Yuan Chaojun, Huang Chong, Chen Jia, Zou Panhong, Wang Li, Shen Fei
Department of Gynaecology and Obstetrics, the People's Hospital of Nanchang City, Nanchang 330009, Jiangxi, China.
Department of Gynecology and Obstetrics, First People's Hospital of Jingdezhen, Jingdezhen 333000, Jiangxi, China.
Noise Health. 2025;27(127):413-421. doi: 10.4103/nah.nah_38_25. Epub 2025 Sep 11.
This study analyzed the influence of music therapy combined with psychotherapy on the labor process and delivery outcomes in primiparous women.
A retrospective analysis was conducted on the clinical data of 120 primiparous women who delivered at the People's Hospital of Nanchang City and the First People's Hospital of Jingdezhen between June 2021 and April 2024. Participants were divided into three groups: the combined group (receiving both music therapy and psychotherapy), the psychotherapy group, and the conventional care group. The study compared perinatal outcomes, psychological status [assessed using the Positive and Negative Affect Scale (PANAS)], childbirth self-efficacy [measured by the Childbirth Self-Efficacy Inventory (CBSEI-C32)], and fear of childbirth [evaluated using the Childbirth Attitudes Questionnaire (CAQ)] among the three groups.
The durations of the first and second stages of labor were significantly shorter in the combined group than in the psychotherapy and conventional care groups (P < 0.05). At 24 hours postpartum, the combined group exhibited higher positive affect scores and lower negative affect scores on the PANAS compared to the other two groups (P < 0.05). At 24 hours postpartum, the combined group showed higher positive emotional scores and lower negative emotional score on the PANAS (P < 0.05) compared to the other groups. Additionally, the combined group demonstrated significantly higher outcome expectancy and self-efficacy scores on the CBSEI-C32, and lower CAQ scores, indicating reduced fear of childbirth (P < 0.05). Additionally, the combined group reported lower pain levels, as measured by the Visual Analog Scale at 3 cm cervical dilation and at full cervical dilation (P < 0.05). Neonates in the combined group had higher Apgar scores at 5 minutes post-delivery, and their mothers experienced reduced postpartum hemorrhage (P < 0.05).
The integration of music therapy with psychotherapy during labor is effective in alleviating labor pain, enhancing psychological well-being, reducing fear and psychological stress associated with childbirth, improving delivery outcomes, and minimizing adverse maternal and neonatal events.
本研究分析了音乐疗法联合心理疗法对初产妇分娩过程及分娩结局的影响。
对2021年6月至2024年4月期间在南昌市人民医院和景德镇市第一人民医院分娩的120例初产妇的临床资料进行回顾性分析。参与者分为三组：联合组（接受音乐疗法和心理疗法）、心理疗法组和常规护理组。研究比较了三组的围产期结局、心理状态[使用正负情绪量表（PANAS）进行评估]、分娩自我效能感[通过分娩自我效能量表（CBSEI-C32）进行测量]和分娩恐惧[使用分娩态度问卷（CAQ）进行评估]。
联合组第一产程和第二产程的时长显著短于心理疗法组和常规护理组（P<0.05）。产后24小时，联合组在PANAS上的积极情绪得分高于其他两组，消极情绪得分低于其他两组（P<0.05）。产后24小时，联合组在PANAS上的积极情绪得分高于其他组，消极情绪得分低于其他组（P<0.05）。此外，联合组在CBSEI-C32上的结果期望和自我效能感得分显著更高，CAQ得分更低，表明分娩恐惧降低（P<0.05）。此外，联合组在宫颈扩张3cm和宫颈完全扩张时，视觉模拟量表测量的疼痛程度更低（P<0.05）。联合组新生儿出生后5分钟的阿氏评分更高，其母亲产后出血减少（P<0.05）。
分娩期间将音乐疗法与心理疗法相结合可有效减轻分娩疼痛，增进心理健康，减少与分娩相关的恐惧和心理压力，改善分娩结局，并将母婴不良事件降至最低。
