• Title/Summary/Keyword: 음악 중재

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Effects of Music Therapy on Cognitive function and Agitation, Anxiety and Depression in Dementia Elderly: a Systematic Review and Meta-analysis of Randomized Controlled Trials (음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석)

  • Chai, Gong Ju;Lee, Mi-Kyung;Nam, Eun Sook;Lee, Ho Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.520-530
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    • 2021
  • Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

The Effects of Music Intervention on Pain among Critically Ill Patients with Ventilatory Support (음악중재가 인공호흡기 유지 중환자의 통증에 미치는 효과)

  • Ahn, Mi Na;Ahn, Hye Young
    • Journal of Korean Biological Nursing Science
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    • v.15 no.4
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    • pp.247-256
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    • 2013
  • Purpose: This study aimed to determine the effects of listening to music on pain and vital signs of critically ill patients with ventilatory support in intensive care units during nursing treatment (changes of posture and tracheal suction). Methods: The experimental treatment was to use an mp3 player and a speaker to let them listen to classical music by Mozart during nursing treatment. To determine the effects of music intervention, pain (Critical-Care Pain Observation Tool-K) was used. The data analysis was carried out by using PASW Statistics 20.0. Results: Hypothesis "The scores for pain would differ between the experimental group provided with music intervention during nursing treatment, and the control group" was supported. Conclusion: Application of music intervention during nursing treatment for critically ill patients with ventilatory support in intensive care units was found to be effective in reducing pain. Therefore, music intervention during nursing treatment for critically ill patients with ventilatory support can be used as non-pharmaceutical nursing intervention to reduce pain for the patients.

Effects of Intraoperative Music Therapy on Anxiety in Patients Undergoing Local Anesthesia (수술 중 음악요법이 국소마취 수술환자의 불안에 미치는 효과)

  • Shin Hyo-Youn;Yi Myung-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.131-138
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    • 2005
  • Purpose: This study was performed to identify the effects of intraoperative music therapy on the anxiety level of adult patients undergoing local anesthesia in the operating room. Method: The research design was a nonequivalent control group pretest-posttest. Data collection was done with 48 patients undergoing local anesthesia from June 2003 to September 2()03. The 24 patients in the experimental group were given music therapy through headphones from the beginning of the operation to the end of the operation with local anesthesia. The data were analyzed using SPSS/PC 10.0 for Windows. Results: Postoperative state anxiety scores were significantly different between the experimental group and the control group. Intraoperative pulse rates were significantly different between the two groups. But systolic and diastolic blood pressures and respiratory rates were not significantly different between the two groups. Conclusion: Considering these results, music therapy can be regarded as an effective nursing intervention that relieves anxiety for adult patients undergoing local anesthesia. However, to determine the best use of this therapy, further study is required for different types of anesthesia and operations such as ambulatory surgery.

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Psychological Intervention Effects of Group Music Therapy on Patients with Parkinson's Disease (파킨슨병 환자에 대한 집단 음악요법의 심리적 중재 효과)

  • Bae, Eunsook;Kim, Mijung
    • Research in Community and Public Health Nursing
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    • v.27 no.2
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    • pp.153-162
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    • 2016
  • Purpose: Music therapy is a non-pharmacological treatment of the behavioral and psychological symptoms. This study was conducted to contribute to the rehabilitation of patients with idiopathic Parkinson's disease in the areas of functionality, emotionality and sociability. Methods: The study included 35 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression, chronic illness anticipated stigma, and worrying about quality of life. The patients were recruited from the department of outpatient neurology at School of Medicine, D University in B Metropolitan City. Group music therapy was performed for nine weeks. The results were analyzed by repeated measures ANOVA. Results: In terms of stigma, there were significant differences between two groups and time (p<.05). Analysis of the interaction between time and service method revealed significant differences (p<.05). Between time, and the interaction between time and service method revealed significant differences in terms of quality of life (p<.05). Conclusion: The results suggest that group music therapy will be effective on the psychosocial well-being of patients with Parkinson's disease living in assisted and independent living communities.

