IMPACT OF MUSIC AND EMOTIONAL NURSING ON SENILE DEMENTIA: A STUDY AMONG SENIORS AND RETIRED ATHLETES

Abstract

Objective: This study aims to investigate the impact of music nursing combined with emotional nursing therapy of traditional Chinese medicine on agitation behavior, sleep quality, and psychological state among senile dementia patients. Methods: A total of 160 hospitalized senile dementia patients, admitted between June 2020 and December 2021, were selected for this study. Utilizing a random number table, participants were divided into two groups: a study group and a control group, each comprising 80 patients. The control group received traditional Chinese medicine emotional nursing, while the study group received a combination of music nursing and traditional Chinese medicine emotional nursing. Before discharge, agitation behavior management indicators (Cohen-Mansfield Agitation Inventory), sleep quality (Pittsburgh Sleep Quality Index), psychological state (Symptom Checklist-90), and nursing satisfaction were recorded for both groups. Results: In the study group, scores for language agitation behavior, physical aggression behavior, physical non-aggression behavior, and the total agitation behavior score were significantly lower compared to the control group. The incidence of safety events was notably reduced in the study group (1.3%) compared to the control group (10.0%), with a statistically significant difference (P < 0.05). Additionally, the study group exhibited significantly lower scores in various sleep quality parameters, including falling asleep time, sleep time, sleep efficiency, sleep disorder, use of hypnotic drugs, daytime dysfunction, and overall PSQI scores (P < 0.05). Furthermore, scores for interpersonal sensitivity, obsessive-compulsive symptoms, somatization, depression, anxiety, paranoia, and hostility were significantly lower in the study group compared to the control group (P < 0.05). No significant difference was observed in psychotic and phobic scores between the two groups (P > 0.05). Moreover, nursing satisfaction was significantly higher in the study group (97.5%) compared to the control group (80.0%, P < 0.05). Conclusion: Music nursing combined with emotional nursing therapy of traditional Chinese medicine demonstrates significant efficacy in managing agitation behavior, improving sleep quality, and enhancing the psychological state of senile dementia patients. Additionally, this combined approach leads to higher nursing satisfaction rates among patients, suggesting its clinical applicability and potential for broader implementation.