Aims
To determine the effect of music on the management of pain and anxiety in primiparous women during labour.
Background
Music is cost‐effective intervention in clinical practice to reduce pain, ...stress, and anxiety. However, a systematic review with meta‐analysis for investigating its effects during labour is still lacking.
Design
A systematic review with meta‐analysis.
Data sources
MEDLINE, EMBASE, and CINAHL databases.
Review methods
Randomized controlled trials or quasi‐experimental trials concerning the effects of music among primiparous women who were expected to give normal spontaneous delivery were searched and screened up to 31 July 2017. The recruited trials for this review were compliant with the standards of the Cochrane Handbook for Systematic Reviews of Interventions.
Results
A total of 392 primiparous pregnant women (197 in the music intervention group and 195 in the routine care group) from five studies were included in this review. Music as an intervention seemed to lower the pain scores for primiparous women during labour, but the effect was not statistically significant. However, there was a significant benefit of music intervention compared with routine care for primiparous women during labour. In the sensitivity analysis, music intervention showed significant effect on the improvement of pain and anxiety for primiparous women during labour.
Conclusion
Music intervention may be an effective intervention for the management of pain and anxiety for primiparous women during labour.
目的
确定音乐对初产妇分娩疼痛与焦虑管理方面的效果。
背景
在减少痛苦、压力和焦虑的临床实践方面,音乐是一种划算的干预。然而,关于研究其在分娩过程中所产生影响的荟萃分析,还缺乏系统性评价。
设计
带有荟萃分析的系统性评价。
数据来源
MEDLINE、EMBASE和CINAHL数据库。
综述方法
关于音乐效果的随机对照试验或准量实验性试验,截至2017年7月31日,从期望正常自然分娩的初产妇中搜寻和筛选。针对此评价所募集的试验符合《干预措施系统性评价科克伦手册》的标准。
结果
此项评价中包括来自五项研究的总共392名初产妇(197名在音乐干预组,195名在日常护理组)。作为一项干预措施,音乐似乎降低了初产妇在分娩过程中的疼痛指数,但是,从统计学角度来看,效果却并不显著。然而,与初产妇分娩期间的常规护理相比,音乐干预有显著的益处。在敏感性分析中,音乐干预在初产妇分娩期间改善痛苦和焦虑度方面显出了显著效果。
结论
音乐干预可能是初产妇分娩期间痛苦和焦虑管理的有效干预措施
Aim
The purpose of this study was to evaluate the effects of chamomile tea on sleep quality, fatigue and depression in postpartum women.
Background
Sleep quality is a significant issue for postnatal ...women. Chamomile is widely used as a folk remedy for its presumed sedative‐hypnotic effects.
Design
A pretest–post‐test randomized controlled trial was used.
Methods
A total of 80 Taiwanese postnatal women with poor sleep quality (Postpartum Sleep Quality Scale; PSQS score ≧16) were recruited from November 2012‐August 2013. They were systematically assigned, with a random start, to either the experimental group (n = 40) or the control group (n = 40). The participants in the experimental group were instructed to drink chamomile tea for a period of 2 weeks. The participants in the control group received regular postpartum care only. The PSQS, Edinburgh Postnatal Depression Scale, and Postpartum Fatigue Scale were used to assess outcomes. Two‐sample t‐tests were used to examine the mean differences in outcome variables between the two groups.
Results
Compared with the control group, the experimental group demonstrated significantly lower scores of physical‐symptoms‐related sleep inefficiency (t = −2·482, P = 0·015) and the symptoms of depression (t = −2·372, P = 0·020). However, the scores for all three instruments were similar for both groups at 4‐week post‐test, suggesting that the positive effects of chamomile tea were limited to the immediate term.
Conclusion
Chamomile tea may be recommended to postpartum women as a supplementary approach to alleviating depression and sleep quality problems.
Abstract: The association between rotating shift work and increased occupational stress in nurses: Pei-Chen LIN, et al. Department of Public Health, College of Health Sciences, Kaohsiung Medical ...University, Taiwan - Purpose: The aim of this study was to investigate whether rotating shift work increases occupational stress in nurses. Methods: This study measured shift work scheduling and occupational stress by using the Effort-Reward Imbalance model with self-reported questionnaires in a sample of 654 female nurses. Results: Overcommitment risk was higher in nurses who worked rotating shifts than in those who worked day/non-night shifts (OR, 2.16; 95% CI, 1.03-4.66). However, an effort/reward imbalance was not directly associated with work schedules (OR, 1.88; 95% CI, 0.87-4.35). Among nurses working rotation rotating shifts, those who had 2 days off after their most recent night shifts showed an alleviated risk of overcommitment (OR, 0.52; 95% CI, 0.32-0.82), but those who had worked for at least one series of 7 consecutive work days per month had an increased risk of effort/reward imbalance (OR, 2.75; 95% CI, 1.69-4.48). Additionally, those who had little or no participation in planning working hours and shift scheduling and worked overtime at least three times per week during the preceding 2 months tended to have high stress. Conclusions: The nurses who worked rotating shifts tended to experience work-related stress, but their stress levels improved if they had at least 2 days off after their most recent night shift and if they were not scheduled to work 7 consecutive days. These empirical data can be used to optimize work schedules for nurses to alleviate work stress.
