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新生儿重症监护病房中为早产儿父母设立的音乐疗法自我护理小组:一项临床试点干预措施

Music Therapy Self-Care Group for Parents of Preterm Infants in the Neonatal Intensive Care Unit: A Clinical Pilot Intervention.

作者信息

Roa Esteban, Ettenberger Mark

机构信息

Berklee College of Music, Boston, MA 02215, USA.

SONO-Centro de Musicoterapia, Bogotá 11021, Colombia.

出版信息

Medicines (Basel). 2018 Dec 16;5(4):134. doi: 10.3390/medicines5040134.

Abstract

The parents of preterm infants face major mental health challenges in the Neonatal Intensive Care Unit (NICU). Family-centered music therapy actively integrates and empowers parents in their infants' care. With the aim to better understand and address parental needs separately from their babies' needs, a music therapy (MT) self-care group was implemented as part of clinical practice at the hospital Clínica de la Mujer, in Bogotá, Colombia. The group was provided for both parents, twice a week, in the NICU. Music guided relaxations, breathing techniques, and self-expression were at the center of the MT group sessions. The parents completed a pre/post self-administered Numeric Rating Scale (NRS), including anxiety levels, stress levels, mood and motivation. The parents highly valued the MT self-care group in the NICU. On average, there was a 37% improvement in anxiety levels, 28% improvement in stress levels, and 12% improvement in mood, restfulness and motivation. Being able to relax, to distract themselves from their worries and having time for themselves are amongst the most frequently mentioned benefits. Addressing parents' needs separately from their babies' treatment, with culturally sensitive interventions aimed at improving parental mental health, is essential for continuing the development of family-centered music therapy interventions in the NICU.

摘要

早产儿的父母在新生儿重症监护病房(NICU)面临着重大的心理健康挑战。以家庭为中心的音乐疗法积极让父母参与并赋予他们照顾婴儿的能力。为了更好地理解和满足父母与婴儿不同的需求,哥伦比亚波哥大的Clinica de la Mujer医院将音乐疗法(MT)自我护理小组作为临床实践的一部分实施。该小组面向父母双方,每周两次,在新生儿重症监护病房开展。音乐引导的放松、呼吸技巧和自我表达是音乐疗法小组活动的核心。父母们完成了一份前后自我填写的数字评定量表(NRS),包括焦虑水平、压力水平、情绪和动力。父母们高度重视新生儿重症监护病房的音乐疗法自我护理小组。平均而言,焦虑水平改善了37%,压力水平改善了28%,情绪、平静度和动力改善了12%。能够放松、转移对担忧的注意力以及拥有属于自己的时间是最常被提及的益处。将父母的需求与婴儿的治疗分开处理,通过具有文化敏感性的干预措施来改善父母的心理健康,对于新生儿重症监护病房以家庭为中心的音乐疗法干预措施的持续发展至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/6313327/d6afdbcab311/medicines-05-00134-g001.jpg

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