Ravita Chaichanalap, Wipada Laosooksathit, K. Kongsomboon, T. Hanprasertpong
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引用次数: 4
摘要
目的:评价音乐疗法对减轻产后会阴切开术创面疼痛的效果。材料与方法:采用随机对照试验,评价音乐治疗对减轻会阴切口创面即刻疼痛的疗效。研究对象为泰国斯利那卡林沃大学医学院产、产科分娩及产后住院病房有二度及以下会阴切开伤口的单胎阴道分娩女性。采用视觉模拟评分法(VAS)比较疼痛程度。结果:100名产后妇女参与了我们的研究。两组的年龄、会阴切口撕裂程度等基线特征相似。音乐组在会阴切口修复过程结束后第2小时疼痛VAS评分中位数低于对照组[24.0 mm(8.3 ~ 41.5)和36.5 mm (20.0 ~ 53.3), p < 0.001]。音乐组在会阴切口修复过程结束后第6小时疼痛VAS评分中位数低于对照组[12.0 mm(3.0 ~ 21.0)和22.0 mm (15.0 ~ 38.0), p < 0.001]。结论:音乐治疗可有效减轻会阴切口术后即刻疼痛感。关键词:会阴切开疼痛,音乐治疗,单胎妊娠
Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A randomized controlled trial
Objectives: To evaluate the effectiveness of music therapy in alleviating immediate postpartum episiotomy wound pain.
Material and Methods: A randomized controlled trial was conducted to evaluate the efficacy of music therapy in alleviating immediate pain from an episiotomy wound. Uncomplicated singleton vaginal delivery women with the second degree or less episiotomy wound at Delivery and Postpartum Inpatient Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Thailand were enrolled into the study. Visual analog scale (VAS) scoring was used for comparing pain levels.
Results: One hundred postpartum women were enrolled in our study. Baseline characteristics such as age, degree of episiotomy wound tear were similar between both groups. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of the 2nd hour after finish of episiotomy wound repairing process [24.0 millimeters (8.3-41.5) and 36.5 millimeters (20.0-53.3), p < 0.001]. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of 6th hour after finish of episiotomy wound repairing process [12.0 millimeters (3.0-21.0) and 22.0 millimeters (15.0-38.0), p < 0.001]
Conclusion: Music therapy is effective for reducing the perceived immediate postpartum pain of an episiotomy wound.
Keywords: episiotomy pain, music therapy, singleton pregnancy