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Japanese

Effects of Nursing Intervention Using Rhythmic Exercise for Patients with Severe Senile Dementia Michiko Ikeda 1 , Mizue Suzuki 2 , Shiho Sawai 2 , Satomi Noda 1 , Hiroyo Ota 3 , Chiyoko Yoshimizu 1 1Mie Prefectural Ichishi Hospital 2Mie Prefectural College of Nursing 3Mie Prefectural Mental Health Care Center Keyword: 認知症 , 高齢患者 , リズム運動 , 音楽 , 看護介入 , dementia , elderly patients , rhythmic exercise , music , nursing intervention pp.301-313
Published Date 2006/8/1
DOI https://doi.org/10.11477/mf.1681100075
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 The purpose of this study was to clarify the effects of nursing intervention using music-based rhythmic exercise on the motor function, intellectual function, emotional function, expression, and sociability of elderly patients with severe senile dementia. Subjects were 6 patients (mean age, 87.5±3.7 years) with severe senile dementia who participated in rhythmic exercise (rhythmic exercise group) and 6 patients (mean age, 84.2±9.7 years) with severe senile dementia who did not participate in rhythmic exercise (control group). Rhythmic exercise was performed five times a week for 7 consecutive weeks (35 sessions). The intervention effects were evaluated using the Ehime Music Therapy Scale for Dementia (D-EMS), the Mini Mental State Examination (MMSE), the Gottfries-Brane-Steen Scale (GBS), and the Range of Motion Test (ROM-T).

 Following intervention, no significant difference in total MMSE scores was observed between the rhythmic exercise group and the control group. Furthermore, scores on the "orientation", "registration", "recall", and "language" sub-scales of the MMSE showed no significant improvement in the rhythmic exercise group. Total scores on the GBS changed significantly, with the rhythmic exercise group showing improved scores on the “long-windedness” sub-scale (p<0.05). Regarding the D-EMS, scores on the “concentration”, “expression”, “cognition”, “sociability” subscales showed significant improvement in the rhythmic exercise group (p<0.05). A comparison of ROM-T scores collected before and 7 weeks after rhythmic exercise intervention showed significant improvement as a result of intervention. The rhythmic exercise group showed improvement in right elbow extension (p<0.05).

 These results suggest that nursing intervention using music-based rhythmic exercise is effective and useful for clinical care.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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