Creative Music Therapy in an Acute Care Setting for Older Patients with Delirium and Dementia
Cheong CY, Tan JA, Foong YL, Koh HM, Chen DZ, Tan JJ, Ng CJ, Yap P
Dementia and geriatric cognitive disorders extra · 26 citas
Cómo se estudió
- Diseño
- Ensayo clínico controlado (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
Según la declaración de financiación del texto completo.
Publicación
- Publicado
- 2016-06-24 · Dement Geriatr Cogn Dis Extra · vol. 6 · número 2 · págs. 268–275
- Editorial
- Karger Publishers
- Citado
- 79 citas · más que el 93% de estudios similares · 4.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 33 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC-ND
- Áreas de investigación
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Art Therapy and Mental Health
- Palabras clave
- Music therapy, Mood, Psychology, Delirium, Dementia, Alertness, Pleasure, Clinical psychology, Psychological intervention, Medicine, Psychotherapist, Psychiatry, Internal medicine
8 autores
- Chin Yee Cheong🇸🇬Khoo Teck Puat Hospital
- Jane An Qi Tan🇸🇬Khoo Teck Puat Hospital
- Yi-Lin Foong🇸🇬Khoo Teck Puat Hospital
- Hui Mien Koh🇸🇬Khoo Teck Puat Hospital
- Denise Zhen Yue Chen🇸🇬Khoo Teck Puat Hospital
- Jessie Joon Chen Tan🇸🇬Khoo Teck Puat Hospital
- Chong Jin Ng🇸🇬Khoo Teck Puat Hospital
- Philip Lin Kiat Yap🇸🇬Khoo Teck Puat Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background/aims
The acute hospital ward can be unfamiliar and stressful for older patients with impaired cognition, rendering them prone to agitation and resistive to care. Extant literature shows that music therapy can enhance engagement and mood, thereby ameliorating agitated behaviours. This pilot study evaluates the impact of a creative music therapy (CMT) programme on mood and engagement in older patients with delirium and/or dementia (PtDD) in an acute care setting. We hypothesize that CMT improves engagement and pleasure in these patients.
Methods
Twenty-five PtDD (age 86.5 ± 5.7 years, MMSE 6/30 ± 5.4) were observed for 90 min (30 min before, 30 min during, and 30 min after music therapy) on 3 consecutive days: day 1 (control condition without music) and days 2 and 3 (with CMT). Music interventions included music improvisation such as spontaneous music making and playing familiar songs of patient's choice. The main outcome measures were mood and engagement assessed with the Menorah Park Engagement Scale (MPES) and Observed Emotion Rating Scale (OERS).
Results
Wilcoxon signed-rank test showed a statistically significant positive change in constructive and passive engagement (Z = 3.383, p = 0.01) in MPES and pleasure and general alertness (Z = 3.188,p = 0.01) in OERS during CMT. The average pleasure ratings of days 2 and 3 were higher than those of day 1 (Z = 2.466, p = 0.014). Negative engagement (Z = 2.582, p = 0.01) and affect (Z = 2.004, p = 0.045) were both lower during CMT compared to no music.
Conclusion
These results suggest that CMT holds much promise to improve mood and engagement of PtDD in an acute hospital setting. CMT can also be scheduled into the patients' daily routines or incorporated into other areas of care to increase patient compliance and cooperation.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).
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