阿尔茨海默病患者音乐治疗的最佳证据总结

doi:10.16460/j.issn1008-9969.2024.20.039

摘要/Abstract

摘要： 目的总结阿尔茨海默病患者音乐治疗的最佳证据。方法采用系统性检索方法检索相关数据库及网站中涉及阿尔茨海默病患者音乐治疗的有关文献,2名研究人员对符合纳入与排除标准的文献进行整合、分类及证据提取。结果最终选取了25篇文献,其中指南3篇,最佳实践1篇,证据总结4篇,系统评价14篇,专家共识3篇;从阿尔茨海默病患者音乐治疗获益、音乐治疗时机、音乐治疗评估、音乐治疗模式、音乐治疗剂量、音乐类型、实施主体人员、注意事项8个方面总结出23条证据。结论阿尔茨海默病患者音乐治疗的最佳证据可为临床医护人员开展音乐治疗提供循证依据,实施者应结合实际应用场景,考虑方案实施的促进和阻碍因素,审慎的选择并应用证据,以保证治疗效果的最大化。

关键词: 阿尔茨海默病, 音乐, 证据总结, 循证护理

中图分类号:

R473.74

刘肖蓉, 李思思, 罗家成, 王丽芳. 阿尔茨海默病患者音乐治疗的最佳证据总结[J]. 护理学报, 2024, 31(20): 39-44.

