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題 名 | 聆聽愉悅熟悉音樂對社區失智症老人進食問題的成效=Effect of Pleasant Familiar Music Listening on Feeding Problems in Community--Dwelling Elders with Dementia |
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作 者 | 石惠真; 李明憲; 林祝君; 李浩銘; 宋惠娟; | 書刊名 | 長期照護雜誌 |
卷 期 | 13:3 2009.12[民98.12] |
頁 次 | 頁305-323 |
分類號 | 419.76 |
關鍵詞 | 音樂聆聽; 社區; 老人; 失智症; 進食問題; Music listening; Community; Elders; Dementia; Feeding problem; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究採單組重複性測量之類實驗研究設計,目的為評值聆聽愉悅熟悉音樂對社區失智症老人進食問題、進食量、營養狀況及體重的成效。共有11位社區失智症老人,在家中於每天晚餐時間接受經由受訓的主要照顧者提供的聆聽愉悅熟悉音樂措施,每次一小時,連續施行四週。使用愛丁堡餵食量表(Edinburgh Feeding Evaluation in Dementia, EdFED)、迷你營養評估表(Mini Nutritional Assessment, MNA)及體重計於前測及後測第一、二、三及四週評估失智症老人的進食問題、營養狀況及體重。使用Friedman Test結果顯示每天晚餐聆聽愉悅熟悉音樂對社區失智症老人進食問題(χ^2=41.75, p<.001)得分顯著地降低,營養狀況(χ^2=41.02, p<.001)與體重(χ^2=28.25, p<.001)皆顯著地增加,其進食量(χ^2=123.4, p<.001)改善達統計上顯著差異。音樂聆聽措施為一不具侵入性且經濟方便的輔助措施,可協助改善失智老人的進食問題及營養狀況。本前趨性研究結果將能做為社區護理人員在失智症老人照護及衛教之參考,以協助照顧者及家屬處理失智症老人進食問題及營養狀況。 |
英文摘要 | The study aimed to evaluate the effect of pleasant familiar music listening on feeding problems, food intake, nutrition condition, and body weight in community-dwelling elders with dementia. This study used a one-group repeated-measures quasi-experimental design. Eleven participants listened to pleasant familiar music via a CD player during dinner time for 1 hour daily for 4 weeks provided by the trained caregiver at home. Feeding problems measured by Edinburgh Feeding Evaluation in Dementia Scale (EdFED Scale), nutrition condition measured by Mini Nutritional Assessment (MNA), and body weight measured by a reliable weighting scale of all participants were assessed at baseline and week 1, 2, 3, and 4. Friedman test revealed that elders with dementia listened to pleasant familiar music during dinner time for 1 hour daily for 4 weeks at home had a significant decrease on the feeding problems score (χ^2=41.75, p<.001), a significant increase on their nutrition status (χ^2=41.02, p<.001) and body weight (χ^2=28.25, p<.001), and also had a significant increase on the food intake (χ^2=123.4, p<.001). Music listening intervention is a non-invasive, cheap, and convenient complimentary therapy to improve feeding problems and nutrional status of those with dementia living at home. This was the first study which evaluated use of pleasant familiar music listening intervention for feeding problems of those with dementia in the community setting. This pilot study results can provide community care nurses useful information in their care for community-dwelling elders with dementia and patient education for those with dementia and their caregivers in dealing with feeding problems and nutrition. |
本系統中英文摘要資訊取自各篇刊載內容。