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首页> 美国卫生研究院文献>Neurology International >Impacts of Music Intervention on Dementia: A Review Using Meta-Narrative Method and Agenda for Future Research
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Impacts of Music Intervention on Dementia: A Review Using Meta-Narrative Method and Agenda for Future Research

机译：音乐干预对痴呆症的影响：使用元叙事方法和议程审查未来研究

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Background: Dementia, a significant cognitive impairment, is characterized by a decline in memory. It affects an individual’s mood and behavior, which can impair their quality of life and well-being. Studies show that the demand for applying music as a new therapy method for dementia has increased during the last decades. Objective: To review the studies conducted on the impacts of music on different symptoms of dementia and provide readers with a more detailed picture of the efficacy of music, and recognize gaps in the literature. Methods: Electronic searches were conducted in the Cochrane Library (1938), Embase (773), Medline and PubMed (700), PsycINFO (89), and Scopus (218) databases. The search was comprised of all the literature from 2010 to 2020. For the search, key terms including “Dementia” AND “music” OR “music intervention” OR “music therapy” and index terms “clinical trial” OR “randomized controlled trials” were used. Finally, after screening 891 citations, 30 studies were included. Results: In general, it was observed that in most cases, music could be used as one of the safe and cost-effective non-pharmacological approaches for dementia treatment. However, in some studies, no impact or short-term effect of music on some symptoms of dementia such as wandering, agitation, and cognition was detected. Conclusion: Observing no effect or even negative impact of music on people living with dementia could be due to a random selection of music, fewer individuals, and the lack of a standard protocol. High heterogeneity in outcomes did not allow for clear conclusions on the benefits of music in dementia. This demands a comprehensive non-pharmacological music treatment approach to be designed for each stage of dementia to be employed alongside pharmacological treatments. This study proposes 13 gaps in the research on the health impact of music on dementia that could be studied by future researchers.
机译：背景：痴呆症，具有显着的认知障碍，其特征在于记忆力下降。它影响个人的情绪和行为，这可能损害他们的生活质量和幸福。研究表明，在过去几十年中，对痴呆症新治疗方法的应用需求增加。目的：审查对音乐对痴呆症不同症状的影响，并为读者提供更详细的音乐效果的图片，并在文献中识别差距。方法：在Cochrane库（1938），Embase（773），Medline和Pubmed（700），Psycinfo（89）和Scopus（218）数据库中进行了电子搜索。该搜索由2010年至2020年的所有文献组成。对于搜索，包括“痴呆率”和“音乐”或“音乐干预”或“音乐疗法”和“临床试验”或“随机对照试验”的关键术语。被使用了。最后，在筛选891引用后，包括30项研究。结果：一般来说，观察到，在大多数情况下，音乐可以用作痴呆治疗的安全且经济高效的非药理学方法之一。然而，在某些研究中，检测到痴呆症的某些症状的影响或短期影响，例如徘徊，搅拌和认知。结论：观察患有痴呆症的人们的音乐没有影响甚至负面影响可能是由于随机选择的音乐，更少的个人，以及缺乏标准方案。结果中的高异质性并不允许明确结论痴呆症中音乐的益处。这要求为痴呆症的每个阶段设计综合非药理音乐处理方法，以便与药理治疗一起使用。本研究提出了13次关于音乐对痴呆症的健康影响研究的差距，这些痴呆症可以通过未来的研究人员研究的痴呆症。

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