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Effekten av aktiv musikterapi på agiterat beteende vid BPSD: En litteraturstudie
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: BPSD symptom och agitation i synnerhet, har negativa effekter på livskvaliteten hos både patienter och vårdgivare. Icke-farmakologiska terapier, som musikterapi, har blivit alltmer populära när det gäller att förbättra livskvaliteten hos personer med demenssjukdom.

 

Syfte: Syftet med litteraturstudien var att undersöka effekten av aktiv musikterapi på agiterat beteende vid BPSD hos personer som bor på ett äldreboende.

 

Metod: Litteraturstudiens datamaterial består av nio empiriska studier med kvantitativ metod. Datamaterialet har granskats, analyserats och sammanställts i olika tabeller. Artiklarna söktes i databaserna PubMed, Cinahl, PsychINFO och Amed.

 

Resultat: I fyra av nio studier var minskningen av det agiterade beteende hos personer med BPSD signifikant i jämförelse med basvärdet. Effekten förtecknades som omedelbar, kortvarig eller långvarig. I en studie noterades en signifikant minskning av det störande beteende vid agitation under musikterapin. I övriga studier skilde sig effekten av musikterapi inte signifikant i förhållandet till basvärdet och mellan interventions- och kontrollgrupperna.

 

Konklusion: Litteraturstudiens resultat visade i två riktningar när det gäller musikterapins effekt på agiterat beteende vid BPSD. För det första finns det signifikanta bevis för att musikterapi lämpar sig som omvårdnadsåtgärd för att minska agiterat och störande beteende hos personer med BPSD. För det andra visade litteraturstudiens resultat att musikterapi inte alltid är effektfull vid behandling av agiterat beteende. Litteraturstudien visade att det finns mer behov av forskning kring musikterapins långtidseffekt. 

Abstract [en]

Background: BPSD symptoms, and especially agitation, have negative effects on the quality of life of both patients and care staff. Non-pharmacological treatments, such as music therapy, have become increasingly popular measures to increase the quality of life for people suffering from dementia.

 

Objective: The objective of this study was to examine the effects of active music therapy on agitated behaviour associated to BPSD of nursing home residents.

 

Method: The material of this literature study consists of nine articles containing empirical, quantitative studies. The material has been inspected, analysed and compiled into various tables. The articles have been searched using the database services PubMed, Cinahl, PsychINFO and Amed.

 

Results: Of the nine studies, four showed that active music therapy caused a statistically significant decrease in agitation associated with BPSD, relative to baseline. This significant decrease occurred immediately during intervention, as a short-term effect or as a long-term effect. In one study, a statistically significant decrease of the disruptive behaviour associated with agitation was observed. The other studies showed no statistically significant decrease of agitation, relative to baseline and between intervention- and control groups.

 

Conclusion: This study showed results in two directions with regard to the effect of music therapy on agitation associated with BPSD. On the one hand, there is significant evidence that music therapy is suitable as a care intervention to lower agitation and disruptive behaviour of persons suffering from BPSD. But on the other hand, this study showed that music therapy is not always effective at treating agitation. The study showed that more research is needed with regard to the long-term effects of music therapy.

Place, publisher, year, edition, pages
2018. , p. 35
Keywords [en]
dementia, psychomotor agitation, music therapy, CMAI
Keywords [sv]
demens, agitation, musikterapi, CMAI
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-145733OAI: oai:DiVA.org:umu-145733DiVA, id: diva2:1190836
Educational program
Nursing Programme
Supervisors
Examiners
Available from: 2018-04-23 Created: 2018-03-15 Last updated: 2018-04-23Bibliographically approved

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