| Summary: | 碩士 === 慈濟大學 === 護理學系碩士班 === 99 === The purpose of this study was to explore the effect of soothing music at mealtime on agitated behaviour among older adults with 22 dementia in a certain facility. Pre-post test design was applied in this study. All participants listened to non-commercial music during every lunch and dinner time for 4 weeks, with their agitated behavior being assessed a full 24 hours a day for 7 weeks. No participants were to receive any intervention during week 1. Agitation Inventory including Cohen-Mansfield Agitation Inventory（CMAI）and modified Cohen-Mansfield Agitation Inventory（modified CMAI. Data were analyzed by SPSS 19.0 for Windows. Results showed a correlation between music intervention and reduced CMAI scores. Furthermore this study found a cumulative and delayed effect of the music. However, when modified CMAI was used to measure agitated behaviour, this study found no significant difference among the following categories of behavior: physically non-aggressive behavior（PNAB), physically aggressive behavior（PAGB), verbally aggressive behavior（VAGB) during lunch and physically aggressive behavior（PAGB), verbally aggressive behavior（VAGB). The finding that playing non-commercial music at mealtime produced significant differences on agitation in nursing home residents with dementia, but further research analysis must be pursued as regards the four different agitation subtypes at mealtime.The research suggested that nursing staffs may integrate music into patients’ daily routine, in order to improve agitated behaviour of older adults with dementia, and display nursing independent function.
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