運用音樂於意識障礙兒童和青少年之最佳實用建議

作者

  • Anna Menén Sánchez Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la Universitat Autònoma de Barcelona, Badalona, Spain; Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain https://orcid.org/0000-0001-8830-6415
  • Jonathan Pool Research Department, The Children’s Trust, Tadworth, United Kingdom; Cambridge Institute for Music Therapy Research (CIMTR), Anglia Ruskin University, Cambridge, United Kingdom; https://orcid.org/0000-0003-4134-8030
  • Janeen Bower Department of Child Life and Music Therapy, The Royal Children’s Hospital Melbourne, Australia; Faculty of Fine Arts and Music, University of Melbourne, Australia https://orcid.org/0000-0002-5176-3345
  • Valerie Paasch Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, United States of America; Department of Psychiatry & Behavioral Sciences, John Hopkins University School of Medicine, Baltimore, United States of America https://orcid.org/0000-0001-7817-7103
  • Wendy Magee Department of Boyer College of Music and Dance, Temple University, Philadelphia, United States of America https://orcid.org/0000-0003-4350-1289

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https://doi.org/10.47513/mmd.v15i1.885

关键词:

disorders of consciousness, music, sensory stimulation, caregivers, pediatrics

摘要

患有意識障礙(DoC) 之兒童及青少年在醫療、身體和行為方面都有非常複雜的需求。此外,因為動作、感官、認知和溝通方面的綜合障礙,要讓這些兒童和青少年參與有意義的活動是相當具有挑戰性的。由於針對此族群的研究很少,因而缺少了用於增加兒童及青少年參與有意義的感官體驗的權威性指引,這些體驗能增強他們的社會及情緒經驗。音樂是一種能運用聽覺模式中的顯著刺激物來優化感官刺激的媒介。此外,音樂體驗僅需最小的身體能力需求,即能提供符合發展里程碑之社會互動的機會。本文的主要目的是為了提供患有意識障礙之兒童與青少年,運用音樂刺激的最佳建議,包括音樂在休閒活動和放鬆活動中的使用。這些建議整合了現有的證據,並結合專家的意見。提供建議的對象為患有意識障礙之兒童及青少年的照顧者,包括專業醫護人員及看護,以及其他無償的照顧者,如家人、朋友和志工。這些實用的建議適用於各種環境,包括醫院、教育和住宿型護理機構、居家和復健單位。

關鍵詞:意識障礙;音樂;感官刺激;護理人員;兒科

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Anna Menén Sánchez, MsC, MMT, NMT-Fellow, is a Music Therapy Lead at the Institut Guttmann, Institut Universtari de Neurorehabilitació adscrit a la Universitat Autònoma de Barcelona.

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Jonathan Pool, PhD is a Senior Research Fellow at the Cambridge Institute for Music Therapy Research at Anglia Ruskin University and a music therapy researcher at The Children’s Trust, Surrey, United Kingdom.

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Janeen Bower, MMus(MusThrpy) is a PhD Candidate at the University of Melbourne and Music Therapy Team Lead at The Royal Children’s Hospital Melbourne.

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Valerie Paasch, PhD is an Assistant Professor at Johns Hopkins University School of Medicine and a pediatric psychologist at the Kennedy Krieger Institute in Baltimore, Maryland.

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Wendy L. Magee, PhD is a Professor in the Music Therapy program in Boyer College, Temple University.

 

已出版

2023-01-30