Exploration the effect of music therapy on depressing and rehabilitation efficiency in stroke patients
| Autor: | CHOU,YU-JOU, 周宇柔 |
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| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 According to the statistics compiled by the Department of Health, Executive Yuan in 2013, cerebrovascular disease is ranked third place on the top ten causes of death in Taiwan, with the mortality rate of 48.5% in every one hundred thousand people. Moreover, such mortality rate increases annually. Literatures reveal that the prevalence rate for stroke in patients aged 36 years or older in Taiwan is about 16.42‰, with an incidence rate of 3‰. Based on this estimation, about 30,000 new patients with cerebrovascular disease will increase each year but approximately 1/3 of the survived patients of this population will be left with-dysfunction and sequela that require long-term care and rehabilitation to restorer their maximum function. Moreover, research reveal that stroke patients tend to have negative emotions while depression is the common psychological distress in stroke patients. Post-stroke depression will reduce the patients’ willingness to participate in rehabilitation, thus affecting the progress, effectiveness and prognosis of rehabilitation program. Therefore, the process of improving patients with post-stroke depression becomes highly crucial.. Music therapy is the simple, convenient, low-cost, and non-invasive treatment with few side effects, it has a significant effect on reducing depression of patients in all ethnic groups. Nonetheless, only one research regarding music therapy is found in Taiwan which emphasizes on patients with post-stroke depression as the intervening group while the majority of foreign researches used drug therapy or cognitive behavior treatment as the intervening measure for improving depression in stroke patients. Moreover, no papers from Taiwan or international papers analyze the correlation between music therapy, depress and rehabilitation efficiency, which leads to the author’s intent to investigate on the effect of music therapy on the depression and rehabilitation efficiency for stroke patients. The study adopts experimental design and study objects comprise stroke patients from on instructional hospital in northern Taiwan. The study collects basic data and evaluates the depression scale of Hospital Anxiety and Depression Scale (HADS) and Functional Independence Measure (FIM). The study applies SPSS 22.0 data analysis to probe into the differentiation in depression status and rehabilitation efficiency before and after conducting music therapy intervention on the stroke cases. Research results indicate that music therapy has significant difference in depression, function independence and rehabilitation efficiency after controlling demographic data. Overall, f music therapy with depression significantly reduced the total score, functional independence scale score increases, and the rehabilitation efficiency of patients also improved. Hence music therapy can be treated as one supporting treatment clinically. The results of the study may provide a reference for nursing staff to use music to improve depression and rehabilitation efficiency in stroke patients. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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