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探讨音乐对第一产程活跃期产妇疼痛及产程进展的影响。

Investigating the effect of music on labor pain and progress in the active stage of first labor.

机构信息

Department of Biology, Islamic Azad University, Fars Science and Research Branch, Marvdasht, Iran.

出版信息

Eur Rev Med Pharmacol Sci. 2013 Jun;17(11):1479-87.

Abstract

UNLABELLED

DESIGN AND PURPOSE: The purpose of this study is to investigate the effects of music-therapy on labor pain and progress in parturient primipara. Music-therapy during labor increases tolerance to pain; decreasing anxiety, it increases paturition and uterus activity and shorten labor duration.

SUBJECTS AND METHODS

The subjects of this research were 30 women, selected voluntarily and they have been put in two experimental and control group. This research has been conducted in the form of pre-test and post-test design. The experimental group listened to a relaxing music for 30 minutes in each hour for a two-hour period a nd the control group was not exposed to music during this period. For the purpose of gathering data in both groups, the pain scales (verbal, numeric and visual) was used to measure pain. The independent variable in this research is relaxing music and the dependent variables are the pain level and delivery progress.

FINDINGS

The independent t for sensations of pain in the experimental and control group before intervention has been (p = 0.875) 0.601 in numeric and visual pain and (p < 0.01) 2.92 in verbal pain, and one hour after intervention, it has been (p < 0.0001) 8.527 in visual and numeric pain and (p < 0.0001) 11.824 in verbal pain. Also, the equal value of independent t for the duration of delivery in control group before and after intervention shows that music has not had any effect on the rate of serotonin.

CONCLUSION

The results of statistical analysis show the effect of music on the decrease of sensation of pain in the experimental group as compared with the control group.

摘要

目的

本研究旨在探讨音乐疗法对初产妇分娩疼痛和进展的影响。分娩时的音乐疗法可以提高疼痛的耐受性,降低焦虑,增加分娩和子宫活动,并缩短产程。

对象和方法

本研究的对象是 30 名自愿参加的女性,将她们分为实验组和对照组。研究采用前后测设计进行。实验组每小时听 30 分钟放松音乐,对照组在此期间不接触音乐。为了在两组中收集数据,使用疼痛量表(言语、数字和视觉)来测量疼痛。本研究的自变量是放松音乐,因变量是疼痛水平和分娩进展。

结果

干预前实验组和对照组的疼痛感觉的独立 t 检验分别为(p = 0.875)0.601(数字和视觉疼痛)和(p < 0.01)2.92(言语疼痛),干预后 1 小时,分别为(p < 0.0001)8.527(视觉和数字疼痛)和(p < 0.0001)11.824(言语疼痛)。此外,对照组干预前后独立 t 检验的分娩持续时间相等值表明,音乐对 5-羟色胺的产生率没有影响。

结论

统计分析结果表明,与对照组相比,实验组音乐对疼痛感觉的降低有影响。

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