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Id : 778

Author :
Cheong C.Y., Tan J.A.Q., Foong Y.-L., Koh H.M., Chen D.Z.Y., Tan J.J.C., Ng C.J., Yap P.

Title


Creative Music Therapy in an Acute Care Setting for Older Patients with Delirium and Dementia

Reference :


Cheong C.Y., Tan J.A.Q., Foong Y.-L., Koh H.M., Chen D.Z.Y., Tan J.J.C., Ng C.J., Yap P.; Creative Music Therapy in an Acute Care Setting for Older Patients with Delirium and Dementia ;Dementia and Geriatric Cognitive Disorders Extra vol:6.0 issue: 2 page:268.0

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976549062&doi=10.1159%2f000445883&partnerID=40&md5=a83e59c962c2781fac5ade74ab578720
Abstract Background/Aims: The acute hospital ward can be unfamiliar and stressful for older patients with impaired cognition, rendering them prone to agitation and resistive to care. Extant literature shows that music therapy can enhance engagement and mood, thereby ameliorating agitated behaviours. This pilot study evaluates the impact of a creative music therapy (CMT) programme on mood and engagement in older patients with delirium and/or dementia (PtDD) in an acute care setting. We hypothesize that CMT improves engagement and pleasure in these patients. Methods: Twenty-five PtDD (age 86.5 ± 5.7 years, MMSE 6/30 ± 5.4) were observed for 90 min (30 min before, 30 min during, and 30 min after music therapy) on 3 consecutive days: day 1 (control condition without music) and days 2 and 3 (with CMT). Music interventions included music improvisation such as spontaneous music making and playing familiar songs of patients choice. The main outcome measures were mood and engagement assessed with the Menorah Park Engagement Scale (MPES) and Observed Emotion Rating Scale (OERS). Results: Wilcoxon signed-rank test showed a statistically significant positive change in constructive and passive engagement (Z = 3.383, p = 0.01) in MPES and pleasure and general alertness (Z = 3.188,p = 0.01) in OERS during CMT. The average pleasure ratings of days 2 and 3 were higher than those of day 1 (Z = 2.466, p = 0.014). Negative engagement (Z = 2.582, p = 0.01) and affect (Z = 2.004, p = 0.045) were both lower during CMT compared to no music. Conclusion: These results suggest that CMT holds much promise to improve mood and engagement of PtDD in an acute hospital setting. CMT can also be scheduled into the patients daily routines or incorporated into other areas of care to increase patient compliance and cooperation. © 2016 The Author(s) Published by S. Karger AG, Basel.



Results:


                    Category                    

             Certainity            
Heritage 0.0000
Archives 0.0000
Libraries 0.0000
Book and Press 0.0004
Visual Arts 0.0001
Performing Arts 0.9979
Audiovisual and Multimedia 0.0008
Architecture 0.0004
Adverstizing 0.0000
Art crafts 0.0003
General cultural dimension 0.0000
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