RESUMO
BACKGROUND: Literature shows that music can reduce stress conditions. This pilot study investigated the effects of music listening on work-related stress and well-being in healthcare professionals. METHOD: A total of 45 subjects were randomly assigned to three treatment groups: No Music, Individualized Music and Melomics-Health Listening. Music groups experienced a daily 30-min-playlist listening for 3 weeks at home. The Maugeri Stress Index-Revised (MASI-R) and the Psychological General Well-Being Index (PGWBI) were administered at baseline, after 3 weeks and after 7 weeks (follow-up). Longitudinal data were analyzed by means of a nested ANOVA model, testing the main effects of time and treatment and the interaction between them. RESULTS: MASI-R scores showed a positive trend in music groups and a worsening in the control group. Only the interaction time/treatment emerged as supporting a trend toward statistical significance (P = 0.07). PGWBI showed a stability in music groups and a clear decline in controls, without significant effects. CONCLUSIONS: Results from the study support the need for a larger clinical trial: it is suggested that daily music listening could be implemented to reduce work-related stress and that the effects may be related, not only to individual musical preferences and familiarity, but also to specific music structures and parameters.
Assuntos
Musicoterapia , Música , Estresse Ocupacional , Humanos , Estresse Ocupacional/prevenção & controle , Projetos PilotoRESUMO
This study reviews the most recent (from 2000 to 2011) Clinical Controlled Trials (CCT) and Randomized Controlled Trials (RCT) concerning the use of music and music-therapy (MT) in the context of dementia and related issues. Studies which explored the efficacy of music and MT on behavioral and psychological symptoms of dementia (BPSD) are prevalent, while those aiming at assessing a potential effect of these approaches on cognitive and physiological aspects are scant. Although with some limitations, the results of these studies are consistent with the efficacy of MT approach on BPSD. In this context, the ability of the music therapist to directly interact with the patients appears to be crucial for the success of the intervention. This review was endorsed by the Italian Psychogeriatric Association (AIP) and represents its view about the criteria to select appropriate music and MT approaches in the field of dementia. Accordingly, we have developed a list of recommendations to facilitate the current use of these techniques in the context of non-pharmacological treatments for patients with dementia.
Assuntos
Transtornos Cognitivos/terapia , Cognição , Demência/terapia , Musicoterapia , Música , Guias de Prática Clínica como Assunto , Relações Profissional-Paciente , Humanos , Itália , Organizações , Resultado do TratamentoRESUMO
OBJECTIVES: The aim of this paper is to provide further detail about the results of a randomised controlled study published in this journal (Raglio et al., 2010, 14, 900-904), in which we assessed the efficacy of music therapy (MT) on the behavioural disturbances in people with moderate-severe dementia. METHODS: Sixty patients were randomly assigned to the experimental (MT and standard care) and control group (standard care only). The experimental group received three cycles of 12 MT sessions each, three times a week. Each cycle of treatment was followed by one month of washout period, while the standard care activities continued over time. RESULTS: The impact of the treatment (12 MT sessions) was reliable on NPI global scores, as the interaction Time by Group was significant (F(1,49) = 4.09, p = 0.049). After the end of the treatment the NPI global scores of the experimental and control groups tended to become similar, as both groups worsened (Time effect: F(1,48) = 4.67, p = 0.014) and the difference between them disappeared (F < 1). Interaction Time by Group was not significant. CONCLUSIONS: The study confirms that active MT determines a positive response and can amplify and strengthen the efficacy of therapeutic interventions towards people with dementia.
Assuntos
Demência/terapia , Transtornos Mentais/terapia , Musicoterapia/métodos , Feminino , Humanos , MasculinoAssuntos
Atitude do Pessoal de Saúde , Diretores de Hospitais/psicologia , Prestação Integrada de Cuidados de Saúde/economia , Diretores de Hospitais/estatística & dados numéricos , Coleta de Dados , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Setor de Assistência à Saúde/estatística & dados numéricos , Renda/estatística & dados numéricos , Estados UnidosAssuntos
Atitude do Pessoal de Saúde , Diretores de Hospitais/psicologia , Economia Hospitalar/estatística & dados numéricos , Diretores de Hospitais/estatística & dados numéricos , Terapias Complementares/estatística & dados numéricos , Serviços Contratados/estatística & dados numéricos , Coleta de Dados , Economia Hospitalar/tendências , Programas de Assistência Gerenciada/estatística & dados numéricos , Inquéritos e Questionários , Estados UnidosAssuntos
Prestação Integrada de Cuidados de Saúde/economia , Administração Financeira/tendências , Renda/tendências , Coleta de Dados , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Administração Financeira/estatística & dados numéricos , Conselho Diretor , Relações Hospital-Médico , Renda/estatística & dados numéricos , Estados UnidosAssuntos
Prestação Integrada de Cuidados de Saúde/classificação , Chicago , Redes Comunitárias , Serviços Contratados , Prestação Integrada de Cuidados de Saúde/organização & administração , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Estudos de Avaliação como Assunto , Administração Financeira , Pesquisas sobre Atenção à Saúde/estatística & dados numéricos , Auditoria Administrativa , Propriedade , Estados UnidosRESUMO
From more woes for managed-care firms to continued hospital mergers, particularly among not-for-profits, the staff of Modern Healthcare makes its predictions for the healthcare industry in the new year. And--which should come as no surprise to seasoned executives--1998 should turn out to be memorable, possibly invigorating and most certainly full of change.
Assuntos
Atenção à Saúde/tendências , Setor de Assistência à Saúde/tendências , Redes Comunitárias , Controle de Custos , Prestação Integrada de Cuidados de Saúde , Previsões , Conselho Diretor , Instituições Privadas de Saúde , Sistemas Pré-Pagos de Saúde/economia , Arquitetura Hospitalar , Investimentos em Saúde , Estados UnidosAssuntos
American Hospital Association/organização & administração , Previsões , American Hospital Association/economia , American Hospital Association/história , Aniversários e Eventos Especiais , Prestação Integrada de Cuidados de Saúde , História do Século XX , Nomes , Objetivos Organizacionais , Estados UnidosAssuntos
Atitude do Pessoal de Saúde , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Relações Hospital-Médico , Diretores de Hospitais/psicologia , Diretores de Hospitais/estatística & dados numéricos , Coleta de Dados , Prestação Integrada de Cuidados de Saúde/organização & administração , Modelos Organizacionais , Sistemas Multi-Institucionais/organização & administração , Estados UnidosRESUMO
A major downsizing is under way in the hospital industry. Hospitals are laying off thousands of workers and closing down a variety of services. Facilities cite the usual suspects for taking such drastic action: managed care, reimbursement changes in federal healthcare programs, plummeting inpatient loads and consolidation. This is the first in a two-part series on financial turmoil in the industry.