Randomized controlled study on the familiar music on anosognosia in dementia patients / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of familiar music on anosognosia and quality of life among dementia patients, so as to provide reference for formulating individualized interventions.Methods:Using a prospective, randomized controlled study, a total of 104 dementia patients were enrolled from the Affiliated Brain Hospital of Nanjing Medical University from January 2020 to June 2022 by convenient sampling method, they were randomly assigned to the experimental group and control group with 52 cases each according to the random number table method. Both groups recieved routine therapy and nursing care, the experimental group implemented familiar music intervention, while the control group was given unfamiliar music intervention. Before and after interventions, the Anosognosia Questionnaire-Dementia and Dementia-Quality of Life were used for assessement.Results:After intervention, the total anosognosia scores and cognitive deficits, behavioral symptoms score were 27.73 ± 4.56, 17.37 ± 3.83, 10.37 ± 2.81 in the experimental group, lower than those in the control group 31.50 ± 4.76, 19.31 ± 3.67, 12.19 ± 2.74, the differences were statistically significant ( t = 3.98, 2.55, 3.23, all P<0.05). The total quality of life scores and positive affect, feeling of belonging, sense of aesthetics scores were 93.12 ± 8.92, 18.88 ± 3.75, 9.08 ± 3.25, 15.27 ± 4.51 in the experimental group, higher than that in the control group 88.73 ± 8.87, 16.79 ± 3.59, 7.65 ± 2.84, 13.21 ± 3.33; the negative affect scores were 39.31 ± 4.74 in the experimental group, lower than that in the control group 41.63 ± 5.51, the differences were statistically significant ( t values were 2.23-2.80, all P<0.05). Conclusion:Familiar music intervention can effectively alleviate anosognosia and promote quality of life in dementia patients.