Department of Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Complement Ther Med. 2013 Oct;21(5):468-72. doi: 10.1016/j.ctim.2013.07.006. Epub 2013 Aug 14.
The effect of kangaroo care (KC) has not been adequately studied in mothers. This present study was undertaken to determine if music during KC has a greater effect than KC alone, on maternal state anxiety (MSA) in the early postpartum period.
In a randomized controlled trial, 90 Iranian women who were scheduled for a repeat Cesarean-section, were randomized into three groups: KC, music during KC, and a control group. Mothers' pain scores were evaluated using a visual analog scale (VAS). If the VAS score was ≤3, then MSA was measured by using the State-Trait Anxiety Inventory (STAI) Scale (Spielberg). Interventions were 30 min KC for mother-infant dyads, or playing music for the mothers during KC. Six hours later, in cases where the VAS was ≤3, the MSA was re-measured using Spielberg's scale for all mothers.
Six hours post intervention, there was no significant difference in the overall mean scores of MSA between the groups, but the severity of MSA in the two experimental groups was less than in the control group (P=0.02), although not between the two experimental groups.
The findings of this study provide evidence that KC has an effect on the severity of MSA in mothers who were delivered by C-section, however, music during KC had no more effect than KC alone. More research is needed to document the effectiveness of selected or familiar music during KC on state anxiety in early postpartum.
袋鼠护理（KC）对母亲的影响尚未得到充分研究。本研究旨在确定 KC 期间播放音乐是否比单独 KC 对产妇状态焦虑（MSA）的影响更大。
在一项随机对照试验中，90 名计划再次剖宫产的伊朗妇女被随机分为三组：KC 组、KC 期间播放音乐组和对照组。母亲的疼痛评分使用视觉模拟量表（VAS）进行评估。如果 VAS 评分≤3，则使用 Spielberg 的状态-特质焦虑量表（STAI）量表测量 MSA。干预措施为母婴 30 分钟 KC，或在 KC 期间为母亲播放音乐。6 小时后，如果 VAS≤3，则对所有母亲使用 Spielberg 量表重新测量 MSA。
干预后 6 小时，MSA 的总体平均得分在组间无显著差异，但两个实验组的 MSA 严重程度低于对照组（P=0.02），但两组之间无差异。
本研究结果表明，KC 对接受剖宫产的产妇 MSA 的严重程度有影响，但 KC 期间播放音乐的效果并不优于单独 KC。需要进一步研究来记录 KC 期间选择或熟悉的音乐对产后早期状态焦虑的有效性。
