The Effect of Music on Agitated Behaviours in Older People with Dementia: A Randomised Control Trial

音乐对老年痴呆症患者激越行为的影响：随机对照试验

• 批准号: nhmrc : 481929
• 负责人: Prof David Shum
• 金额: $ 10.24万
• 依托单位: Griffith University
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Strategic Awards
• 财政年份: 2008
• 资助国家: 澳大利亚
• 起止时间: 2008-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/effect-music-agitated-control-trial/83018
• 关键词: Effect; Music; Agitated; Behaviours; Older

This study uses a cost effective non-pharmacological intervention, that being music therapy to improve quality of life (QOL) in people with dementia. Dementia results in a decline in mood and cognitive functioning and the emergence of behaviour problems that include aggressive acts, agitation, and sleep-wake and rest-activity pattern disturbance. Aggressive behaviour is a common burden for caregivers in residential and family care. The subsequent stress that aggression places on caregivers can lead to staff and family burn out, an increase in restraint use, and decreased quality of care. Research suggests that disruptive behaviours are recognised as a predictor in staff resignation and carer stress, both of which add significantly to the current costs of aged care. This project therefore has the potential to benefit both people living with dementia and their carers. The positive outcomes of music on people of all ages and health status have been established in various clinical settings. Recent research suggests that music therapy may be useful in the management of disruptive behaviours in people with dementia. Music therapy for people with dementia has the potential to improve their quality of life (QOL) through an improvement in depression, and a reduction in aggression and agitation. This study will investigate the effect of a live music program (where participants use their voices and instruments to perform and create music) on agitated behaviours in older people with dementia. It will provide evidence contributing to better understandings about music therapy and its contribution to QOL and disruptive behaviours in people with dementia that can be transferred to other settings such as the community and home based care of people with dementia.

本研究采用一种经济有效的非药物干预，即音乐疗法来改善痴呆症患者的生活质量（QOL）。痴呆症导致情绪和认知功能下降，并出现行为问题，包括攻击性行为、躁动、睡眠-觉醒和休息-活动模式紊乱。攻击行为是住宿和家庭护理中照顾者的常见负担。随后，攻击行为给照顾者带来的压力可能导致工作人员和家庭的倦怠，约束使用的增加，以及护理质量的下降。研究表明，破坏性行为被认为是员工辞职和照顾者压力的预测因素，这两种情况都大大增加了当前的老年护理成本。因此，该项目有可能使痴呆症患者及其护理人员受益。在各种临床环境中，音乐对所有年龄和健康状况的人都有积极的影响。最近的研究表明，音乐疗法可能有助于管理痴呆症患者的破坏性行为。音乐疗法对痴呆症患者有可能改善他们的生活质量（QOL），通过改善抑郁，减少攻击和躁动。这项研究将调查现场音乐节目（参与者使用他们的声音和乐器表演和创作音乐）对老年痴呆症患者激动行为的影响。它将提供有助于更好地理解音乐疗法及其对痴呆症患者生活质量和破坏性行为的贡献的证据，这些证据可以转移到其他环境中，如痴呆症患者的社区和家庭护理。