[논문]The Effects of a Traditional Music Program on the Depression and Ego-Integrity Among Nursing Home Residents

Ryewon Ma

doi:10.15268/ksim.2024.12.4.241

[국내논문] The Effects of a Traditional Music Program on the Depression and Ego-Integrity Among Nursing Home Residents 원문보기

Journal of the Korean Society of Integrative Medicine = 대한통합의학회지, v.12 no.4, 2024년, pp.241 - 251

Ryewon Ma (Dept. of Nursing, Kyungnam University)

Abstract ▼ AI-Helper

Purpose : This study examines the effects of a traditional music program on depression and ego integrity among elderly nursing home residents. Given the limited social activities available in nursing homes, this study focuses on how traditional music interventions can improve the psychological and emotional well-being of nursing home residents. Methods : A quasi-experimental pretest-posttest nonequivalent control group design was used. Forty-three elderly residents from a nursing home in Incheon, South Korea, were selected through convenience sampling. Participants were assigned to either the experimental group (n= 22) or the control group (n= 21). The experimental group participated in an eight-week traditional music program, while the control group received no intervention. Depression levels were assessed using the Cornell Scale for Depression in Dementia (CSDD), and ego integrity was measured using a nurse-administered questionnaire. Data were analyzed using repeated measures ANOVA. Results : The results showed a significant reduction in depression among the experimental group who participated in the traditional music program compared to the control group (t= -1.863, p= .035). However, there was no significant improvement in ego integrity between the two groups (t= -1.863, p= .077). These findings suggest that the traditional music program was effective in alleviating depression but had limited impact on enhancing ego integrity in elderly residents. Conclusion : Traditional music programs can be a valuable non-pharmacological intervention to reduce depression among elderly nursing home residents. While the music program significantly decreased depression, its effect on ego integrity was not as profound, indicating that longer or more frequent interventions might be necessary to influence ego integrity. Further research is recommended to explore the long-term effects of traditional music therapy on psychological well-being in elderly populations, as well as its potential to enhance social interaction and improve overall quality of life in nursing home settings.

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표/그림 (4)

표 Table 1. Contents of program traditional music
표 Table 2. Homogeneity test of characteristics (N= 43)
표 Table 3. Homogeneity test for variables between two groups (N= 43)
표 Table 4. The effects of Program Traditional Music on Depression and Ego-Integrity (N= 43)

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문제 정의

This study was aimed at reducing depression and improving ego integrity among the study participants. Table 1 presents details about the traditional music program.

제안 방법

This study used a pretest-posttest nonequivalent control group design to investigate the effect of a traditional music program on the levels of depression and ego integrity among elderly nursing home residents.
The music program administered in this study uses traditional music that the elderly can easily sing along to or play and can be administered indoor to prevent accidents such as falls. The program is designed to help the elderly improve their sociability, experience psychological relaxation, and engage in positive interactions through physical activities. The researchers of this study selected folk songs and rhythms to be used in the program after doing background research and requested a nursing professor with previous experience in leading a traditional music program in nursing homes to validate the content of the program.
The program is designed to help the elderly improve their sociability, experience psychological relaxation, and engage in positive interactions through physical activities. The researchers of this study selected folk songs and rhythms to be used in the program after doing background research and requested a nursing professor with previous experience in leading a traditional music program in nursing homes to validate the content of the program. The content of the program was confirmed to be appropriate, as the Content Validity Index (CVI) was found to be 0.
In this study, we developed a program aimed at reducing depression and enhancing ego integrity among elderly residents in care facilities by having them sing along to traditional music using the sogo (a small hand drum). The program was designed to include various activities, such as altering song lyrics during the singing process.
In this study, we developed a program aimed at reducing depression and enhancing ego integrity among elderly residents in care facilities by having them sing along to traditional music using the sogo (a small hand drum). The program was designed to include various activities, such as altering song lyrics during the singing process. The results indicated that the experimental group showed a decrease in depression levels.

