INDIVIDUALIZED VS CLASSICAL MUSIC ON AGITATION IN ADRD

ADRD 中的个性化音乐与古典音乐的煽动性

• 批准号: 2519847
• 负责人: LINDA A GERDNER
• 金额: $ 1.36万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-01 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2519847
• 关键词: anxiety; behavior disorders; behavioral /social science research tag; clinical research; geriatric nursing; human subject; music therapy; nursing intervention; relaxation

Confusion and agitation in the elderly is a crucial nursing problem. Limitations and concerns related to the current management of these behaviors indicate a critical need to investigate alternative nursing interventions. The proposed study will test Gerdner's Explanatory Theory to investigate individualized music as one such intervention. A quasi- experimental repeated measures pre-test post-test cross over design will be used to compare the immediate, 30 minute residual, and weekly cumulative effects of individualized music to classical 'relaxation' music (relative to baseline) on the frequency of agitated behaviors in elderly persons with ADRD. Independent variables will be measured by using the Cohen-Mansfield Agitation Inventory and a modified version thereof. A comparison will also be made of the differential effectiveness of each intervention in relation to the degree of the subject's cognitive impairment, based on the Global Deterioration Scale. A randomized sample of 40 subjects will be selected from four long term care facilities in Iowa. Baseline data will be collected during the initial three weeks. The time of intervention will be individualized based on application of the Progressively Lowered Stress Threshold Model and findings from the Temporal Patterning Assessment of Agitation. The selection of individualized music will be based on findings from the Modified Hartsock Music Preference Questionnaire. Group A will receive individualized music for six weeks, followed by a two week 'washout' period to nullify possible cumulative effects. Classical 'relaxation' music will then be presented for six weeks. Group B will receive the same protocol but in reversed order. Music interventions will be presented to each subject two times per week. Analysis of data will be conducted using a repeated measures analysis of variance (ANOVA) and a graphic display of comparative mean frequencies of agitated behaviors.

老年人的混乱和躁动是一个至关重要的护理问题。 与当前管理有关的局限性和问题 行为表明需要调查替代护理的迫切需要 干预措施。 拟议的研究将测试格德纳的解释理论 将个性化音乐作为这样的干预进行调查。 一个准 实验重复测试前测试后跨设计将 用于比较直接，30分钟的残留和每周的时间 个性音乐对古典“放松”的累积影响 音乐（相对于基线）关于激动行为的频率 Adrd的老年人。 自变量将通过 使用Cohen-Mansfield搅拌库存和修改版本 它。 还将与差分进行比较 每种干预措施的有效性 受试者的认知障碍，基于全球恶化量表。 将从四个长期中选择40个受试者的随机样本 爱荷华州的护理设施。 基线数据将在 最初的三周。 干预时间将是个性化的 根据逐渐降低的应力阈值模型的应用 以及躁动的时间模式评估的发现。 这 选择个性音乐的选择将基于 修改后的Hartsock音乐偏好问卷。 A组将收到 个性化的音乐六个星期，然后进行两周的“洗手” 无效可能累积效应的时期。 古典“放松” 然后，音乐将持续六个星期。 B组将收到 相同的协议但以相反的顺序。 音乐干预将是 每周两次向每个主题提交。 数据分析将是 使用重复测量方差分析（ANOVA）和A进行 搅动行为的比较平均频率的图形显示。