Noise & health · 2026
Effects of Music Therapy Combined with Hospital-Community Integrated Care on the Psychological Status of Patients with Parkinson's Disease Treated with Pramipexole and Levodopa.
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Xu Gang, Tian Ran
Аннотация
OBJECTIVE: To evaluate the effects of five-element music therapy combined with hospital-community integrated care on the psychological status and cognitive function of patients with Parkinson's disease (PD).
METHODS: The clinical data of 130 patients with PD treated with pramipexole and levodopa at The First Affiliated Hospital of Chengdu Medical College from July 2022 to March 2024 were retrospectively analysed. Participants were divided into three groups based on care protocols as follows: a routine care group (n = 40, routine care), community care group (n = 50, routine care + hospital-community integrated care) and comprehensive care group (n = 40, routine care + hospital-community integrated care + five-element music therapy). Comparisons were made amongst the three groups regarding psychological status (Self-Rating Depression Scale [SDS], Self-Rating Anxiety Scale [SAS]), clinical symptoms (subscores of the Unified Parkinson's Disease Rating Scale Part I [UPDRS-I]), social adaptability (Social Adaptability Function Evaluation [SAFE]), cognitive function (Montreal Cognitive Assessment [MoCA]) and nursing satisfaction. Homogeneity of variance was verified by using Levene's test. For comparisons between groups meeting normality and homogeneity of variance, one-way analysis of variance was used. Intragroup comparisons before and after care were performed by employing paired-sample t-tests.
RESULTS: After 3 months of care, the SDS and SAS scores in the comprehensive care group were lower than those in the community and routine care groups (P < 0.05). The SDS and SAS scores in the community care group were lower than those in the routine care group (P < 0.05). The comprehensive care group also showed significantly reduced UPDRS-I subscores, alongside higher SAFE and MoCA scores, compared with the community and routine care groups (P < 0.05). Similarly, the community care group displayed lower UPDRS-I subscores and higher SAFE and MoCA scores compared with the routine care group (P < 0.05). After 3 months of care, the nursing satisfaction in the comprehensive care group was higher than that in the routine care group (P < 0.05).
CONCLUSION: Five-element music therapy combined with hospital-community integrated care improves psychological status, alleviates clinical symptoms, enhances social adaptability and cognitive function and increases nursing satisfaction in patients with PD.
METHODS: The clinical data of 130 patients with PD treated with pramipexole and levodopa at The First Affiliated Hospital of Chengdu Medical College from July 2022 to March 2024 were retrospectively analysed. Participants were divided into three groups based on care protocols as follows: a routine care group (n = 40, routine care), community care group (n = 50, routine care + hospital-community integrated care) and comprehensive care group (n = 40, routine care + hospital-community integrated care + five-element music therapy). Comparisons were made amongst the three groups regarding psychological status (Self-Rating Depression Scale [SDS], Self-Rating Anxiety Scale [SAS]), clinical symptoms (subscores of the Unified Parkinson's Disease Rating Scale Part I [UPDRS-I]), social adaptability (Social Adaptability Function Evaluation [SAFE]), cognitive function (Montreal Cognitive Assessment [MoCA]) and nursing satisfaction. Homogeneity of variance was verified by using Levene's test. For comparisons between groups meeting normality and homogeneity of variance, one-way analysis of variance was used. Intragroup comparisons before and after care were performed by employing paired-sample t-tests.
RESULTS: After 3 months of care, the SDS and SAS scores in the comprehensive care group were lower than those in the community and routine care groups (P < 0.05). The SDS and SAS scores in the community care group were lower than those in the routine care group (P < 0.05). The comprehensive care group also showed significantly reduced UPDRS-I subscores, alongside higher SAFE and MoCA scores, compared with the community and routine care groups (P < 0.05). Similarly, the community care group displayed lower UPDRS-I subscores and higher SAFE and MoCA scores compared with the routine care group (P < 0.05). After 3 months of care, the nursing satisfaction in the comprehensive care group was higher than that in the routine care group (P < 0.05).
CONCLUSION: Five-element music therapy combined with hospital-community integrated care improves psychological status, alleviates clinical symptoms, enhances social adaptability and cognitive function and increases nursing satisfaction in patients with PD.