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Browsing by Subject "musiikkiterapia"

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  • Ainasoja, Laura (2014)
    Tässä tutkimuksessa tarkastellaan hengellisen musiikin merkitystä ikääntyneelle. Eritellymmin kohderyhmänä ovat helsinkiläisissä yksityisissä palvelutaloissa asuvat ikääntyneet. Tutkimuksen taustassa kerrotaan uskonnosta ja musiikista yhdessä, sekä musiikista ja hengellisestä musiikista ikääntyneelle. Molempia aiheita on käsitelty kirjallisuudessa vielä melko vähän, tutkimuksista puhumattakaan. Tutkimusaineistona on neljä ryhmähaastattelua, joista kuhunkin ryhmähaastatteluun osallistui viisi ikääntynyttä. Tutkimusaineistoni koostuu siis yhteensä 20 ikääntyneen haastatteluista. Palvelutalot, joissa tein ryhmähaastattelut olivat Palvelutalo Kukkasrahasto, Saga Munkkiniemi Dosentinpuisto, Vuosaaren Helander-koti ja Esperi Hoivapalvelukeskus Tilkan kevythoivayksikkö. Tutkimukseen osallistuneiden ikääntyneiden kokemuksia ja näkemyksiä selvitettiin haastattelukysymysten avulla. Valitsin etukäteen kolme kuuntelunäytettä, jotka soitin cd-soittimelta haastateltaville. Haastattelukysymykset käsittelivät kustakin kuuntelunäytteestä herännyttä välitöntä sanottavaa tai kerrottavaa, kuuntelunäytteen herättämiä muistoja tai tunteita, kuuntelunäytteen sanoitusta, musiikkia, hoitavuutta, jotain mitä haastateltavat halusivat vielä kertoa kuuntelunäytteestä, sekä haastatelluille merkityksellistä hengellistä musiikkia ja sen syitä. Tutkimusmenetelmä oli aineistolähtöinen sisällönanalyysi. Haastatteluaineistosta luokiteltiin ryhmiä, ja ilmeni samankaltaisuuksia ja eroavaisuuksia. Ryhmistä luotiin aihekategorioita, joita yhdistelemällä syntyi tutkimuksen pääkategoriat. Aineistosta nousi tutkimustuloksina etenkin uskontokasvatuksen ja musiikkiterapian aiheita. Se, oliko hengellinen musiikki haastatelluille merkityksellistä, riippui kuuntelunäytteistäni ja yksilöistä. Silti hengellinen musiikki koettiin merkitykselliseksi silloin, kun se miellytti haastateltavia. Lähes kaikki haastateltavat kokivat etenkin virret merkitykselliseksi hengelliseksi musiikiksi. Toisaalta heräsi myös keskustelua siitä, mikä oikeastaan voi olla hengellistä musiikkia. Kiinnostuskohteenani olikin myös sen tarkastelu, mikä on nykyajan helsinkiläisissä yksityisissä palvelutaloissa asuvien ikääntyneiden suhde hengelliseen musiikkiin. Merkitykselliseen hengelliseen musiikkiin yhdistettiin musiikkiterapeuttisina ominaisuuksina musiikkimieltymykset, muistot, tunteet ja hoitavuus. Uskontokasvatuksellisia ominaispiirteitä olivat puolestaan sanoma, muistot, tunteet ja hoitavuus.
  • Vinberg, Martta (2017)
    Aims. The aim of this study was to find out how speech and language pathologists use musical methods in speech therapy in Finland. The purpose of the survey was to gather experiences and opinions about this subject. The data was collected in spring 2016. Methods. The survey was made with web-based survey-tool provided by Helsinki University. It was sent to 1209 members of Finnish association of Speech Therapists. The questionnaire was answered by 122 responders (response rate was 10%). There were 25 questions in the survey, with open, closed and combined question types. Open questions were analysed with qualitative methods: answers were categorized and sorted into themes. Closed questions were analysed by quantitative methods by calculating means and frequencies with SPSS-program. Combined questions types were analysed with both methods. Results and conclusions. The responders who had direct speech therapy as part of their job description (N=112) did use diverse musical methods as part of the therapy, but the amount of utilization varied considerably. The methods were used all around Finland, by therapists from different kind of backgrounds concerning the age and the graduate university. Musical methods were used in many patient groups. According to the answers, these methods were especially important if the patient didn't have any kind of speaking ability to use. The most common musical method mentioned was MIT (melodic intonation therapy) which was used by 32% of the responders who did direct speech therapy. The MIT was also the most popular method from which responders would like to have more education of. In the whole sample (N=122), musical methods were used widely in the part of so called indirect or consultative speech therapy, meaning that the speech and language therapists gave recommendations of using music as part of the rehabilitation process at homes, during day care and in the rehabilitation centres. Some responders utilized musical methods also as part of the speech-language assessments. In addition, based on answers the collaboration between speech therapists and music therapists is almost non-existent in Finland. Collaboration with music therapists was hoped. Many responders were interested in the practical education of this subject.
