Altern Ther Health Med. 2021 Jun;27(S1):120-127.
In recent years, delivery via cesarean section (C-section) has been one of the most frequent, major surgical interventions in the world. Reducing post-cesarean delivery-related pain and good pain management are important as is reducing mothers' anxiety.
The study intended to determine the effects of music therapy on levels of postpartum pain and anxiety in women who delivered via cesarean section.
The randomized controlled trial was conducted with power analysis for a type-I error rate of α:0.05, type-II error rate of β:0.20, representative power of 0.80, and effect size of 0.62.
The study took place at a tertiary hospital in a provincial center in Turkey.
Participants were 126 women who were hospitalized at the hospital between February 2018 and October 2018 and who delivered via C-section.
The participants were allocated to three groups with 42 women each. Intervention groups 1 and 2 listened to music once a day and twice a day, respectively, whereas the control group was given routine care for 2 consecutive days.
A visual analog scale (VAS) on pain and the State-Trait Anxiety Inventory (STAI TX-1) were used to collect the data.
The anxiety scores and pain levels were reduced in the intervention groups in comparison to the control group (P < .001). The anxiety scores weren't significantly different between the 2 intervention groups (P > .05), and the pain levels on the second day in intervention group 2 were lower than those of intervention group 1 (P < .05). While the pain levels were reduced in all groups (P < .001), the anxiety scores increased in the control group on the second day (P < .05) and decreased in the 2 intervention groups (P < .001).
Music therapy can play an effective role in reducing pain and anxiety levels.
近年来，剖宫产已成为全球最常见的主要外科干预手段之一。减轻剖宫产相关疼痛和良好的疼痛管理非常重要，同时也能减轻产妇的焦虑。
本研究旨在确定音乐疗法对行剖宫产分娩的产妇产后疼痛和焦虑水平的影响。
本随机对照试验采用了功效分析，设定Ⅰ型错误率为α：0.05，Ⅱ型错误率为β：0.20，代表性效能为 0.80，效应大小为 0.62。
该研究在土耳其省级中心的一家三级医院进行。
2018 年 2 月至 10 月期间在该医院住院并接受剖宫产的 126 名女性参加了该研究。
将参与者分为三组，每组 42 人。干预组 1 和 2 分别每天听一次和两次音乐，而对照组则在连续两天内接受常规护理。
使用视觉模拟评分（VAS）评估疼痛，以及状态特质焦虑量表（STAI TX-1）评估焦虑。
与对照组相比，干预组的焦虑评分和疼痛水平均降低（P<0.001）。两组干预组之间的焦虑评分无显著差异（P>0.05），且干预组 2 第二天的疼痛水平低于干预组 1（P<0.05）。所有组的疼痛水平均降低（P<0.001），但对照组第二天的焦虑评分升高（P<0.05），而两组干预组的焦虑评分降低（P<0.001）。
音乐疗法可以有效降低疼痛和焦虑水平。
