• Title/Summary/Keyword: 음악중재

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The Effects of Music Therapy by Self-Selected Music Listening on Terminal Cancer Patients' Affect and Stress by Pain Level (선호 음악 감상의 음악치료가 말기암환자의 통증 정도에 따른 정서 및 스트레스에 미치는 효과)

  • Lee, Eun-Hai;Choi, Sung-Eun
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.77-87
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    • 2012
  • Purpose: This study investigated the effects that music therapy by self-selected music listening has on the affect and stress relief in adult patients who have been diagnosed with terminal cancer by pain level. Methods: Participants were 20 terminally ill cancer patients who were over 18 years old and were admitted to the hospice and palliative care unit of a local hospital. At the beginning of each session, participants selected music of their choice. Each participant had a total of six 30-minute music listening sessions. Participants were grouped into two according to their self-rated perceived pain scores on the visual analogue scale and numeric rated score: 5 and above and less than 5. Each participant completed a questionnaire on their affect state before and after each session and a questionnaire on their stress level before the first session and after the last session. Further analysis was performed to compare differences between the two groups according to pain level. Results: There were significant differences in patients' affect before and after each session (P<0.001) and stress level before and after the therapy (P=0.001). Conclusion: In this study, self-selected music listening had positive effects on terminal cancer patients' affect and stress regardless of perceived pain level. Therefore, self-selected music listening can be used as an appropriate intervention to improve affect and reduce stress in terminal cancer patients in the hospice and palliative care unit.

Effects of Music Therapy on Depression and Rehabilitation Motivation of Inpatients with Stroke (뇌졸중으로 입원한 환자에게 제공한 음악요법이 우울과 재활 동기에 미치는 영향)

  • Choi, Youn-Young;Lee, Mi-Joon;Kim, Eun-Sil;Lee, Ji-Won;Kwon, Young-In;Ha, Yu-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.220-229
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    • 2021
  • This study aimed to evaluate the effect of music therapy on depression and rehabilitation-motivation provided to stroke patients, thus achieving evidence-based music therapy as a nursing intervention method for patients. Thirty-three people who were hospitalized for stroke diagnosis at K-Hospital were required to listen to 10 pre-selected songs for three days before bedtime. According to the general characteristics, the proportion of male participants (25, 75.8%) was higher than female (8, 24.2%), and by age group, 6(18.2%) were in 40s, 19(57.6%) were in 50s and 8(24.2%) were aged 60 or older. The study data were analyzed using Wilcoxon-signed rank test. As a result, music therapy does not affect depression and rehabilitation-motivation. However, it was shown to be effective in reducing depression in MMSE group 1 (≤ 29) with low cognitive levels. It is expected that this study can be used as an evidence for music therapy which can be applied as a way to increase the effectiveness of nursing intervention.

Analyses of Studies on the Intervention programs for the Prevention of Falls in Elderly with Dementia (치매노인의 낙상예방을 위한 중재 프로그램에 대한 국내·외 논문 분석)

  • Cha, Hyun-Su;Hwang, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.391-404
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    • 2018
  • The purpose of this study was to determine the status of interventional studies to prevent falling in elderly with dementia and to determine the contents and effectiveness of intervention programs to prevent falling. Existing reports published between January 1, 2000 and December 31, 2016 were searched electronically using the RISS, National Library, KISS, PubMed, and CINAHL database with the keywords dementia, Alzheimer's or Alzheimer's disease, falling, and prevention of falling. After checking the original sources of the articles, 13 articles were included in the review. Therapeutic interventions used in the articles included exercise therapy (8, 61.5%), physiotherapy and occupational therapy (2, 15.4%), complementary therapies (2, 15.4%), and music therapy (1, 7.7%). As a result of the qualitative evaluation of the papers using a checklist of the Scottish Intercollegiate Guideline Network, two studies scored 9 out of 10 points, five studies scored 8 out of 10, and six studies scored 7 out of 10. Intervention sessions were conducted for 55 minutes, on average, for a total of 37 sessions. This study found that exercise, music therapy, physical and occupational therapy, and rhythmic motion therapy were effective in preventing falling in the elderly with dementia. In the future, these findings are expected to be used as a basis for the development of a preventive intervention program for nurses in a clinical setting.

