音乐治疗对老年痴呆患者躁动的影响:系统回顾和荟萃分析。

IF 3.8
Jing Hu, Ling Xu
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引用次数: 0

摘要

烦躁影响50 - 80%的老年痴呆患者,给护理人员和医疗保健系统带来负担。药物治疗是有限的,而非药物音乐疗法(MT)有希望。本研究旨在评估MT在缓解躁动方面的功效。对多个数据库进行全面检索,纳入14项研究(10项随机对照试验,4项前后试验;n = 847)。荟萃分析显示,MT显著减少躁动,具有中等效应(d = 0.42)。亚组分析结果一致。异质性低,发表偏倚可忽略不计。尽管音乐持续时间和流派等方面存在异质性,但MT有效减轻了痴呆患者的躁动,强调了其普遍性,特别是在资源受限地区和缺乏专业护理支持的家庭。它为将MT纳入患者护理提供了证据。该综述已在PROSPERO注册(CRD420251033860)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of music therapy on agitation in elderly patients with dementia: A systematic review and meta-analysis.

Agitation impacts 50 - 80 % of elderly dementia patients, imposing burdens on caregivers and healthcare systems. Pharmacological treatments are limited, whereas non-pharmacological music therapy (MT) holds promise. This study sought to evaluate MT's efficacy in alleviating agitation. A thorough search across multiple databases was carried out, incorporating 14 studies (10 RCTs, 4 pre-post trials; n = 847). Meta-analysis demonstrated that MT significantly reduced agitation with a moderate effect size (d = 0.42). Subgroup analyses yielded consistent findings. Heterogeneity was low, and publication bias was negligible. MT effectively mitigated agitation in dementia patients despite heterogeneity in aspects like music duration and genre, underscoring its generalizability, particularly in resource-constrained areas and households lacking professional nursing support. It offers evidence for integrating MT into patient care. The review was registered on PROSPERO (CRD420251033860).

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