  • Lauri-Haikala, Minna-Johanna Kristina (2015)
    The purpose of this study was to explore the effects of music therapy in treating the anxiety and stress of pregnant women in inpatient care. The hypotheses were that music therapy would reduce both perceived and physiologically measured stress and anxiety and that women with high state anxiety would benefit more than women with normal state anxiety. It was also assumed that the benefits of music therapy would be greater if the amount of music therapy was greater. This study is a part of a research project of the Finnish Institute of Occupational Health, Women's Hospital and Music Therapy Tonkraft in order to improve the methods of music therapy in supporting the well-being of stressed out pregnant women in inpatient care. Previous studies have demonstrated that pregnant women experience greater stress than average and that it is a significant health risk for the fetus. Music therapy in general has been proven to be efficient in reducing both stress and anxiety, but the benefits for pregnant women are only beginning to be acknowledged. The participants (n = 102) of this study were pregnant women in inpatient care because of pregnancy-related complications. Participants were divided into two groups: music therapy group (n = 52) and control group (n = 50). Music therapy group was given music therapy for half an hour three days in a row by a trained music therapist. The control group was instructed to rest. Perceived stress and anxiety levels were measured with self-report surveys in the beginning and in the end. Heart rate variability was measured to investigate physiological stress levels. In addition, the participants reported their experiences of the given music therapy. The results of this study reveal that stressed out pregnant women in inpatient care may benefit from music therapy. The participants' own reports of music therapy were almost entirely positive. Physiologically measured stress reduced during music therapy both in women with high state anxiety and in women with normal state anxiety. The perceived anxiety of women with high state anxiety reduced significantly during the intervention both in the music group and in the control group but in neither group more than in the other. No change was seen in the perceived anxiety of women with normal state anxiety. Music therapy also appeared to be more efficient than rest in reducing perceived stress both in women with high state anxiety and in women with normal state anxiety, although the change was not significant. The benefits of music therapy were not greater when the amount of music therapy was greater. The results of this study encourage to use music therapy in treatment of stressed out, pregnant women in inpatient care. The results also suggest more research of this subject.
  • Helokunnas, Siiri (2016)
    Prenatal stress has been found to affect the development of the fetus adversely: it may increase the risk of childhood emotional and behavioural problems. Psychosocial stress during pregnancy is also related to pregnancy complications, premature birth and low birthweight. Pregnancy complications and hospitalization, in turn, often cause mothers to worry about the well-being of their unborn child. Therefore, it is important to find non-pharmacological treatments for stress. Music therapy has been shown to induce relaxation, but only a few previous studies have explored music therapy in the context of high-risk pregnancies, and in those studies the heart rate variability (HRV) has not been examined. HRV is a reliable, objective and easy method for assessing physiological stress, and it has been shown to reflect the effects of music therapy. The purpose of this study is to investigate the effect of music therapy on the stress levels of pregnant women in inpatient care. The participants of this study (N = 102) were on bed rest because of pregnancy-related complications. They were randomly assigned to music therapy group (N = 52) and to control group (N = 50). The music therapy group received music therapy on three consecutive days, for half an hour at a time. The control group was instructed to rest at those times. The physiological stress levels of the participants were assessed by measuring their HRV and blood pressure, and the participants also gave self-reports of their experiences during the music therapy. The physiological measures indicated that music therapy alleviated stress: HRV increased more in the music therapy group than in the control group, and low frequency (LF) variability decreased during the three days. In addition, diastolic blood pressure decreased in those participants, whose blood pressure had been elevated in the beginning. However, heart rate increased and HRV decreased between the therapy sessions, which does not support the previous finding that repetition enhances the effect of music therapy. The participants found the music therapy profoundly relaxing. Many of them especially enjoyed the resonance of the music within the body, and they felt that the music distracted them from their worries. The subjective benefits were more salient than the objectively measured physiological advantages. This may be related to the suppression of physiological responses to stress and recovery, which commonly occurs in pregnancy. In conclusion, the results suggest that music therapy is beneficial for distressed pregnant women. Consequently, music therapy is recommended also for the treatment of women with high-risk pregnancies in inpatient care.