音乐疗法对初产妇硬膜外分娩镇痛期间分娩疼痛、分娩体验和自尊的影响:一项非随机实验研究。

IF 1 Q3 NURSING
Korean Journal of Women Health Nursing Pub Date : 2023-06-01 Epub Date: 2023-06-30 DOI:10.4069/kjwhn.2023.06.21
Seong Yeon An, Eun Ji Park, Yu Ri Moon, Bo Young Lee, Eunbyul Lee, Dong Yeon Kim, Seong Hee Jeong, Jin Kyung Kim
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引用次数: 0

摘要

目的:本非随机研究旨在评估音乐疗法对阴道分娩产妇的分娩疼痛、分娩体验和自尊的影响:方法:通过方便抽样,共招募了 136 名妊娠 37 周以上、在阴道分娩时接受硬膜外镇痛的初产妇。为尽量减少扩散效应,首先收集对照组(71 人)的数据(2020 年 4 月至 2021 年 3 月),然后收集音乐组(65 人;2021 年 4 月至 2022 年 5 月)的数据。音乐组的参与者在分娩过程中聆听古典音乐,而对照组则接受常规护理(无音乐)。分娩疼痛采用数字评分量表(NRS)进行测量,自尊和分娩体验采用自我报告问卷进行收集。数据分析采用独立 t 检验、卡方检验和 Cronbach's α 系数:结果:两组基线时的总体疼痛水平(NRS)均为 0。音乐治疗组产妇的潜在疼痛(t=1.95,p=.005)和主动疼痛(t=3.69,p=.005)水平较低:在分娩过程中使用音乐疗法可减轻分娩疼痛,改善分娩体验。音乐疗法可以作为一种非药物、安全、简便的分娩护理方法推荐给临床。临床试验编号:KCT008561:KCT008561。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study.

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study.

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study.

Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery.

Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients.

Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group.

Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor. Clinical trail number: KCT008561.

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来源期刊
Korean Journal of Women Health Nursing
Korean Journal of Women Health Nursing Nursing-Maternity and Midwifery
CiteScore
1.50
自引率
33.30%
发文量
28
审稿时长
8 weeks
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