• 인간행동과 음악연구
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• 제14권2호
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• pp.91-105
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• 2017

커뮤니티 음악치료는 현대사회의 시대적 요구를 반영하여 음악치료의 대상과 영역을 커뮤니티로 확장한 음악치료의 최신 분야이다. 본 연구에서는 CoMT의 개념 이해를 돕기 위해 CoMT의 구성개념을 커뮤니티, 음악, 건강으로 구분하고, 실행커뮤니티 이론을 토대로 커뮤니티(사람들의 집합체, 상호작용 행위의 장), 음악(행위의 실체이자 대상, 협업적 음악만들기), 건강(행위의 동기이자 목적, 관계 및 사회적 웰빙)의 각 개념을 구체화하였다. 위의 세 요소 간의 연결성을 바탕으로 CoMT의 구성요소를 도식으로 제시하고, 커뮤힐 도식이라 명명하였다. 커뮤힐 개념에 대한 이해를 돕기 위해 Ansdell과 Stige가 커뮤니티 음악치료 논문에서 제시한 두 사례에 해당 개념을 적용하여 분석하였다. CoMT는 타 학문 및 실행 분야와 협업을 하며 사회문화적 맥락에 적응적이고 지속가능한 커뮤니티 발달을 도모할 수 있으므로 적극적인 연구 및 실행이 필요하다. 본 연구에서는 CoMT의 핵심개념을 도식화하여 제시함으로서 구성요소와 개념 이해를 명료화할 수 있었고, CoMT 관련 후속 연구 및 실행의 기틀을 마련한 데 의의가 있다.

• 지역사회간호학회지
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• 제11권1호
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• pp.245-261
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• 2000

Based on the literature, status and role the music therapist in America was reviewed for this study. The process of developing a music therapy program in America suggests to us many things: In America, music therapists have sustained a mutually beneficial status with their clients for, over fifty years. Excellence in academic education and clinical training enable music therapists to continue to provide quality music therapy. The magnitude of change in to music therapy in the United States, however creates the challenge of providing real access to music therapy continues in the future. Music therapy is the use of music in the accomplishment of therapeutic aims: the restoration, maintenance, and improvement of mental and physical health. Music therapists work with individuals of all ages who require special services due to behavioral. social. learning, or physical disabilities. Employment may be in hospitals, clinics, day care facilities, schools, community mental health centers, substance abuse facilities, nursing homes, hospices, rehabilitation centers, correctional facilities, or private practices. The American Music Therapy Association (AMTA) was founded in 1998 as a result of a union between the American Association for Music Therapy (founded in 1971) and the National Association for Music Therapy(founded in 1950). Music therapists are highly qualified professionals who have completed approved degree programs and had clinical training in order to receive Board Certification(MT-BC), with the designation of Registered, Certified, or Advanced Certified Music Therapist(RMT. CMT - or ACMT). AMTA provides several mechanism for monitoring the quality of music therapy programs: Standards of Practice. a Code of Ethics, a system for Peer Review, a Judical Review Board, and an Ethics Board. According to the results of this study, the suggestions were as follows: 1. It is concluded that music therapy as a nursing intervention can be effective for the clients. 2. It is a great challenge to develope a music therapy program for nursing intervention however, it is also task and responsibility to further the development of nursing.

• 지역사회간호학회지
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• 제14권1호
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• pp.16-23
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• 2003

Purpose: The purpose of this study was to investigate the effects of music therapy on depression, balance, and flexibility in the elderly. An experimental group consisting of 23 people, was given music therapy for 90 minutes per a week for 6 weeks, while a control group consisting of 21 people, was not given music therapy with quasi-experimental design. Result: The result of the study show that music therapy is effective for decreasing depression and improving flexibility in the elderly. However, this study found no significant differences in balance between the experimental and the control groups. Conclusion: Despite one part, nursing intervention of music therapy to adapt Rhythm for Life elevated the strength of the elderly's body and showed decrease in depression. Therefore the Music therapy Program improves the quality of life in the elderly.

