{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:30Z","timestamp":1787071290438,"version":"build-2736575974"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"130","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To evaluate the effects of five-element music therapy combined with hospital\u2013community integrated care on the psychological status and cognitive function of patients with Parkinson\u2019s disease (PD).\n                    <jats:bold>Methods:<\/jats:bold>\n                    The clinical data of 130 patients with PD treated with pramipexole and levodopa at The First Affiliated Hospital of Chengdu Medical College from July 2022 to March 2024 were retrospectively analysed. Participants were divided into three groups based on care protocols as follows: a routine care group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200940, routine care), community care group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200950, routine care\u2009+\u2009hospital\u2013community integrated care) and comprehensive care group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200940, routine care\u2009+\u2009hospital\u2013community integrated care\u2009+\u2009five-element music therapy). Comparisons were made amongst the three groups regarding psychological status (Self-Rating Depression Scale [SDS], Self-Rating Anxiety Scale [SAS]), clinical symptoms (subscores of the Unified Parkinson\u2019s Disease Rating Scale Part I [UPDRS-I]), social adaptability (Social Adaptability Function Evaluation [SAFE]), cognitive function (Montreal Cognitive Assessment [MoCA]) and nursing satisfaction. Homogeneity of variance was verified by using Levene\u2019s test. For comparisons between groups meeting normality and homogeneity of variance, one-way analysis of variance was used. Intragroup comparisons before and after care were performed by employing paired-sample\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    -tests.\n                    <jats:bold>Results:<\/jats:bold>\n                    After 3 months of care, the SDS and SAS scores in the comprehensive care group were lower than those in the community and routine care groups (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). The SDS and SAS scores in the community care group were lower than those in the routine care group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). The comprehensive care group also showed significantly reduced UPDRS-I subscores, alongside higher SAFE and MoCA scores, compared with the community and routine care groups (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Similarly, the community care group displayed lower UPDRS-I subscores and higher SAFE and MoCA scores compared with the routine care group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). After 3 months of care, the nursing satisfaction in the comprehensive care group was higher than that in the routine care group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Five-element music therapy combined with hospital\u2013community integrated care improves psychological status, alleviates clinical symptoms, enhances social adaptability and cognitive function and increases nursing satisfaction in patients with PD.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_152_25","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:00:10Z","timestamp":1773057610000},"page":"94-102","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Music Therapy Combined with Hospital-Community Integrated Care on the Psychological Status of Patients with Parkinson\u2019s Disease Treated with Pramipexole and Levodopa"],"prefix":"10.4103","volume":"28","author":[{"given":"Gang","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, P. 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