主动式及被动式音乐治疗对痴呆患者影响的比较

Comparison of effects of active and passive music therapy on patients with dementia

目的比较主动式及被动式音乐治疗对痴呆患者精神行为症状和社会功能的影响。方法选取2014年9月—2015年6月收治于上海交通大学医学院附属精神卫生中心的痴呆患者75例,随机分为主动式音乐治疗组、被动式音乐治疗组和对照组各25例,干预周期为12周,干预前后采用护士用住院患者观察量表(Nurses’Observation Scale for Inpatient Evaluation,NOSIE)和日常生活能力量表(Activities of Daily Living Scale,ADL)进行患者评估。结果主动式及被动音乐治疗组在社会能力、社会兴趣、个人整洁、激惹、迟缓、抑郁和ADL得分方面均有明显改善,且主动式音乐治疗组的改善效果优于被动式音乐治疗组。结论主动式及被动式音乐治疗均能改善痴呆患者的精神行为症状和社会功能,且主动式音乐治疗效果更佳。

Objective To compare the effects of active and passive music therapy on the patients with dementia. Methods In Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 75 patients with dementia were randomly selected from September 2014 to June 2015. These patients were randomly and equally assigned to the active music therapy group, passive music therapy group and control group. The patients were assessed with Nurses＇ Observation Scale for Inpatient Evaluation （NOSIE） and Activities of Daily Living Scale （ADL） before and after 12-week intervention. Results After intervention both active music therapy and passive music therapy groups had improved ADL score and NOISE score regarding social ability, social interests, personal cleanliness, irritability, retardation and depression. The active music therapy was more effective than passive music therapy. Conclusion The music therapy can improve the behavioral and psychological symptoms and quality of life of the patients with dementia, and the active music therapy is more effective.