The Effects of a Music Therapy Program for Autistic Children in Child Day Care Centers (자폐장애 아동을 대상으로 한 음악치료 중재 효과 연구)

  • Ju, Se-Jin;Choi, Shin-Hyoung;Nam, Ok-Seon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.114-122
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    • 2007
  • Purpose: This study was aimed at evaluating the effects of Music Therapy for the autistic children. Method: The subjects of this study consisted of 3 autistic children who were trained in an Attachment Promotion Therapy Program for 6 months. The Children were all males and 4years 9months, 3years 1 month, and 3years 8month each, and diagnosed with Autism by Child and Adolescent Psychiatrists. Data was collected by using video-taping methods(ADOS, Fagot's Interactive Behavior Code), an interview and observational methods(SMS). Music Therapy intervention was done once a week for 6 months. Data was gathered by quantitative and qualitative analysis. Result: This study showed that the Autism Diagnostic Observation Scale and Social Maturity Quotient(SQ) much improved after the Music Therapy After the Music Therapy, the Interactive Behavior Code : Gaze, Gesture for the communication, Verbal language, Laughing/Smile, and Normal play behaviors increased more than before the intervention. As the results show, the child's behavior became more positively responsive, playful, and attentive to others. Conclusion: This study suggests that Music Therapy might be an effective intervention for autistic disorder children in order to decrease autistic symptoms and increase joint attention behavior.

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Systematic Review of the Literatures on Music Intervention for Neurological Patients in Korea (신경계 질환자 대상의 국내 음악중재연구에 대한 체계적 문헌고찰)

  • Jeong, Seong Hee
    • Journal of Korean Biological Nursing Science
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    • v.15 no.2
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    • pp.65-73
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    • 2013
  • Purpose: The purpose of this study was to review the literature on music intervention for neurological patients in Korea and to explore the effect of music intervention on functional rehabilitation of neurological patients. Methods: This systematic review examined literature from 2005 to 2010. The existing literature was searched in the electronic databases of RISS and KISS using the following keywords: music, rhythmic movement, stroke, brain injury, dementia, Parkinson, spinal cord injury. Seventy-seven studies were founded through the database. After The exclusion of duplicates, case studies, literature review, and irrelevant studies, nine studies were included for analysis. Results: They included nine quasi-experimental studies. The medical diagnoses of the study participants were stroke, dementia, brain injury, and spinal cord injury. Among nine studies, only two studies were conducted in the nursing area. Eight studies used comprehensive music programs composed of health education, gait training, vocal training, or relaxation therapy, and these comprehensive programs were effective in the areas of physical and psychosocial treatment. Seventeen sessions were provided on average throughout intervention, and the average duration of each session was 49.4 minutes. Conclusion: Comprehensive music intervention can be implemented in nursing care for patients with neurological problem.

An Exploratory Study on Narrative Elements-Based Therapeutic Rap Protocol for Enhancing Discourse Skills in Adolescents With Mild Intellectual Disabilities (경도 지적장애 청소년의 담화기술 향상을 위한 이야기 구성요소 기반 치료적 랩 프로토콜의 탐색적 연구)

  • Kim, Sol E
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.51-75
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    • 2024
  • This case study aimed to develop a therapeutic rap protocol based on narrative components for improving discourse skills of adolescents with mild intellectual disability (ID) and to explore its applicability. The protocol matched narrative elements (background, initiating event, internal response, attempts, and reaction) with rap components (verse, hook, and interjections), guiding participants to narrate their experiences in a connected discourse form. The protocol was also structured to gradually increase in difficulty, considering the developmental levels of adolescents with ID and it included steps for understanding discourse structures, applying narrative elements to content creation, and expanding narratives. Post-intervention analysis of the stories and rap lyrics created by participants to express their real-life experiences showed that participants increased the length of their stories and rap compositions, with notable improvements in rhythmicity and the inclusion of narrative elements. These findings suggest that, instead of constructing rap from random utterances, providing a structured framework reflecting discourse structure enhanced participants' understanding of event context and logical connections. Furthermore, the various elements and rhythmic features of rap can strengthen motivation and organization in discourse. This study highlights the therapeutic potential of rap in addressing the unique developmental needs of adolescents with mild ID, thereby diversifying and systematizing music therapy interventions for this population.