대상 데이터

Additionally, participants collaborated to compose the opening and closing songs, which were used at the beginning and end of each session during the intervention. The folk songs selected included Taepyeongga, Noh-deul Riverside, Roasted Chestnut Ballad, Neuir-ri-ri-ya, Good Harvest Song, and Cheongsangsamgeori, and they were performed regularly throughout the program. The participants performed arm movements and sang in time with the researcher’s cues and the rhythm of the music.

데이터처리

The x2 test and Fisher’s exact test were used to assess homogeneity in the general characteristics between the experimental and control groups. The independent t-test was used to assess the homogeneity of the dependent variables between the groups. Repeated measures ANOVA was used to test the hypotheses of this study.
The independent t-test was used to assess the homogeneity of the dependent variables between the groups. Repeated measures ANOVA was used to test the hypotheses of this study.

성능/효과

Thus, a traditional group music therapy program was administered to elderly residents of H nursing home in I city who were aged ≥ 65 years.
Participants who wished to participate in the study after being sufficiently informed about the study purpose and the program content submitted a consent form. They were informed that all collected data would be used for research purposes, and personal information would be kept confidential and anonymous. They were informed that they could withdraw their participation at any time during the study period without experiencing any disadvantage.
They were informed that all collected data would be used for research purposes, and personal information would be kept confidential and anonymous. They were informed that they could withdraw their participation at any time during the study period without experiencing any disadvantage. In the control group, participants listened to traditional folk songs in their daily lives and engaged in conversations, allowing them to naturally share memories through music and build a sense of rapport.
A nurse practitioner measured the levels of depression and ego integrity in the experimental and control groups before and after the traditional music program was administered.
General characteristics including age, education level, spouse, children, frequency of family visits (per month), stress, exercise, sleeping pills, digestive function, and chronic diseases were investigated.
The mean age of the participants was 80.86 years in the experimental group and 81.95 in the control group. All participants were female.
1 The hypothesis that ‘the experimental group administered the traditional music therapy program will have lower levels of depression compared to the control group’ was supported
The hypothesis that ‘the experimental group administered the traditional music therapy program will have higher levels of ego integrity compared to the control group’ was rejected
1 The hypothesis that ‘the experimental group administered the traditional music therapy program will have lower levels of depression compared to the control group’ was supported. Repeated measures ANOVA showed a significant difference in the level of depression between the experimental and control groups (t= 5.061, p= .035) (Table 4).
The hypothesis that ‘the experimental group administered the traditional music therapy program will have higher levels of ego integrity compared to the control group’ was rejected. Repeated measures ANOVA revealed no significant difference in the level of ego integrity between the experimental and control groups (t= -1.863, p= .077) (Table 4).
The program was designed to include various activities, such as altering song lyrics during the singing process. The results indicated that the experimental group showed a decrease in depression levels. The traditional music program developed in this research can be actively utilized by nurses to reduce and prevent depression among nursing home residents and to improve their quality of life.
A homogeneity test for general and disease-related characteristics showed no difference between the experimental and control groups (Table 2). A homogeneity test for the dependent variables showed no difference in depression (t= -2.33, p= .211) and ego integrity (t= 2.59, p= .436) between the two groups (Table 3).

후속연구

Despite these findings, there is limited research on the impact of traditional music therapy for elderly nursing home residents, particularly in environments where social activities are restricted. Therefore, it is necessary to investigate the effects of a traditional music program, which has been reported to help prevent depression, on both depression and ego integrity in elderly nursing home residents.
The results indicated that the experimental group showed a decrease in depression levels. The traditional music program developed in this research can be actively utilized by nurses to reduce and prevent depression among nursing home residents and to improve their quality of life. However, since the study was conducted with participants from a single nursing home selected through convenience sampling, additional research is recommended to evaluate the long-term effects of the program.
The traditional music program developed in this research can be actively utilized by nurses to reduce and prevent depression among nursing home residents and to improve their quality of life. However, since the study was conducted with participants from a single nursing home selected through convenience sampling, additional research is recommended to evaluate the long-term effects of the program. Furthermore, it is necessary to tailor depression management strategies by considering factors such as subjective age and gender.

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