以焦點團體探討精神分裂症患者初次參與團體音樂介入的主觀經驗

Using Focus Groups to Explore the Primary Group Music Intervention Subjective Experience of Patients with Schizophrenia

10.6225/JNHR.09.3.192

陸秀芳(Shiou‐Fang Lu)；謝家柔(Chia‐Jou Hsieh)；章淑娟(Shu‐Chuan Chang)

團體音樂介入 ； 精神分裂症患者 ； 焦點團體 ； 主觀經驗 ； group music intervention ； schizophrenia ； focus group ； subjective experience

護理暨健康照護研究

9卷3期（2013 / 09 / 01）

192 - 198

繁體中文

背景：很多研究已顯示音樂介入對精神病患的症狀、憂鬱與生活品質皆有顯著的改善，但多以量性的研究為主，缺乏相關質性研究結果。目的：本研究目的是瞭解精神護理之家的精神分裂症患者初次參與團體音樂介入的主觀經驗。方法：以焦點團體訪談作為資料收集方式，共進行2次，有13位病患參與焦點團體，將訪談所得資料轉錄為文本後以內容分析法分析。結果：發現護理之家精神分裂症病患參與團體音樂介入的主觀經驗，可歸納五個主題：（一）得到壓力的紓解、（二）可以轉移注意力、（三）回憶過去生活經驗、（四）享受音樂的多樣性及（五）促進人際互動。結論／實務應用：本結果可知，團體音樂介入可以促進護理之家精神分裂症病患心理復健及人際互動，建議將團體音樂介入納入持續性之照護活動，以增進住民之生活品質。

Background: Several studies have shown the significant beneficial effects of music intervention on the mental status, depression, and quality of life of people with mental illnesses. However, most of these studies have used a quantitative rather than qualitative research design.Purpose: The purpose of this study was to explore the subjective experience and perceptions of nursing‐home schizophrenia patients in a primary group music intervention.Methods: The participants received group music intervention for three months. Afterwards, two interviews were conducted with a total of 13 focus group participants.Results: Five themes emerged regarding the patients' subjective experiences and perceptions of primary group music therapy: (1) relieving stress; (2) focusing thoughts on other things; (3) reminiscing on life experiences; (4) enjoying the diversity of music; (5) improving personal interactions.Conclusions / Implications for Practice: The group musical intervention improved participants' mental rehabilitation and interpersonal relationships. The researchers suggest that mental health nurses consider including group music intervention in continuity of care activities to improve the quality of life of schizophrenia patients living in nursing homes.