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阴道分娩和剖宫产术中使用音乐:一项跨专业调查。

Use of music during vaginal birth and caesarean section: an interprofessional survey.

机构信息

University Witten/Herdecke, Landesfrauenklinik, Wuppertal, Germany.

University Hospital Augsburg, Frauenklinik, Stenglinstr. 2, 86156, Augsburg, Germany.

出版信息

Arch Gynecol Obstet. 2021 Aug;304(2):355-363. doi: 10.1007/s00404-020-05958-9. Epub 2021 Jan 24.

DOI:10.1007/s00404-020-05958-9
PMID:33486579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8277630/
Abstract

PURPOSE

Evidence abounds about the beneficial effects of music on patients and healthcare professionals for many medical indications. This study aimed to evaluate the dissemination and use of music in the obstetrical setting.

METHODS

Invitations to an online survey were sent to physicians and midwives of all obstetrics departments in Germany. The survey gathered descriptive data as well as information about the personal relation to music and the use of it during vaginal birth (VB) and caesarean section (CS) and whether data about positive or negative effects of music were known to the participant.

RESULTS

In total, there were 293 respondents. The 47% that had the means to play music during CS stated that music was played in 15% of the cases. Most respondents have the means to play music during VB (97%). Music is played in 38% of VB. Regardless of the mode of delivery, music was estimated to be positive for team communication and patient communication. It was also deemed calming and mood lifting on the respondents. Regarding the patient, music during CS and VB was rated as being positive on all scales. Listening to music was recommended more often during VB (66%) than CS (38%).

CONCLUSIONS

Although healthcare professionals are mostly aware of the beneficial effects of music in obstetrics, our study shows that music plays a more important role during VB than during CS in Germanys obstetrical wards. There is a lack of equipment to play music in operation theatres where CS take place.

摘要

目的

有大量证据表明,音乐对患者和医疗保健专业人员在许多医疗适应症方面都有有益的影响。本研究旨在评估音乐在产科环境中的传播和使用。

方法

向德国所有产科部门的医生和助产士发送了在线调查邀请。该调查收集了描述性数据,以及关于个人与音乐的关系以及在阴道分娩(VB)和剖宫产(CS)期间使用音乐的信息,以及参与者是否了解音乐的积极或消极影响。

结果

共有 293 名受访者。在有条件在 CS 期间播放音乐的人中,有 47%表示在 15%的情况下播放了音乐。大多数受访者有条件在 VB 期间播放音乐(97%)。音乐在 38%的 VB 中播放。无论分娩方式如何,音乐都被认为对团队沟通和患者沟通有积极影响。受访者还认为音乐能起到镇静和提升情绪的作用。对于患者而言,CS 和 VB 期间的音乐在所有评分中都被评为积极。在 VB 期间(66%)比 CS 期间(38%)更推荐听音乐。

结论

尽管医疗保健专业人员大多意识到音乐在产科中的有益作用,但我们的研究表明,在德国的产科病房中,音乐在 VB 期间比 CS 期间发挥着更重要的作用。发生 CS 的手术室缺乏播放音乐的设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/c24a590b5a14/404_2020_5958_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/09fc2113469a/404_2020_5958_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/2bb17ed5e39d/404_2020_5958_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/fdc563b7527d/404_2020_5958_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/c24a590b5a14/404_2020_5958_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/09fc2113469a/404_2020_5958_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/2bb17ed5e39d/404_2020_5958_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/fdc563b7527d/404_2020_5958_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc81/8277630/c24a590b5a14/404_2020_5958_Fig4_HTML.jpg

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本文引用的文献

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Arch Gynecol Obstet. 2019 Nov;300(5):1239-1244. doi: 10.1007/s00404-019-05310-w. Epub 2019 Sep 23.
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Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress.
产科中的音乐:一种减轻紧张、疼痛和压力的干预选择。
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Listen while you work? The attitude of healthcare professionals to music in the operating theatre.工作时听音乐?医护人员对手术室音乐的态度。
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