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目的探讨建立在移动通信技术基础上的音乐治疗方式,应用于阿尔茨海默病患者家庭照料者所产生的干预效应。方法将音乐治疗、量表评定等模块化后组成手机应用程序(APP);选择77例阿尔茨海默病患者家庭照料者、并经随机数法分为研究组(n=40)、对照组(n=37),在通过APP给予一般支持性干预的基础上,研究组另通过APP实施每日2次,每次15 min的音乐治疗,为期8周。于治疗前及治疗后第4、第8周,通过APP进行抑郁自评量表(SDS)、焦虑自评量表(SAS)、躯体形式症状筛查量表(SOMS-7)评定;由APP自动完成治疗依从率的评定。结果 (1)治疗第4、第8周时,研究组的治疗依从率分别为85.0%(95%CI=82.7%~87.2%)、82.5%(95%CI=79.7%~85.2%);(2)研究组治疗第4、第8周时的SAS、SOMS-7评分及治疗8周时的SDS评分均较治疗前下降(t=2.258~6.586,P<0.05),对照组治疗前后无显著变化(P>0.05);研究组治疗8周时的SAS、SOMS-7评分均低于对照组(t=2.339、2.029,P<0.05)。结论采用基于移动技术的音乐治疗对阿尔茨海默病患者家庭照料者实施干预,依从性好,对焦虑、躯体化症状有一定改善作用。
Objective To explore the music therapy method based on mobile communication technology, which is applied to the intervention effect of family caregivers in patients with Alzheimer’s disease. Methods A series of 77 mobile phone application programs (APP) were made after modularization of music therapy and scale assessment. Family caregivers of 77 patients with Alzheimer’s disease were selected and divided into study group (n = 40) and control group (n = 37). On the basis of the general supportive intervention given by APP, the study group also performed music therapy twice a day for 15 minutes every APP for 8 weeks. SDS, SAS and SOMS-7 were evaluated by APP before treatment and at the 4th and 8th week after treatment. Automated treatment compliance assessment. Results (1) At the 4th and 8th week of treatment, the treatment compliance rates of the study group were 85.0% (95% CI = 82.7% ~ 87.2%), 82.5% (95% CI 79.7% ~ 85.2% (2) The score of SAS, SOMS-7 and the score of SDS at the 8th week in study group were lower than those before treatment (t = 2.258-6.586, P <0.05) (P> 0.05). SAS and SOMS-7 scores of the study group were lower than those of the control group at 8 weeks (t = 2.339, 2.029, P <0.05). Conclusion The music therapy based on mobile technology intervenes the family caregivers in patients with Alzheimer’s disease, and has good compliance and certain improvement on anxiety and somatization symptoms.