Universidade Federal do Rio Grande do Sul (UFRGS), Psychology Institute, Porto Alegre, Brazil.
S. Stefano Rehabilitation Institute, Porto Potenza Picena (MC), Italy.
Infant Ment Health J. 2021 Sep;42(5):672-689. doi: 10.1002/imhj.21938. Epub 2021 Aug 11.
In recent decades, music therapy in the Neonatal Intensive Care Unit (NICU) has been shown to regulate preterm infant's physiological responses and improve maternal mental health. This study investigated the effects of the music therapy intervention for the mother-preterm infant dyad (MUSIP) for maternal anxiety, postnatal depression, and stress, and preterm infants' weight gain, length of hospitalization, heart rate (HR), and oxygen saturation (So ). A pre-experimental design was used with 33 mother-preterm infant dyads in a Brazilian NICU: 16 dyads in the Music Therapy Group (MTG) and 17 dyads in the Control Group (CG). The MTG took part in the MUSIP, aimed at supporting maternal singing with the preterm baby. Infants' HR and So were recorded at each minute from 10 min before to 10 min after sessions 1, 3, and 6. Before infants' discharge, maternal anxiety and depression scores were lower in the MTG compared to the CG. Anxiety, depression, and stress levels decreased significantly after the intervention in the MTG. With regard to infants, HR and So ranges were higher during music therapy, compared to before and after sessions. MUSIP improved maternal mental health and affected preterm infants' emotional arousal, with positive trends in decreasing HR, stabilizing So , and reducing length of hospitalization.
近几十年来，新生儿重症监护病房（NICU）中的音乐治疗已被证明可以调节早产儿的生理反应并改善产妇的心理健康。本研究调查了母亲-早产儿对（MUSIP）音乐治疗干预对产妇焦虑、产后抑郁和压力以及早产儿体重增加、住院时间、心率（HR）和血氧饱和度（So ）的影响。采用巴西 NICU 中的 33 对母婴对的预实验设计：音乐治疗组（MTG）16 对，对照组（CG）17 对。MTG 参与了 MUSIP，旨在支持母亲与早产儿一起唱歌。在第 1、3 和 6 次治疗的前 10 分钟到后 10 分钟，每分钟记录婴儿的 HR 和 So 。与 CG 相比，MTG 中婴儿出院前的产妇焦虑和抑郁评分较低。干预后 MTG 中的焦虑、抑郁和压力水平显著下降。关于婴儿，与治疗前和治疗后相比，音乐治疗期间的 HR 和 So 范围更高。MUSIP 改善了产妇的心理健康，并影响了早产儿的情绪唤醒，HR 降低、So 稳定、住院时间缩短的趋势明显。
