本研究以聆聽音樂為介入措施，探討音樂治療對社區失智症長者行為問題之成效，分實 驗組與對照組兩組，兩組都需給予失智症照護衛教資料，並予家訪測試家裡噪音程度，而實 驗組則教導主要照顧者在家播放音樂措施，每週 2 次，每次 30 分鐘，持續六週，研究結果顯 示音樂介入能改善社區失智症長者問題行為，問題行為之測量包括 1.中文版 CMAI 躁動行為 量表，及 2.神經精神病徵調查表(NPI)的 12 項症狀。實驗組在音樂介入後其中文版 CMAI 躁 動行為總分，身體攻擊行為、身體非攻擊行為、語言攻擊及語言非攻擊行為分數皆有降低，
且達統計顯著差異，而對照組中文版 CMAI 躁動行為分數前後測並無顯著差異。
實驗組與對照組前測時 NPI 各次項目分數並無顯著差異，但經六週音樂治療後，實驗組 在 NPI 的 12 個次項目中，妄想，幻覺，激動/攻擊性，憂鬱/情緒不佳，焦慮，昂然自得，冷 漠/毫不在意，言行失控，暴躁易怒/情緒易變，怪異動作，睡眠/夜間行為，食慾/飲食行為改 變的得分均比控制組顯著較低；且實驗組後測 NPI 總分及其 12 個次項目分數均較前測顯著下 降；對照組在幻覺，激動/攻擊性，憂鬱/情緒不佳，焦慮，冷漠/毫不在意，睡眠/夜間行為，
食慾/飲食行為改變後測分數雖然較前測低，但前後並無顯著的差異；進一步分析發現聽音樂 次數與 CMAI 或 NPI 間均無顯著相關。
國內外文獻建議以非藥物性措施來處理失智者之問題行為，其中音樂治療措施常被建 議，本研究發現音樂治療不僅可由護理人員獨自執行，亦可讓家屬在家自行操作，不具侵入 性，簡單又方便，也符合經濟成本，可減低環境中的刺激或噪音，及改善失智症長者的問題 行為，建議醫院，護理之家，家屬可考慮使用方便又經濟實惠的音樂介入措施來降低失智症 長者的行為問題。
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附件
附件一 失智症長者之人口學基本基料
人口學基本基料 受訪者編號 年齡: (出生: 年 月)
性別:1.男 2.女
教育程度:1.不識字 2.小學 3.國中 4.高中(職) 5.大學(專) 6.研究所以上
宗教信仰:1.無 2.佛教 3.道教 4.天主教 5. 基督教 6.其他 過去職業:1.無 2.家管 3.公教 4.農 5.工 6.商 7.軍 8.警
9.法律 10.其他
婚姻狀況:1.未婚 2.已婚 3.離婚4.分居5.喪偶6.其他
主要照顧者:1.無 2.配偶3.子女4.兄弟姊妹5.朋友6.父母7.看護 診斷時間(以醫師下診斷的時間為主): 年 月
失智症類型:1. 阿滋海默氏症失智症 2.血管型失智症3.其他 4.不知道
失智症類型:1. 阿滋海默氏症失智症 2.血管型失智症3.其他 4.不知道