Effects on mobile phone functional use of ego resilience, peer attachment and mobile phone-related characteristics in male and female middle school students - focused on uses of SNS & messenger, music and internet in era of convergence- (남녀 중학생의 자아탄력성, 또래애착 및 휴대폰 이용관련 특성이 휴대폰의 기능별 사용에 미치는 영향 - 융복합시대의 SNS와 메신저, 인터넷, 음악기능 사용을 중심으로 -)

  • Kim, Eun-Ju
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.383-391
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    • 2016
  • Purpose: This study was conducted to analyze the effect of ego resilience, peer attachment and mobile phone-related characteristics on mobile phones functional uses, focused on the use of SNS & messenger and music and internet in middle school students. Methods: The subjects were 217 middle school students in 2 cities. Results: The factors affecting mobile phones SNS & messenger usages were interpersonal relation, viability of ego-resilience in male, and communication of peer attachment in female. The factors affecting internet usages were curiosity of ego-resilience in both sexes. The factors affecting music usages were viability of ego-resilience in both sexes. Conclusion: Education and management about mobile phone functional use should be made, by intervening reflected subregions effect factors of peer attachment and ego-resilience.

Harmonic Compositions and Progressions for Tonal Characteristics Based on Emotion Vocabulary (정서 어휘에 반영된 선율 특성에 적합한 화음 구성과 전개)

  • Yi, Soo Yon;Chong, Hyun Ju
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.265-270
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    • 2017
  • This study purposed to investigate harmonic compositions and progressions that are appropriate for emotion vocabulary. In study 1, eight(8) professional music therapists were asked to provide harmonic compositions and progressions reflecting the tonal characteristics of emotion vocabulary and the rationales. Various attributes of harmonic compositions and progressions were examined and the content analysis were administered. In study 2, the obtained data on study 1 were evaluated by 124 music therapy and music majors for the validity. In the first study, analyzed results showed that 'happy' vocabulary utilized major, tonic, consecutive chord changes, 'angry' vocabulary utilized minor, augmented, $9^{th}$, $11^{th}$, unsolved $7^{th}$ chord progression, 'sad' vocabulary utilized minor, diminish, chromatic chord progressions. In the second study, there was statistically significant difference with 'happy' vocabulary. These results can provide basic evidences for musical ideas of harmonic compositions and progressions to better communicate emotional aspects of lyrical messages when composing melody in a song.

Exploring the Use of Melody During RAS Gait Training for Adolescents with Traumatic Brain Injury: A Case Study (외상성 뇌손상 청소년 대상 리듬청각자극(RAS) 보행 훈련 시 선율 적용 사례)

  • Park, Hye Ji
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.19-36
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    • 2015
  • The purpose of this study was to examine the effects of rhythmic auditory stimulation (RAS) on gait parameters, with and without the presence of a melody, for adolescents with traumatic brain injury (TBI). Three adolescents with TBI received a total of ten individual RAS training sessions. At pre and posttest, spatiotemporal parameters including cadence, velocity and kinematic parameters were measured using the VICON 370 Motion Analysis System. The results showed no significant difference in gait velocity between the two conditions, thus the presence of the melody condition did not impact the outcome of RAS gait training. On the other hand, all participants showed improvement in gait function after RAS training. The cadence, velocity, stride length, and symmetry were increased and the stride time was reduced after training. The motion analysis demonstrated that the movement patterns of hip and knee joints improved, as they were more similar to normal gait, which indicates that the walkings tance became more stable. The research findings indicate that rhythm is the primary factor in mediating gait functions via RAS training. This study also supports that RAS training can effectively improve the gait function for adolescents with TBI.