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음악요법이 초산부의 경막하 무통 분만 중 분만통증, 분만경험, 자아존중감에 미치는 효과: 유사실험 연구

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study

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Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery.Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach’s α coefficients.Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=–1.36, p=.018). For self-esteem, the experimental group’s score was slightly higher, but without a statistically significant difference from the control group.Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.Clinical trail number: KCT008561

Abstract

Purpose This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach’s α coefficients. Results The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group’s score was slightly higher, but without a statistically significant difference from the control group. Conclusion Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.

참고문헌 (37)

  1. Corbijn van Willenswaard K, "Music interventions to reduce stress and anxiety in pregnancy : a systematic review and meta-analysis", BMC Psychiatry, 17(1), pp.271~ (2017)[DOI]
  2. Jiang J, "The mechanism of music for reducing psychological stress : music preference as a mediator", Arts Psychother, 48, pp.62~68 (2016)[DOI]
  3. Dehcheshmeh FS, "Complementary and alternative therapies to relieve labor pain : a comparative study between music therapy and Hoku point ice massage", Complement Ther Clin Pract, 21(4), pp.229~232 (2015)[DOI]
  4. Simavli S, "Effect of music therapy during vaginal delivery on postpartum pain relief and mental health", J Affect Disord, 156, pp.194~199 (2014)[DOI]
  5. Adams J, "Use of pharmacological and non-pharmacological labour pain management techniques and their relationship to maternal and infant birth outcomes : examination of a nationally representative sample of 1835 pregnant women", Midwifery, 31(4), pp.458~463 (2015)[DOI]
  6. Gokyildiz Surucu S, "The effect of music on pain and anxiety of women during labour on first time pregnancy : a study from Turkey", Complement Ther Clin Pract, 30, pp.96~102 (2018)[DOI]
  7. Ji ES, "The effects of Qi exercise on maternal", fetal interaction and maternal well-being during pregnancy, 2010, pp.39(3), 310~318
  8. 박혜진, "음악요법이 조기진통 임부의 조기진통 스트레스 및 자궁수축에 미치는 영향", 여성건강간호학회지, 23(2), pp.109~116 (2017), 한국여성건강간호학회
  9. 김연실, "모성건강관리프로그램이 임부의 우울, 모성역할자신감, 분만자신감에 미치는 효과", 동서간호학연구지, 23(2), pp.134~141 (2017), 동서간호학연구소
  10. Kim JS, "Non-pharmacological interventions to relieve labor pain : a literature review", Korean Parent Child Health J, 14(1), pp.28~35 (2011)
  11. 한수정, "경막외 마취제 투여 유무에 따른 분만 1기 산부의 분만 통증, 불안, 자궁경관 개대 정도 비교", 여성건강간호학회지, 18(2), pp.126~134 (2012), 한국여성건강간호학회[DOI]
  12. 김윤정, "초산모의 유도분만 경험", 질적연구, 18(2), pp.209~219 (2017), 질적연구학회[DOI]
  13. Liu YH, "Effects of music therapy on labour pain and anxiety in Taiwanese first-time mothers", J Clin Nurs, 19(7-8), pp.1065~1072 (2010)[DOI]
  14. 김은미, "입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로", Journal of Korean Academy of Nursing, 48(4), pp.485~496 (2018), 한국간호과학회
  15. 이은주, "임신 여성의 자아존중감과 배우자 지지가 산전 우울에 미치는 영향", 한국모자보건학회지, 24(4), pp.212~220 (2020), 한국모자보건학회[DOI]
  16. 김영란, "스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인", 여성건강간호학회지, 20(1), pp.38~47 (2014), 한국여성건강간호학회
  17. 이명은, "임신 중 우울에 영향을 미치는 심리사회적 요인", 정신간호학회지, 20(3), pp.252~260 (2011), 한국정신간호학회
  18. 황란희, "임부의 자아존중감, 신체상 및 태아애착행위에 미치는 영향요인", 디지털융복합연구, 16(9), pp.197~206 (2018), 한국디지털정책학회[DOI]
  19. 여정희, "라마즈 출산교육 참여자의 분만경험", 여성건강간호학회지, 16(3), pp.215~223 (2010), 한국여성건강간호학회
  20. 김금중, "듀라터치 분만 교육이 분만 자신감, 분만지식, 부부관계만족도에 미치는 효과", 한국산학기술학회논문지, 14(6), pp.2880~2888 (2013), 한국산학기술학회[DOI]
  21. 전순이, "배우자의 손마사지가 무통분만 초산부의 불안, 배우자지지 및 출산경험지각에 미치는 효과", 한국모자보건학회지, 19(2), pp.233~242 (2015), 한국모자보건학회[DOI]
  22. 권자영, "삼음교 지압이 분만통증 및 자궁수축양상에 미치는 영향", Obstetrics & Gynecology Science, 48(8), pp.1897~1904 (2005), 대한산부인과학회
  23. Hollins Martin CJ, "A narrative literature review of the therapeutic effects of music upon childbearing women and neonates", Complement Ther Clin Pract, 20(4), pp.262~267 (2014)[DOI]
  24. McCaffrey T, "The role and outcomes of music listening for women in childbirth : an integrative review", Midwifery, 83, pp.102627~ (2020)[DOI]
  25. Chang MY, "Effects of music therapy on psychological health of women during pregnancy", J Clin Nurs, 17(19), pp.2580~2587 (2008)[DOI]
  26. Des Jarlais DC, "Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions : the TREND statement", Am J Public Health, 94(3), pp.361~366 (2004)[DOI]
  27. Farrar JT, "Validity, reliability, and clinical importance of change in a 0-10 numeric rating scale measure of spasticity : a post hoc analysis of a randomized, double-blind, placebo-controlled trial", Clin Ther, 30(5), pp.974~985 (2008)[DOI]
  28. Marut JS, "Comparison of primiparas' perceptions of vaginal and cesarean births", Nurs Res, 28(5), pp.260~266 (1979)[DOI]
  29. Kim OK, "The effect of back massage on labor pain , labor duration and childbirth experience in women during labor", master, pp.2007
  30. Rosenberg M, "Society and the adolescent self-image", pp.305~ (1965), Princeton University Press
  31. Kwon HS, "The impact of prenatal yoga on women’s labor pain, labor self-confidence, anxiety, stress and self-esteem", master, pp.2014
  32. Arya R, "Maternal music exposure during pregnancy influences neonatal behaviour : an open-label randomized controlled trial", Int J Pediatr, 2012, pp.901812~ (2012)[DOI]
  33. Şolt Kırca A, "The effect of music and skin contact with the newborn on pain and anxiety during episiotomy repair in primiparous women : a double-blind randomized controlled study", Explore(NY), 18(2), pp.210~216 (2022)[DOI]
  34. Guo H, "Effect of music therapy combined with free position delivery on labor pain and birth outcomes", Appl Bionics Biomech, 2022, pp.8963656~ (2022)[DOI]
  35. 이선미, "음악요법이 산모의 산후우울과 모아애착에 미치는 효과", Journal of Korean Academy of Nursing, 40(1), pp.60~68 (2010), 한국간호과학회
  36. 문연경, "홀리스틱 유리드믹스 음악교육이 산모에게 미치는 영향", 홀리스틱융합교육연구, 16(1), pp.173~188 (2012), 한국홀리스틱융합교육학회[DOI]
  37. Choi YR, "The effects of musical activities on decreasing in anxiety an increasing in self-esteem in unmarried mothers", Korean J Music Ther, 4(2), pp.61~72 (2002)

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