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音乐和意象对模拟分娩疼痛的生理反应及自我报告的影响。

Effects of music and imagery on physiologic and self-report of analogued labor pain.

作者信息

Geden E A, Lower M, Beattie S, Beck N

机构信息

School of Nursing, University of Missouri--Columbia.

出版信息

Nurs Res. 1989 Jan-Feb;38(1):37-41.

PMID:2643088
Abstract

Two studies were conducted to examine the effects of music on analogued labor pain using volunteer nulliparous subjects who were randomly assigned to treatment groups (n = 10 per group). Assessments of the treatments were made in a 1-hour session involving twenty 80-second exposures to a laboratory pain stimulus patterned to resemble labor contractions. In the first experiment, it was hypothesized that subjects listening to easy-listening music would report lower pain ratings and cardiovascular responses than subjects listening to rock music, self-selected music, or a dissertation (placebo-attention) and subjects in a no-treatment control group. No significant group effects were found; significant time effects were found for heart rate, systolic and diastolic blood pressure. Subjects spontaneously reported using imagery as a pain reduction technique. In the second study a combination of music and imagery was examined by randomly assigning subjects to one of five groups: self-generated imagery with music (SIM), guided imagery with music (GIM), self-generated imagery without music (SI), guided imagery without music (GI), or no-treatment control. Again, no significant group effects were obtained. Significant time effects were obtained for heart rate, systolic and diastolic blood pressure.

摘要

进行了两项研究,以使用志愿初产妇受试者来检验音乐对模拟分娩疼痛的影响,这些受试者被随机分配到各治疗组(每组n = 10)。在为期1小时的时段内对治疗进行评估,其中包括二十次80秒的实验室疼痛刺激暴露,该刺激被设计成类似于分娩宫缩。在第一个实验中,假设听轻音乐的受试者比分娩摇滚乐、自选音乐或一篇论文(安慰剂对照)的受试者以及未接受治疗的对照组受试者报告的疼痛评分和心血管反应更低。未发现显著的组间效应;但发现心率、收缩压和舒张压存在显著的时间效应。受试者自发报告使用意象作为减轻疼痛的技术。在第二项研究中,通过将受试者随机分配到五个组之一来检验音乐和意象的组合:有音乐的自我生成意象(SIM)、有音乐的引导意象(GIM)、无音乐的自我生成意象(SI)、无音乐的引导意象(GI)或未治疗对照组。同样,未获得显著的组间效应。心率、收缩压和舒张压获得了显著的时间效应。

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