Document Detail


The effect of a music programme during lunchtime on the problem behaviour of the older residents with dementia at an institution in Taiwan.
MedLine Citation:
PMID:  20492038     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To study the effect of a music programme during lunchtime on problem behaviour among institutionalised older residents with dementia. BACKGROUND: Symptoms of dementia among older people include depression, problems with memory, insomnia and problem behaviours. Problem behaviour has been identified by families and nurses as the greatest challenge that needs to be addressed. Several studies have found that music therapy can reduce problem behaviours among dementia sufferers and, based on this finding, music has been recommended for incorporation as part of dementia management. DESIGN: This study used a quasi-experimental design with an eight-week time series follow-up. The intervention was background music when residents had their lunch meal. METHODS: A purposive sampling technique was used. Forty-one participants were selected from an institution housing residents with dementia located in a city in Taiwan. RESULTS: The mean age of participants was 81.68 (SD 6.39) years old. The mean score for Mini-Mental State Examination (MMSE) was 10.66 (SD 6.85). The mean of Barthel Activity of Daily Living score was 56.83 (SD 38.12). The results showed that the music programme reduced, significantly, physical and verbal aggressive behaviour among the older residents with dementia. The study identified that there was a one-week time lag between the implementation of the music programme and a significant effect on the residents. CONCLUSIONS: The results from this study suggested that music is able to reduce the degree of problem behaviours among the older residents with dementia and this helps to ease work-load of nurse aides and nurses during meal times. RELEVANCE TO CLINICAL PRACTICE: The results may serve as a reference for the future treatment of problem behaviour among the older with dementia.
Authors:
Fang-Yu Chang; Hui-Chi Huang; Kuan-Chia Lin; Li-Chan Lin
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical nursing     Volume:  19     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  939-48     Citation Subset:  N    
Affiliation:
Taipei Veterans General Hospital - Nursing, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Behavior Control / methods*
Behavioral Symptoms / prevention & control*
Dementia / nursing*,  psychology
Female
Food Services*
Homes for the Aged
Humans
Male
Music Therapy*
Nursing Homes
Single-Blind Method
Taiwan

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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