The Effect of Group Music Therapy for At-Risk Korean Soldiers on Adjustment and Stress Level (집단음악치료가 관심병사의 군 생활 스트레스와 적응에 미치는 효과)

  • Yun, Juri
    • Journal of Music and Human Behavior
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    • v.9 no.1
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    • pp.55-71
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    • 2012
  • The purpose of this study was to investigate the effect of group music therapy for at-risk Korean soldiers on the levels of adjustment and stress. The study was conducted at a division of the Korean Army with 7 participants who were classified as "at-risk soldiers" based on the results of a psychiatric evaluation, MMPI-II and a personal interview with a counselor. The participants received 12 hours of group music therapy for three weeks and their scores on stress and adjustment inventories were compared before and after the treatment. The pre and post scores were analyzed with the Wilcoxon test for repeated measures. The results revealed that the overall stress level was significantly decreased while there was no significant improvement in the adjustment levels at p < .05. The research findings and personal remarks from the participants suggest that group music therapy may provide effective support for at-risk Korean soldiers in coping with stress and adjustment to military life.

Music Psychotherapy Program on Acculturative Stress for North Korean Child Defectors (새터민 아동의 문화적응 스트레스 감소를 위한 음악심리치료 적용 연구)

  • Chung, Hyun Chung
    • Journal of Music and Human Behavior
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    • v.6 no.1
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    • pp.1-31
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    • 2009
  • This study aims to conduct a music psychotherapy program on North Korean child defectors, who are experiencing acculturative stress, and to discover the effects of the program on the participants' acculturative stress. This study targeted four North Korean child defectors, who belonged to an H afterschool class in Seoul and performed the program in individual sessions for about 40 minutes per session, totaling 14 sessions. The research results include the following. First, after comparing the results of acculturative stress score that measured before and after the execution of the music psychotherapy program, the mean of the score was significantly decreased from 32.75 to 23 average. Furthermore, as a result of conducting a qualitative analysis of the lingual responses that the participants demonstrated in musical activity, in relation to acculturative stress, the participants were found to experience a positive change. These results imply that the music psychotherapy program offers consistent support through music to North Korean Child Defectors, who are cowering psychologically and experiencing difficulty in adaptation, and reinforces inner resources through their positive self-perception, which indicates that it can be an effective mediation in reducing their acculturative stress.

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The Effectiveness of Stress Intervention Program for Hemodialysis Patients in Korea: A meta-analysis (국내 혈액투석환자의 스트레스 중재에 대한 효과 연구: 메타분석)

  • Bae, Yeon Hee;Lee, Ko Woon;Yeom, Hye Ah
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.361-373
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    • 2020
  • The purpose of this study was to meta-analyze the stress intervention program applied to patients with hemodialysis in Korea to confirm the effectiveness of the stress intervention program and to identify the characteristics and trends of the stress intervention method. A total of 10 studies were selected, and Quality Assessment tool was used MINORS and the data was analyzed using Comprehensive Meta Analysis Version 3.0 and Review manager version 5.3 The Quality Assessment score of studies was 21.2 points, and the effect size on the psychological stress was medium(g=-.72), and the effect size on cortisol of the physiological stress was also medium(g=-.52). Subgroup analysis showed that Music therapy and aromatherapy, individual providing, over 60 minutes per session and total of 10-20 times were more effectively reduced stress. Findings of this meta-analysis would be helpful for health professionals to provide more effective stress intervention program. Further randomized controlled trials of stress intervention program for patients with hemodialysis are more needed.

Improving Social Interaction Between Children With Autism Spectrum Disorder and Their Neurotypical Siblings Through a Cooperative Music Playing Intervention (자폐스펙트럼장애 아동과 비장애 형제간 상호작용 향상을 위한 협력적 악기연주 프로그램 적용 사례)

  • Jung, Jin Won
    • Journal of Music and Human Behavior
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    • v.20 no.2
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    • pp.61-88
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    • 2023
  • This case study examined whether a cooperative musical instrument playing could enhance interactions between children with autism spectrum disorder (ASD) and their neurotypical (NT) siblings. It involved three children with ASD aged 7-12 years and three NT siblings aged 6-11 years. Each group, comprising a child with ASD and their NT sibling, participated in a 40-minute sessions twice weekly for eight sessions over four weeks. The intervention included three stages: simultaneous action, complementary action, and achieving a joint goal. Evaluation criteria included the initiation and response behaviors of each child, and sequential interactive behaviors and cooperative behaviors between pairs were measured. Additionally, before and after the intervention, parents and NT sibling assessed their perceived sibling relationships. Results showed increased interactive and cooperative behaviors. Post-intervention, both parents and NT siblings rated the sibling relationship highly, despite little change in sibling conflict and competition consciousness. These findings indicate that interactive instrument playing can enhance perceptions of siblings as cooperative play partners and aid in teaching them how to collaborate during interactions.