• 인간행동과 음악연구
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• 제21권3호
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• pp.113-133
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• 2024

본 연구의 목적은 커뮤니티 기반 그룹 노래부르기 프로그램이 지역사회 초기 독거노인의 삶의 질, 고독감, 우울에 미치는 효과를 알아보는 것이다. 이를 위해 지역사회 사회복지기관을 이용하는 초기 독거노인 27명을 대상으로 단일집단 사전-사후 검사 설계를 적용하여 연구를 진행하였다. 참여자들은 주 1-2회, 회기당 50분씩, 총 12회에 걸쳐 커뮤니티 기반 그룹 노래부르기 프로그램에 참여하였으며, 프로그램 참여 전후로 사전-사후 검사를 실시하여 삶의 질, 고독감, 우울을 측정하였다. 본 연구의 프로그램은 커뮤니티 음악치료의 참여적 과정 모델을 기반으로 총 3단계로 구성되었으며, 1단계는 음악공동체 참여를 통한 커뮤니티 의식의 형성, 2단계는 음악적 협력과 상호적 정서 지지를 통한 집단 애착 형성, 3단계는 음악공동체 내에서의 자기효능감과 자아실현 경험의 단계로 진행되었다. 연구 결과, 프로그램 참여 후 참여자들의 삶의 질 점수는 참여 전과 비교하여 유의하게 향상(p < .001)되었으며, 고독감(p < .001)과 우울 또한 통계적으로 유의한 감소(p = .001)가 나타났다. 이와 같은 연구 결과는 초고령화 시대에 노인의 삶의 질 향상과 고독감 해소를 지원하기 위해 커뮤니티 기반 그룹 음악치료 프로그램이 긍정적 혜택을 미칠 수 있음을 시사한다. 더 나아가, 본 연구는 국내 노인을 위한 커뮤니티 기반 음악치료 프로그램의 효과를 입증했다는 점에서 중요한 의의를 가진다.

• 지역사회간호학회지
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• 제9권2호
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• pp.336-349
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• 1998

The purpose of this study was to test the effects of music therapy on cognitive function and depression in demented old adults. This study was made with one -group in a pre- and post-test design. The subjects were seven demented old adults over, sixty-five years and with mild to moderate cognitive impairment, residing at a nursing home. Music therapy was given by one researcher and one research assistant for thirty to forty minutes twice a week for 4 months. Music therapy was conducted with the subjects both listening and singing with a cassette player and a double-handed drum. In order to evaluate the effects of music, we measured the level of cognitive function and depression at the beginning and at the end of the music therapy session by means of an MMSE- K developed by Kwon and Park and the Depression Inventory developed by Chon. The Data were analyzed using descriptive statistics and a paired t - test analysis using a SPSS PC package. The results are as follows: 1) The subjects of the music therapy showed improvement in cognitive function. The MMSE-K score was significantly increased after music therapy. Especially, memory recall was very significantly. 2) The subjects of the music therapy showed a slight decrease in depression. However, there was no significant difference in the degree of depression between mean scores measured before and after music therapy. The results suggest that music therapy is effective in improving and maintaining cognitive function in demented old adults. And we suggest that long-term music therapy will be required to improve depression in demented old adults. These findings are encouraging the idea that music therapy may improve cognitive impairment.

• 가정과삶의질연구
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• 제29권3호
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• pp.43-57
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• 2011

