一緒にダンス?認知症患者や介護者を音楽で癒す研究(Dance with me? Study uses music to soothe dementia patients and caregivers)

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2022-08-02 ペンシルベニア州立大学(PennState)

群衆が見守る中、男性と女性が屋外でアルゼンチン タンゴを踊ります。According to Penn State College of Medicine researchers, a person’s own memories of music can span many decades and be associated with key life experiences and memories, which can trigger those memories and experiences more automatically than through words since they have been associated in an emotional way. They recently studied the effects of a personalized music intervention on people with dementia and their caregivers.  Credit: Getty Images | elkor. All Rights Reserved.

これまでの研究で、音楽を用いた介入がアルツハイマー病やその関連疾患の患者さんの生活の質を向上させることが示されていますが、今回の研究は、音楽が介護者にも役立つことを初めて明らかにしたものだと研究者は考えています。研究チームは、音楽セッションに参加した後、介護者の負担が軽減されたと報告していることを明らかにしました。
熟練看護施設の入居者7名(76~92歳)とその介護者(53~84歳)が、約15分間の個人用プレイリストを聴く音楽介入セッションに8回参加しました。各セッションの前後に、介護者は、圧倒されていると感じるか、入居者に役立っているか、入居者のケアや状態に関する認識についての質問に答えた。音楽介入中、Bufalini氏は、アイコンタクト、身体的接触、笑顔、リラックスした呼吸と姿勢、積極的な言語コミュニケーションについて、ペアを観察しました。
サンプル数は少なかったものの、データ分析の結果、研究後に介護者が感じる負担は大幅に軽減されたと報告されました。
介護者は、より前向きで楽観的な気持ちになり、入居者との関係性をより高く評価するようになったと報告しました。また、ペアの絆が深まることも観察されました。

<関連情報>

認知症患者とその介護者のためのパーソナライズされた音楽介入の効果 Effects of a Personalized Music Intervention for Persons with Dementia and their Caregivers

Bufalini, John; Eslinger, Paul; Lehman, Erik; George, Daniel R.
Journal of Alzheimer’s Disease Reports  Published: 02 February 2022
DOI: 10.3233/ADR-210043

Abstract

Background:
Given the challenges of developing disease-modifying treatments for Alzheimer’s disease and related disorders, non-pharmacological interventions represent an increasingly promising approach in long-term care settings. Music-based interventions have been effective in improving the quality of life by influencing biopsychosocial factors that play a role in the progression of illnesses such as depression and anxiety. However, approaches have tended to focus exclusively on the person with dementia rather than integrating caregivers.

Objective:
This study aimed to determine the impact of a music-based intervention on the quality of life of persons with dementia and their caregivers.

Methods:
A mixed-methods study was conducted with seven dyads consisting of residents (aged 76–92) with diagnoses of dementia and their caregivers (aged 53–84) at a skilled nursing facility in Pennsylvania. Eight music intervention sessions were completed in the presence of the resident and caregiver using personalized playlists created for the dyad. Pre- and post-intervention questionnaires were administered during each session, and observational data for both residents and caregivers were collected.

Results:
Caregivers reported feeling less overwhelmed after the intervention with a mean difference of –0.24±0.14, p = 0.016. Mean difference in the other 5 responses showed that listening to music had a beneficial impact for resident/caregiver dyads. Observations of interpersonal behavior supported the benefit of the intervention for these dyads.

Conclusion:
Quantitative analysis of a personalized music intervention for residents/caregivers showed positive trends in increasing personal connection, and qualitative data identified greater appreciation of the relationship and increased bonding.

 

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