音乐疗法与心理激励措施应用于初产妇的临床效果观察

Observation on the Clinical Effect of Music Therapy and Psychological Incentive Measures in the Application of Primiparas

目的:观察音乐疗法与心理激励措施应用于初产妇的临床效果。方法:选取2016年10月-2017年9月笔者所在医院的135例初产妇为研究对象,将其随机分为A组(音乐疗法组)、B组(心理激励措施组)及C组(音乐疗法与心理激励措施组),每组45例。统计比较三组的满意度、干预前后的应激激素及情绪状态评分。结果:C组的满意率高于A组及B组,差异均有统计学意义(χ~2=6.429,5.294,P<0.05);干预前三组去甲肾上腺素(norepinephrine,NE)、醛固酮(aldosterone,ALD)、皮质醇(cortisol,Cor)等应激激素及焦虑、抑郁等情绪状态评分比较,差异均无统计学意义(F=0.397、0.612、0.502、0.068、0.208,P>0.05),干预后C组的应激激素及情绪状态评分均显著优于A组及B组,差异均有统计学意义(F=10.263、9.763、13.524、9.972、8.953,P<0.05)。结论:音乐疗法与心理激励措施可有效改善初产妇的不良应激及情绪状态,也更受产妇认可,因此适用于初产妇。

Objective： To observe the clinical effect of music therapy and psychological incentive measures in the application of primiparas.Method： A total of 135 primiparas in our hospital from October 2016 to September 2017 were selected as the study object, and they were randomly divided into group A（music therapy group）, group B（psychological incentive measures group） and group C（music therapy and psychological incentive measures group）, 45 cases in each group.Then the satisfaction degree, stress hormones and emotional state scores before and after the intervention of three groups were analyzed and compared. Result： The satisfaction degree of group C were higher than those of group A and group B, the differences were statistically significant（χ^2=6.429, 5.294, P〈0.05）; the stress hormones such as norepinephrine（NE）, aldosterone（ALD）, cortisol（Cor） and emotional state scores such as anxiety, depressed of the three groups before the intervention were compared, and there were no significant differences（F=0.397, 0.612, 0.502, 0.068, 0.208, P〉0.05）, the stress hormones and elnotional state scores of group C were all significantly better than those of group A and group B, the differences were statistically significant（F=10.263, 9.763, 13.524, 9.972, 8.953, P〈0.05）.Conclusion： The music therapy and psychological incentive measures can effectively improve the bad stress and emotional state. It is also more accepted by the parturient, so it is more suitable to the primiparas.