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音乐辅助渐进性肌肉松弛训练对孕期腰痛及生活质量的影响

Effects of Progressive Muscle Relaxation Exercises Accompanied by Music on Low Back Pain and Quality of Life During Pregnancy.

作者信息

Akmeşe Zehra Baykal, Oran Nazan Tuna

出版信息

J Midwifery Womens Health. 2014 Sep-Oct;59(5):503-9. doi: 10.1111/jmwh.12176. Epub 2014 Jun 25.

DOI:10.1111/jmwh.12176
PMID:24965313
Abstract

INTRODUCTION

Back pain is commonly experienced by pregnant women. Evidence suggests that progressive muscle relaxation (PMR) therapy, a complementary therapy widely used by pregnant women, may improve the physical and psychological outcomes of pregnancy. The aim of this study was to investigate the effects of PMR training accompanied by music on perceived pain and quality of life (QOL) in pregnant women with low back pain (LBP).

METHODS

This was a prospective randomized controlled trial. The study was designed to examine the effects of PMR accompanied by music on pregnant women with LBP. In total, 66 pregnant women were assigned randomly to a PMR group or a control group (33 women in each). A personal information form was used as a data collection tool; a visual analog scale was used for measuring pain; and the Short Form-36 was used to evaluate QOL.

RESULTS

The control and intervention groups were comparable at baseline. Significant differences were observed between the 2 groups after 4 and 8 weeks of intervention. The intervention group showed significant improvement in all QOL subscales after the intervention. The intervention group, but not the control group, showed significant improvement in perceived pain after the intervention. The intervention group experienced a greater decrease in perceived pain and improved QOL than the control group.

DISCUSSION

Our findings show that PMR accompanied by music may be an effective therapy for improving pain and QOL in pregnant women with LBP. Large randomized studies are recommended to confirm these results.

摘要

引言

背痛是孕妇常见的症状。有证据表明,渐进性肌肉松弛(PMR)疗法作为一种被孕妇广泛使用的补充疗法,可能会改善孕期的身体和心理状况。本研究的目的是调查伴有音乐的PMR训练对患有下背痛(LBP)的孕妇的疼痛感知和生活质量(QOL)的影响。

方法

这是一项前瞻性随机对照试验。该研究旨在检验伴有音乐的PMR对患有LBP的孕妇的影响。总共66名孕妇被随机分配到PMR组或对照组(每组33名女性)。使用个人信息表作为数据收集工具;使用视觉模拟量表测量疼痛;使用简短健康调查问卷(Short Form-36)评估生活质量。

结果

对照组和干预组在基线时具有可比性。干预4周和8周后,两组之间观察到显著差异。干预后,干预组在所有生活质量子量表上均有显著改善。干预后,干预组而非对照组在疼痛感知方面有显著改善。干预组在疼痛感知方面的下降幅度大于对照组,生活质量也有所改善。

讨论

我们的研究结果表明,伴有音乐的PMR可能是改善患有LBP的孕妇疼痛和生活质量的有效疗法。建议进行大型随机研究以证实这些结果。

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