Chronic mental-handicapped people are lacking in non-verbal expression such as eye contact, intonation, voice volume, facial expression, and gesture as well as the contents of speech, speak with a monotonous voice, fail to be vivid and clear in voice, and have absence of expression, thereby bringing about difficulty even for social adjustment and about low self-esteem. Accordingly, the purpose of this study was to examine effectiveness for enhancing self-expression and self-esteem by applying music therapy to the chronic mental-handicapped. The subjects were the chronic mental-handicapped who receive rehabilitation service at the community rehabilitation center, and who have over 10 years in the duration of disease. 1he music therapy activity was progressed with totally 14 sessions during 7 weeks with twice a week. This study confirmed t-test that is verification of difference in the mean, in order to examine difference between before and after music therapy in self-expression and self-esteem of the chronic mental-handicapped, and researched into qualitative case. The findings are as follows. First, as a result of score in self-expression scale, the significant improvement was shown after music therapy compared to before music therapy. The significant difference was indicated in verbal self-expression, phonetic self-expression, and non-verbal self-expression, which are its sub-spheres. Thus, the conclusion was obtained as saying that music therapy is effective for enhancing self-expression. Second, as a result of score in self-esteem scale, the significant difference was shown after music therapy compared to before music therapy. Thus, the conclusion was obtained as saying that music therapy is effective for enhancing self-esteem. Through the above results, the music therapy showed effectiveness of self-expression ability and self-esteem in the chronic mental-handicapped at the community rehabilitation center, thereby having been confirmed to be possibly utilized as rehabilitation program for the social skill ability and the social adjustment of the chronic mental-handicapped.

• 지역사회간호학회지
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• 제16권3호
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• pp.241-248
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• 2005

Purpose: This research was carried out to examine if music therapy is effective in decreasing elderly people's depression level and in increasing their life satisfaction level Methods: This study used the quasi-experimental design with nonequivalent control group and the pre-test and post-test design, and was conducted from the 26th of July to the 26th of September in 2004. Data were collected using a questionnaire developed by Y.esavage et al. (1983) to measure depression level and one developed by Yoon (1982) to measure life satisfaction level. The subjects were 80 elderly people who were the members of an elderly welfare center in G city. The subjects were divided into an experimental group (n=40) and a control group (n=40). Results: The first hypothesis 'The depression level will be lowered in the experimental group who received music therapy' was supported (t=3.856, p=.000). The second hypothesis 'The life satisfaction level will be raised in the experimental group who received music therapy' was supported (t=2.040, p=.045). The results above suggest that music therapy can be an effective nursing intervention for reducing the depression level and increasing the life satisfaction level of elderly people.

• 지역사회간호학회지
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• 제27권2호
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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.

• 지역사회간호학회지
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• 제14권3호
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• pp.407-414
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• 2003

Purpose: The purpose of this study was to discern the effects of music therapy on the patients' level of anxiety and operative satisfaction during cataract surgery under local anesthesia. Method: The subjects for this study were fifty patients. Half of the subjects were categorized as an experimental group and the other half as a control group. All of the subjects were admitted to one hospital in Seoul for cataract surgery. This study was conducted from September 7 to October 2, 2002. The level of anxiety determined by self-reporting anxiety, pulse rate, systolic blood pressure, and diastolic blood pressure, was measured before and after the music therapy. The satisfaction degree was measured after the surgery. The tools for this study were Spilberger's state anxiety inventory and Patient Care Management System. Each patient in the experimental group chose the music used in his/her surgery and it was played through an audio system in the operating room. The data analysis was performed using the SAS/pc+(version 8.0). Results: 1. The anxiety of the experimental group decreased significantly compared to the control group. 2. The pulse rate of the experimental group decreased more than the control group. 3. The blood pressure of the experimental group decreased more than the control group. 4. The operative satisfaction of the experimental group was higher than the control group. Conclusion: According to the previous results, music therapy turned out to be a very efficient way to increase the satisfaction of a cataract patient after surgery by reducing the anxiety and the pulse rate of the patient during an operation with local anesthesia.

• 근관절건강학회지
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• 제17권2호
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• pp.212-221
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• 2010

Purpose: The purpose of this study was to determine the effects of music therapy (Jang-Gu) on depression, stress, pain and body discomfort in women with osteoarthritis. Methods: The study is designed using one group pretest-posttest experimental design. 31 arthritis patients, the subjects of the group participated in the music therapy program. The program was provided for 12 weeks (two times per week). The questionnaires were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS 17.0 using descriptive statistics, paired t-test. Results: Depression, Stress, Pain did not decrease. But body discomfort decreased (p=0.001). Conclusion: Therefore this program was effective in body discomfort and can be a community based self-help management program for arthritis patient.