家庭综合音乐疗法在早产儿护理中的应用

Application of family music therapy in nursing care of premature infants

目的探讨家庭综合音乐疗法在早产儿护理中的应用效果。方法将入住新生儿重症监护病房的817例早产儿按入院时间分为对照组256例,音乐疗法组272例,家庭综合音乐疗法组289例。对照组接受常规护理;音乐疗法组接受常规音乐疗法;家庭综合音乐疗法组由早产儿父母及其家庭成员录制个性化音频,对早产儿进行播放。入院时及出院时评价三组早产儿神经行为能力、早产儿父母焦虑、抑郁状况及其关怀满意度。结果出院时与其他两组相比,家庭综合音乐疗法组早产儿神经行为能力评分显著升高,早产儿父母焦虑、抑郁评分显著降低,关怀满意度显著提升(P<0.05,P<0.01)。结论家庭综合音乐疗法可促进早产儿神经行为发育,缓解早产儿父母的焦虑、抑郁情绪,提升其关怀满意度。

Objective To explore the effect of applying family music therapy in nursing care of premature infants.Methods Totally,817 premature infants who were admitted to the neonatal intensive care unit and their parents were divided into a control group of 256 cases,an music therapy(MT)group of 272 cases,and a family music therapy(FMT)group of 289 cases chronologically.The control group received conventional NICU care,the MT group received routine music therapy,while the FMT group received family comprehensive music therapy in the way that the parents or other family members prepared and recorded audio pieces which were later played to the infants.On admission and discharge,neonatal behavioral neurological outcomes parents'anxiety and depression levels and parents'satisfaction with the humanistic care of the three groups were measured and compared.Results On discharge,neonatal behavioral neurological scores of preterm infants in the FMT group were significantly higher than those in the other 2 groups(P<0.05,P<0.01).The anxiety and depression scores,and scores of satisfaction with humanistic care among parents in the FMT group were significantly lower than those in the other 2 groups(P<0.05,P<0.01).Conclusion Family comprehensive music therapy promotes neurobehavioral development in preterm infants,relieves anxiety and depression level in parents,and improves parent satisfaction with humanistic care.