为痴呆症患者提供以音乐为基础的治疗干预
Jenny T van der Steen1,2,3, Johannes C van der Wouden4, Abigail M Methley5
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
The Cochrane database of systematic reviews
|March 6, 2025
概括
与常规护理相比,基于音乐的痴呆症干预措施可能会改善抑郁症状和行为问题. 然而,对于其他领域 (如认知或焦虑) 的长期影响或益处的证据仍然不确定.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 痴呆症是一种综合症,其特点是认知,行为和情绪下降.
- 药物治疗痴呆症的疗效有限.
- 基于音乐的干预措施适合患有晚期痴呆症的个体,因为他们对音乐的感受性得到保护.
研究的目的:
- 评估基于音乐的治疗干预措施对痴呆症患者的有效性.
- 评估对情绪健康,情绪,行为,社交互动和认知的影响.
- 检查干预后立即和长期的影响,以及任何不良影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了多个数据库,包括Cochrane,MEDLINE,Embase,PsycINFO,CINAHL,Web of Science,LILACS和临床试验注册表.
- 包括30个RCT与1720名参与者,比较音乐干预与通常的护理或其他活动.
主要成果:
- 中等确定性证据表明,与治疗结束时的通常护理相比,音乐干预略有改善抑郁症状 (SMD -0.23) 并可能改善整体行为问题 (SMD -0.31).
- 中等确定性证据表明,激动或侵略没有显著改善 (SMD -0.05).
- 低至非常低的确定性证据发现,与通常的护理相比,对情绪健康,焦虑,社交行为或认知没有显著影响. 有限的证据表明,与其他活动相比,社交行为和焦虑有潜在的益处,但确定性很低.
结论:
- 与常规护理相比,基于音乐的干预措施可能为痴呆症患者的抑郁症状和行为问题提供短期益处.
- 对所有结果的长期影响或益处的证据有限,确定性低.
- 需要进一步的研究来澄清效应的持续时间和最佳干预参数.
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