音樂治療對失智老人改善基本日常生活功能成效之研究

Music Therapy for Improvement of The Elderly with Dementia in The Related Basic Activities of Daily Living

梁瑞琪(Jui-Chi Liang)

指導教授 ： 陳毓璟

國立中正大學/教育學院/成人及繼續教育系高齡者教育研究所/碩士(2012年)

摘要

本研究旨在探討音樂治療對失智老人改善基本日常生活功能成效之研究，研究目的為:
一、探討音樂治療對失智老人改善整體基本日常生活功能之成效。
二、探討音樂治療對失智老人改善各項(包括:進食、個人衛生與修飾、上廁所、洗澡、穿脫衣褲鞋
襪、大便控制、小便控制、平地行走、上下樓梯、移位等)基本日常生活功能之成效。
立意取樣南部某榮民安養機構22名輕中度失智老人，再隨機分配為實驗組11位則接受6.5週共13次音樂治療之打擊樂、控制組11位則不接受音樂治療，維持機構平日原有的生活照顧模式；研究方法為準實驗研究，採等組前後測之設計；本研究之測量工具為簡易智能測驗量表(MMSE)、巴氏量表(Barthel Index)，再以照顧服務員訪談來佐證量化研究的發現。研究資料經描述性統計、推論性統計之t檢定、迴歸分析等，本研究結果為如下:
一、音樂治療對失智老人改善整體基本日常生活功能有顯著的成效。
二、音樂治療對失智老人改善上廁所、平地行走、上下樓梯、移位等4項基本日常生活功能有顯著的成
效。
根據上述研究結果，本研究提出對未來研究、未來從事失智老人音樂治療實務、對政府及
醫療，以及學術教育等四方面進行建議與參考。

關鍵詞：音樂治療、失智老人、基本日常生活功能

關鍵字

基本日常生活功能 ； 失智老人 ； 音樂治療

並列摘要

This research is to explore the prime application of music therapy on improving the elderly with dementia. The purpose is twofold:
1. Assess the effectiveness of music therapy on the elderly entire basic
activities of daily living (BADL).
2.Evaluate the improvement of those elderly performance based on the ten
variables of Barthel index.
Twenty-two seniors with dementia of severity from mild to moderate scale were purposively selected from Veteran Home in the southern Taiwan. Half of them were randomly selected to be in the treatment group, receiving 13 sessions of music therapy based on percussion instruments during the 6.5 weeks. The eleven remaining seniors in the control group received no instrumental play but daily care was retained regularly. Our approach is based on quasi-experiment with pre- and post-test design. Quantitative assessment were based on the mini–mental state examination (MMSE) and Barthel index. Additionally, qualitative assessment were based on the two caregivers who were interviewed at the end of 13 sessions by us on their observations in the treatment group. Descriptive statistics and statistical inference like Student's t-test were used in our analysis. The experimental results suggested the following:
1.The measurement of those senior's basic activities of daily living showed
significant improvement after the music therapy.
2.Four out of the ten Barthel BADL index variables clearly showed improvements , which are toilet use , walking , going upstairs with auxiliary tools , and body movement.
Based on the analysis of our experiment, it is discovered that music therapy has practical applications and profound impacts on those demented seniors. It is recommended that music therapy be a consideration of deployment in more eldercare facilities; it is hoped that this research can bring awareness for those undertaking geriatrics, medicine, and health care of our government on the invaluable application of music therapy.

keywords: Music Therapy, the elderly with Dementia, Basic Activities of Daily Living

並列關鍵字

Basic Activities of Daily Living ； The Elderly With Dementia ； Music Therapy

參考文獻

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