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Effectiveness of Music-Based Therapeutic Intervention on People with Dementia: A Rapid Review

Advances in Alzheimer's Disease 2024年第2期13卷 35-47页

作者： Shreejeet Shrestha samikshya karmacharya Yadav Prasad Joshi Prasa Shrestha Department of Public Health Asian College for Advance Studies Lalitpur Nepal Department of Operation Theatre Gosford Hospital New South Wales Health Gosford Australia Faculty of Science Health and Technology Nepal Open University Lalitpur Nepal Manmohan Memorial Institute of Health Sciences Kathmandu Nepal Department of General Practice and Emergency Medicine Chitwan Medical College Bharatpur Nepal

Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance since efficacy and safety of people with dementia have been questionable for pharmacological measures. Patient’s response to music is persistent even in the later stage of dementia. Aim: This rapid review aims to identify, analyze, evaluate, and summarize the best available evidence on the effectiveness of music-based therapeutic interventions among people with dementia. Method: CINAHL Cochrane Library, internet websites of rapid review producers, and reference lists were searched to identify articles for inclusion. Two reviewers independently screened the literature search results. Effectiveness, music-based therapeutic intervention, dementia, Alzheimer’s disease, systematic review and systematic review with meta-analysis terms were used to abstract data from included studies. Main Findings: 11 SRs and SRs with meta-analysis were reviewed which revealed positive effect of music therapy on five major outcomes with 9 studies effect on behavioral outcome, 6 studies with positive effect on psychosocial outcome reducing anxiety, 6 with improved cognition, 1 study revealed with improved quality of life and 1 study revealed effect on physiological outcomes. Conclusion: Music therapy has positive effect on treatment of dementia but further studies with larger sample size and specified to single intervention should be conducted to provide generalisable and precise results on this topic.

关键词： Dementia Rapid Review Music Therapy Behavioral Cognitive Quality of Life

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