参考文献

[1] Long S, Benoist C, Weidner W.World Alzheimer Report 2023: reducing dementia risk: never too early, never too late[R]. London, England: Alzheimer's Disease International, 2023.
[2] Kales HC, Lyketsos CG, Miller EM, et al.Management of behavioral and psychological symptoms in people with Alzheimer's disease: an international Delphi consensus[J]. Int Psychogeriatr,2019,31(1):83-90.DOI:10.1017/S1041610218000534.
[3] Bian X, Wang Y, Zhao X, et al.Does music therapy affect the global cognitive function of patients with dementia? A Meta-analysis[J]. Neuro Rehabilitation,2021,48(4):553-562.DOI: 10.3233/NRE-210018.
[4] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J]. 护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[5] Agree Collaboration. Appraisal of Guidelines for research and Evaluation in Europe Ⅱ(AGREEⅡ) instrument [EB/OL]. (2017-12-15)[2022- 09-14]. https://www.agreetrust.org/wpcontent/uploads/2017/12/AGREE-Ⅱ-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf.
[6] 张洁苹,项丹玉,高雯霞,等. 加速康复外科理念下肺切除术患者围手术期液体管理的最佳证据总结[J]. 护理学报, 2023, 30(15):58-63. DOI:10.16460/j.issn1008-9969.2023.15.058.
[7] The Joanna Briggs Institute(JBI). Critical appraisal tools[EB/OL].(2017-07-15)[2021-07-25].https://joannabriggs.org/critical-appraisal-tools.
[8] 龚雪,宋慧娟,廖少娜,等. 间歇充气加压装置预防围术期深静脉血栓形成的最佳证据总结[J]. 护理学报, 2023, 30(16): 51-57. DOI:10.16460/j.issn1008-9969.2023.16.051.
[9] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[10] Garrido, Sandra, Dunne, et al. Music playlists for people with dementia: a guide for carers, health workers and family[R]. Western Sydney University, 2022. DOI:10.13140/RG.2.2.20386.91845.
[11] 于恩彦,肖世富,王华丽,等. 老年期痴呆防治指南(2021)[M]. 北京:人民卫生出版社,2021:23-389.
[12] Dyer SM, Laver K, Pond CD, et al.Clinical practice guidelines and principles of care for people with dementia in Australia[J]. Aust Fam Physician,2016,45(12):884-889.
[13] Scales K, Zimmerman S, Miller SJ. Evidence-based nonpharmacological practices to address behavioral and psychological symptoms of dementia[J]. Gerontologist,2018,18;58(suppl_1):S88-S102. DOI:10.1093/geront/gnx167.
[14] Pamaiahgari, Priyanka. Challenging behavior in older adults with dementia (nursing home): non-pharmacological[EB/OL].(2021-11-26)[2022-02-16].http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI8650.
[15] 邓泽南,马秋平,吴彬,等.阿尔茨海默病患者情绪障碍管理的最佳证据总结[J]. 中华护理杂志,2021,56(11):1714-1720. DOI:10.3761/j.issn.0254-1769.2021.11.020.
[16] Pamaiahgari, Priyanka. Aggression in older people with dementia: non-pharmacological interventions[EB/OL].(2020-09-28)[2020-12-02].http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI1527.
[17] Mathew, Saira. Behavioral and psychological and symptoms of dementia: non-pharmacological management[EB/OL].(2020-06-08)[2021-04-07]. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI1582.
[18] Ting B, Chen DT, Hsu WT, et al.Does music intervention improve anxiety in dementia patients? A systematic review and meta-analysis of randomized controlled trials[J].J Clin Med,2023,12(17):5497. DOI: 10.3390/jcm12175497.
[19] Bugos JA, Lu LD, Chen LW, et al.The effects of active music interventions on cognitive function and neuropsychiatric symptoms in patients with dementia: a systematic review and meta-analysis[J]. Musicae Scientiae, 2023.DOI:10.1177/10298649231167519.
[20] Bleibel M, El Cheikh A, Sadier NS, et al.The effect of music therapy on cognitive functions in patients with Alzheimer's disease: a systematic review of randomized controlled trials[J]. Alzheimers Res Ther,2023,15(1):65. DOI: 10.1186/s13195-023-01214-9.
[21] Hofbauer LM, Ross SD, Rodriguez FS.Music-based interventions for community-dwelling people with dementia: a systematic review[J]. Health Soc Care Community,2022,30(6):2186-2201. DOI:10.1111/hsc.13895.
[22] 马梦宁,冯晓玉,唐文,等.音乐疗法对老年期痴呆患者认知功能干预效果的Meta分析[J]. 护理学杂志,2021,36(10):30-34. DOI:10.3870/j.issn.1001-4152.2021.10.030.
[23] Sousa L, Neves MJ, Moura B, et al.Music-based interventions for people living with dementia, targeting behavioral and psychological symptoms: a scoping review[J]. International Journal of Geriatric Psychiatry, 2021, 36(11):1664-1690. DOI:10.1002/gps.5568.
[24] Wei SC, Mai YR, Peng WJ, et al.The effect of nonpharmacologic therapy on global cognitive functions in patients with Alzheimer's disease: an updated meta-analysis of randomized controlled trials[J]. International Journal of Neuroscience,2020,130(1):28-44.DOI:10.1080/00207454.2019.1638377.
[25] Moreno-Morales C, Calero R, Moreno-Morales P, et al.Music therapy in the treatment of dementia: a systematic review and Meta-analysis[J]. Front Med (Lausanne),2020,7:160. DOI: 10.3389/fmed.2020.00160.
[26] Kishita N, Backhouse T, Mioshi E.Nonpharmacological interventions to improve depression, anxiety, and quality of life (QOL) in people with dementia: an overview of systematic reviews[J]. Journal of Geriatric Psychiatry and Neurology,2020,33(1):28-41.DOI: 10.1177/0891988719856690.
[27] 梁景宏,徐勇,贾瑞霞,等.多种干预措施对老年痴呆患者认知能力影响的网状Meta分析[J]. 中国循证医学杂志,2019,19(1):18-27.
[28] 李希彤,谢静涛.国内音乐疗法对阿尔茨海默病患者干预效果的Meta分析[J]. 湖南中医药大学学报,2019,39(1):52-56. DOI:10.3969/j.issn.1674-070X.2019.01.012.
[29] 韩侨,赵春善,高玲.音乐疗法对老年痴呆患者激越行为影响的Meta分析[J].现代预防医学,2019,46(13):2410-2414.
[30] Chang YS, Chu H, Yang CY, et al.The efficacy of music therapy for people with dementia: a Meta-analysis of randomized controlled trials[J]. J Clin Nurs,2015,24(23-24):3425-3440. DOI: 10.1111/jocn.12976.
[31] 朱圆,余小萍,王刚.老年痴呆患者基于社区支持的居家照护的专家建议[J].阿尔茨海默病及相关病杂志,2023,6(1):77-84. DOI: 10.3969/j.issn.2096-5516.2023.01.014.
[32] 中国微循环学会神经变性病专委会,中华医学会神经病学分会神经心理与行为神经病学学组,中华医学会神经病学分会神经康复学组. 阿尔茨海默病康复管理中国专家共识(2019)[J].中华老年医学杂志, 2020, 39(1):9-19.DOI:10.3760/cma.j.issn.0254-9026.2020.01.002.
[33] Whear R, Arnott R, Thompson-Coon J, et al.Effectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic review[J]. J Am Med Direct Assoc,2014,15(3):185-193. DOI:10.1016/j.jamda.2013.10.016.
[34] Tsoi KKF, Chan JYC, Ng YM, et al.Receptive music therapy is more effective than interactive music therapy to relieve behavioral and psychological symptoms of dementia: a systematic review and Meta-analysis[J]. J Am Med Dir Assoc, 2018, 19(7):568-576. DOI:10.1016/j.jamda.2017.12.009.
[35] Van Der Steen JT, Smaling HJA, Van Der Wouden JC, et al. Music-based therapeutic interventions for people with dementia[J].Cochrane Database Syst Rev, 2018, 7(7):CD003477. DOI:10.1002/14651858.

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