接受式音乐治疗对产妇分娩焦虑与恐惧心理的影响

The impacts of receptive music therapy on the maternal anxiety and fear of childbirth

目的:探讨接受式音乐治疗对产妇分娩时焦虑与恐惧心理的影响。方法:将200例初产妇随机等分为试验组与对照组。对试验组产妇由1名经过音乐治疗培训的助产士陪护分娩,同时给予接受式音乐治疗;对照组产妇仅由1名助产士陪护分娩。分别在临产后1 h和第二产程30 min时进行2次状态焦虑量表(SAI)调查和恐惧评定量表(QRS)评分。结果:第二产程30 min与临产后1 h相比,S-AI调查结果显示:两组产妇的正性情绪评分降低,负性情绪评分升高,但试验组产妇改变程度均低于对照组(P<0.05)。试验组产妇的恐惧评分降低而对照组产妇的恐惧评分却升高(P<0.05)。结论:接受式音乐治疗能减轻分娩产妇焦虑和恐惧,有助于产妇顺利分娩。

Objective：To explore the impacts of receptive music therapy on the maternal anxiety and fear of childbirth. Methods：200 primiparas were randomly divided into experimental group and control group with 100 cases in each group. Experimental group was chaperoned by a midwife for delivery and given receptive music therapy. Control group was only chaperoned by a midwife for delivery. At the first hour in labor and 30 min of the second labor, both groups were administered with State -Anxiety Inventory （SAI） questionnaire and Quail Rating Scale （QRS） score. Resuhs：Thirty minutes of second labor comparing to the first hour in labor,the results of S -AI showed that the experimental group were significantly lowe than control group in the decrease of the positive mood scores and the increase of negative mood （ P 〈 0.05 ）, and the QRS scores of experimental group decreased while that of control group increased and the two groups had different trends （ P 〈 0. 05 ）. Conclusion ： Receptive music therapy could reduce the maternal anxiety and fear of childbirth and contribute to the successful delivery of lying - in woman.