Effect of Music Therapy on Vital Signs, Anxiety, Cortisol and Pain of Cataract Surgery Patients in Elderly (음악요법이 노인백내장 수술환자의 활력징후, 불안, 코티졸 및 통증에 미치는 효과)

  • Park, Jung-Hae;Park, Kwang-Hi
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.549-558
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    • 2015
  • Purpose of this study was to investigate the effect of music therapy on vital signs, anxiety, cortisol, and pain of Cataract Surgery Patients in elderly. Non equivalent control group pre-post test design was adopted. The number of subjects consists of 41 elderly having cataract surgery, 21 in the experimental group and 20 in the control group. Data were analyzed by $x^2$ test, Fisher's exact test, independent sample t-test, and Mann-Whitney U test. Results were: 1) there was no difference between two groups in their vital signs changes 2) anxiety, cortisol in the saliva, and pain of the experimental group decreased more significantly than those of the control group. This study confirmed the ability of music therapy to relieve pain and anxiety in cataract surgery, and suggested that music therapy could be used effectively in various interventions for the elderly.

Effect of Music Therapy Using Korean Traditional Rhythmic Modes on the Upper Extremity Function of Elderly People with Dementia (국악장단을 이용한 음악치료가 치매노인의 상지기능 향상에 미치는 영향)

  • Joo, Min Ae;Park, Hye Young
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.222-232
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    • 2017
  • The purpose of this study is to examine the effect of music therapy using Korean traditional rhythmic modes on the upper extremity function of elderly people with dementia. The subjects of this study were 13 patients at the age of 65 or more with dementia receiving long-term care in a nursing home in B City. It was analyzed that the effects of music therapy through the evaluation of manual function test (MFT), Activities of daily living (ADL), Korea dementia rating scale-2 test before and after the experiment. As a result, both of the scores of MFT and ADL were higher than after music therapy(p <.05) as well as Korea dementia rating scale-2 test score(management part). This indicates that the music therapy using Korean traditional rhythmic modes could improve function of the upper extremity with dementia as well as activities of daily living and management of dementia care. In conclusion, music therapy would be helpful to the improvement of not only the physical but also the cognitive function of elderly people with dementia, and it could be effectively employed in clinical settings.

A Study on the Grounded Theory of Motivation in Clinical Music Therapy Practice for the Mental Rehabilitation Members (정신재활 회원을 위한 음악치료 임상실습에서의 동기부여에 관한 근거이론 연구)

  • Kang, Kyungsun
    • Journal of Music and Human Behavior
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    • v.9 no.1
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    • pp.37-53
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    • 2012
  • This study is conducted to analyse the process and the pattern of motivation for musical expression in clinical music therapy for the adults in the mental health center. The participant were 8 adults purposive sampling who had more than one year music therapy experience in the mental health center and their age ranged from 27 to 53. A major category derived and analysed from the grounded theory method by Strauss and Corbin. The qualitative analysis indicated that motivation for musical expression in music therapy, which was the central phenomenon in this study, was determined by the music therapist and songs used in the sessions. The central phenomenon was caused by the therapist's friendly attitude, high musical capacity, the familarity of the selected songs and the significancy of the lyrics of selected songs. The levels of reliability about the therapist's personality and musical ability as a professional music therapist and the positive arousal of the songs used in sessions affected as the contextual condition. Spontaneous musical expression in music therapy brought the escape from reality, release of stress and sharing by the intervening condition 'empathy' and this resulted in mood regulation, the instillation of hope and group cohesion. It has been found that there were three types of motivation in music therapy: intrinsic motivation, relationship dependent extrinsic motivation and evasive motivation.