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Musik och demens: Hur musiken påverkar kognitiva funktioner och symtom: En litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Demens är en utbredd sjukdom som påverkar kognitiva funktioner och kan ge beteendemässiga och psykiska symtom (BPSD). Omvårdnadsbehovet ökar i takt med att sjukdomen utvecklas. Tidigare forskning har visat att musik kan vara användbar vid sjukdom för att minska stress, oro och skapa lugn.

Syfte: Syftet var att beskriva effekten av musik på kognitiva funktioner hos personer med demens samt BPSD. Vidare var syftet att beskriva de ingående studiernas genomförande av interventionen.

Metod: Litteraturstudie med beskrivande design, baserad på 15 kvantitativa vetenskapliga artiklar vilka söktes i databaserna Cinahl och PubMed.  

Huvudresultat: En positiv effekt av musikinterventioner på kognitiva funktioner som kommunikation, relation och minnesförmåga hos personer med demens påvisades. Musikens effekt på BPSD varierade, men positiv effekt visades på depressions symtom, aggressivitet, oro samt andra beteendemässiga och psykiska symtom. Dock var inte resultaten entydiga. De positiva effekterna var mestadels omedelbara och som högst direkt efter genomförd intervention. På lång sikt påverkades kognitiva funktioner och BPSD vagt av musik. Hälften av de inkluderade studierna genomfördes med musikterapi i grupp och hälften individuellt. Majoriteten hade kontrollgrupper som mottog standard vård, men även andra aktiviteter förekom. I hälften av studierna användes deltagarnas favoritmusik och i flera fall var deltagarna aktiva genom rörelse och med hjälp av instrument. 

Slutsats: Resultatet av föreliggande studie beskriver att musik kan främja kognitiva funktioner samt förbättrar BPSD hos personer med demens. Musik som aktivitet kan därför anses lämpligt att använda som en alternativ behandlingsmetod och som en del i omvårdnaden.

Abstract [en]

Background: Dementia is a widely spread disease that affects cognitive functions and can cause behavioral and psychological symptoms (BPSD). The need of nursing increases as the disease progresses. Previous research has shown that music can be useful during illness to reduce stress, anxiety and create calm.

Aim: The purpose was to describe what effect music has on cognitive functions in people with dementia and BPSD. Furthermore, the aim was to describe the included studies implementation of the intervention.

Method: Literature review with descriptive design based on 15 quantitative scientific articles, available in the databases Cinahl and PubMed.

Main result: Music interventions was found to have positive effect on cognitive functions for people with dementia, particularly in ability to communicate, create relationships and in the ability to remember. Music's effect on BPSD varied, but positive effect was shown on depressive symptoms, aggression, anxiety and other behavioral and psychological symptoms. However, the results were not conclusive. The positive effects were mostly immediate and highest the time immediately after the intervention. In the long term the impact of music intervention was vaguely on cognitive function and BPSD. Half of the included studies were conducted with music therapy in group and half were performed individually. The majority of the control group received standard care, but also other activities were held. In half of the studies the participants' favorite music were used and in several cases the participants were active through movement and with the help of instruments.

Conclusion: The results of the present study describe that music interventions can promote cognitive functions and improves BPSD in people with dementia. Music as an activity can therefore be considered appropriate to use as an alternative therapy and as part of the care. 

Place, publisher, year, edition, pages
2016. , 44 p.
Keyword [en]
Dementia, Music, Nursing home, cognitive functions, Behavioral and psychological symptoms of dementia
Keyword [sv]
Demens, Musik, Särskilt boende, Kognitiva funktioner, Beteendemässiga och psykiska symtom vid demens
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-21450OAI: oai:DiVA.org:hig-21450DiVA: diva2:924927
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2016-05-09 Created: 2016-04-29 Last updated: 2016-05-09Bibliographically approved

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