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非言语音乐对早产新生儿母亲创伤后应激障碍的影响。

The Effect of Non-verbal Music on Posttraumatic Stress Disorder in Mothers of Premature Neonates.

作者信息

Pourmovahed Zahra, Yassini Ardekani Seyed Mojtaba, Roozbeh Behzad, Ezabad Akram Raie

机构信息

Department of Nursing Education, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of Psychology, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):150-153. doi: 10.4103/ijnmr.IJNMR_37_20. eCollection 2021 Mar-Apr.

Abstract

BACKGROUND

Hospitalization of a premature neonate in the Neonatal Intensive Care Unit (NICU) is stressful for mothers. They show symptoms of Post-Traumatic Stress Disorder (PTSD). It is important to use the proper strategy to manage PTSD. This study was designed to investigate the effect of non-verbal music on the PTSD in mothers of premature neonates hospitalized in NICU.

MATERIALS AND METHODS

In this clinical trial study, the convenience sampling method was applied and 45 mothers of premature neonates were selected and categorized randomly into the intervention (N = 23) and control (N = 22) groups in 2018. The babies were hospitalized in one of the NICUs in Yazd (Iran). The intervention group were supposed to listen to the non-verbal music for 20 minutes daily for two weeks using MP3 player and headphones. All participants completed the Perinatal PTSD Questionnaire (PPQ). The data were analyzed by SPSS 21 using paired t-test, independent -test, and Chi-square test.

RESULTS

The PTSD mean (SD) scores before and after the intervention was 9.39 (1.67) and 4.39 (1.49), respectively, in experimental group. It was 8.54 (1.59) and 5.31 (1.71) in control group. The severity of PTSD decreased in the intervention ( = 0.003) and control ( < 0.001) groups after the intervention. The difference between the two groups was significant (F = 1058, < 0.03), which confirmed the significant effect of the non-verbal music on decreasing the PTSD severity (0.92).

CONCLUSIONS

Non-verbal music can be used as an effective and low-cost intervention for managing PTSD in mothers of premature neonates hospitalized in the NICU.

摘要

背景

早产新生儿入住新生儿重症监护病房(NICU)对母亲来说压力很大。她们会出现创伤后应激障碍(PTSD)的症状。采用适当的策略来管理创伤后应激障碍很重要。本研究旨在调查非语言音乐对入住NICU的早产新生儿母亲创伤后应激障碍的影响。

材料与方法

在这项临床试验研究中,采用便利抽样法,于2018年选取了45名早产新生儿的母亲,并将她们随机分为干预组(N = 23)和对照组(N = 22)。这些婴儿在亚兹德(伊朗)的一家NICU住院。干预组应使用MP3播放器和耳机每天听20分钟的非语言音乐,持续两周。所有参与者都完成了围产期创伤后应激障碍问卷(PPQ)。数据采用SPSS 21进行分析,使用配对t检验、独立样本t检验和卡方检验。

结果

实验组干预前后创伤后应激障碍的平均(标准差)得分分别为9.39(1.67)和4.39(1.49)。对照组分别为8.54(1.59)和5.31(1.71)。干预后,干预组(P = 0.003)和对照组(P < 0.001)的创伤后应激障碍严重程度均有所降低。两组之间的差异具有统计学意义(F = 10.58,P < 0.03),这证实了非语言音乐在降低创伤后应激障碍严重程度方面的显著效果(效应量为0.92)。

结论

非语言音乐可作为一种有效且低成本的干预措施,用于管理入住NICU的早产新生儿母亲的创伤后应激障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1117/8132857/586a339931c1/IJNMR-26-150-g001.jpg

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