理層面延伸負向行為及情緒問題，並逐漸影響社會功能，進而造成照顧者及家庭、社會負擔，因此，提供病患及家屬相關保健觀念及日常照護重點，可以預防後續問題發生。本文是一位第一類原發性退化性失智症～阿茲海默氏症(Alzheimer's disease)個案，藉由某區健康服務中心推動「輕、中度失智症長者樂齡音樂治療活動健康照護計畫」，進行社區式照護。於97年5月7日至10月3日之間提供每周一次樂齡音樂治療及照護活動，共同討論並訂定照護計畫，另安排5次家庭訪視收集資料。使用Gordon氏十一項功能性健康型態評估架構，評估個案整體性功能。結果發現音樂治療後個案之活動型態由在家活動及被照顧型態，轉變為主動積極參與各類支持團體活動並主動做家事；食慾較佳；睡眠較少無故半夜起床走動；會主動用言語表達喜歡參與健康服務中心活動；情緒較之前平順；聽幻覺有改善。透過樂齡音樂治療及照護活動，確實可改善個案相關健康問題及協助家屬解決問題。

關鍵字

失智症 ； 長者 ； 音樂治療 ； 社區式照護

並列摘要

Alzheimer's disease causes physical, psychological, and social function disturbances in elderly people. This article reports nursing experience during community care of an 80-year-old man Alzheimer's disease that involved music therapy. From May 7 to October 3 of 2008, we provided a program of community care with music therapy once weekly to the patient. The eleven items of Gordon's model health assessment were used for evaluation. The results showed that the patient became more active in participating in social activities and housework, carried out more active communication, had a better appetite, was less unstable emotionally and had fewer sound hallucinations when this program was provided. Community care involving a music therapy program would seem to provide benefits to elderly persons with Alzheimer's disease.

並列關鍵字

Alzheimer's disease ； music therapy ； community care