機器寵物輔助治療對失智老人憂鬱與躁動行為影響之初探

Preliminary Study on the Effects of Robot-Assisted Therapy on Depression and Agitated Behaviors Among Older People with Dementia

睡眠剝削是重症病人常見問題，而音樂介入是促進睡眠有效方法之一。本研究目的為評價音樂介入對重症病人睡眠品質之成效。採準實驗研究之兩組(不同時間)前後測設計，研究對象為某醫學中心64位加護病房病人，實驗組於收案第二天夜間進行音樂介入30分鐘，控制組則接受常規照護。研究工具包含睡眠查核表、史丹福嗜睡量表及活動記錄器，兩組個案夜間22:00~06:00由護理人員執行睡眠觀察，並配戴活動記錄器接受睡眠測量，隔日7:30~09:30以史丹福嗜睡量表評估主觀睡眠。結果顯示音樂介入後，睡眠觀察時數、睡眠測量時數、清醒次數、清醒時間及白天嗜睡程度等，均無顯著差異。未來建議考量病人文化背景，讓其選擇喜歡的音樂，甚至延長介入時間為45分鐘及介入天數，並進一步進行相關研究，提供臨床照護之參考。

Sleep disruption is a common problem in critically ill patients. Music is one of the most effective strategies for promoting sleep. The purpose of this study was to evaluate the effects of music therapy on the sleep quality of critically ill patients. A quasi experimental study design was applied to examine the study groups before and after receiving music therapy. Sixty-four subjects were recruited from medical and surgical intensive care units at a medical center. The study group received music intervention for 30 min on the second night of the study period. The control group received regular nursing care. The study tools included a sleep checklist, (the Stanford Sleepiness Scale, SSS) and actigraphs. The 2 groups wore actigraphs, and nursing staff performed sleep observation between 2200 and 0600, following by SSS evaluation between 0730 and 0930 on the following day. The results indicated no differences in observed sleeping hours, measured sleeping hours, frequency of wakefulness, length of waking time, or degree of sleepiness during the daytime after the patients had received the music intervention. We suggest that in future related research, patients should be allowed to select their preferred music according to their cultural background. The intervention time could also be extended to 45 min, or the interval could be extended.