•Pregnant women performing aerobic exercises for 4 weeks can benefit sleep quality and maternal-fetal attachment; the positive effects on sleep quality extend to 12 weeks practice.•Subjective ...comments of pregnant women on the effects of the aerobic exercise indicate body and mental relaxation.•Clinical healthcare professionals can incorporate low-impact aerobic exercise into prenatal health promotion scheme.
This study was designed to evaluate the effect in pregnant women of a non-supervised aerobic exercise intervention on sleep quality and maternal-fetal attachment.
Pretest-posttest randomized controlled trial.
Prenatal clinic of a medical center in southern Taiwan.
One hundred and forty eligible, pregnant women were assigned systematically, at a random starting point, to either the experimental group (n = 70) or the control group (n = 70).
Participants in the experimental group received a 20-minute, low-impact aerobic exercise video on DVD and were instructed to exercise at home at least three times per week for a period of three months. Participants in the control group received routine prenatal care only.
The Pittsburgh Sleep Quality Index and Modified Maternal-Fetal Attachment Scale were used to assess outcome measures before the intervention and at four and 12-weeks post-intervention.
The paired-sample t-tests revealed a significant improvement in sleep quality in the experimental group at 4-weeks posttest, which persisted through 12-weeks posttest. In addition, the experimental group reported a significantly higher mean score for maternal-fetal attachment at 4-weeks posttest than the control group.
The results of this study indicate that performing aerobic exercise ameliorates the decline in sleep quality and improves maternal-fetal attachment in women who are pregnant. These findings may be used to encourage pregnant women to regularly perform low-impact aerobic exercise.
ABSTRACT
Background
Lavender inhalation aromatherapy is widely believed to impart a hypnotic effect, act as a mood stabilizer, and enhance the positive feelings of mothers toward their infants. ...However, research into these and other potential therapeutic effects of lavender tea has been limited.
Aims
This study was conducted in Taiwan to evaluate the effectiveness of lavender tea in relieving sleep quality, fatigue, and depression; and in improving maternal‐infant attachment during the early postpartum period.
Methods
A total of 80 Taiwanese postnatal women with poor sleep quality (Postpartum Sleep Quality Scale; PSQS score ≥16) and with no history of allergy to herbal teas, foods, or medicines were assigned systematically to either the experimental group (n = 40) or the control group (n = 40). The participants in the experimental group were instructed to drink one cup of lavender tea after spending time to appreciate and smell the aroma each day for a period of 2 weeks, whereas their control group peers received regular postpartum care only. The PSQS, Edinburgh Postnatal Depression Scale, Postpartum Fatigue Scale, and Postpartum Bonding Questionnaire were used to assess outcomes.
Results
ANCOVA analyses using education level and pretest scores as covariates showed that experimental group participants perceived less fatigue (F = 6.281, p = .014) and depression (F = 4.731, p = .033) and showed greater bonding with their infant (F = 4.022, p = .049) compared with the control group. However, the scores for all four instruments were similar for both groups at the 4‐week posttest, suggesting that the positive effects of lavender tea were limited to the immediate term.
Linking Evidence to Action
Healthcare researchers assume accountability for integrating research results into clinical practice. The findings in this study can gain greater attention among healthcare practitioners and encourage the correct and positive use of herbal therapy in postpartum health care.
Aim
Good sleep quality is essential to physical and mental‐health‐related quality of life. The purpose of this study was to evaluate the effects of a walking exercise in relieving sleep quality, ...fatigue, and depression in new mothers during the postpartum period.
Methods
This quasi‐experimental study was conducted at a teaching hospital in southern Taiwan. One hundred and four eligible postpartum women with poor sleep quality (Postpartum Sleep Quality Scale; PSQS score ≧16) were assigned to either the experimental group (n = 50) or the control group (n = 54) according to their individual preferences. The participants in the experimental group participated in a 12‐week stride walking exercise intervention. The control group did not receive any exercise intervention. The PSQS, Postpartum Fatigue Scale, and Edinburgh Postnatal Depression Scale were used to assess outcomes.
Results
Repeated measures ANOVA demonstrated that the experimental group participants perceived milder physical symptoms associated with sleep inefficiency at 4‐week posttest (F = 7.25, p < 0.01) than their control group peers. However, no significant differences were found between two groups in terms of either fatigue or depression at 4‐week and 12‐week posttest.
Conclusion
Significant improvement in the physical symptoms associated with sleep inefficiency was observed. The findings may be used to encourage postpartum women with disordered sleep to incorporate 20–30 min of stride walking into their regular routine to improve sleep quality.
Aim
Recurrent miscarriage is considered a major life event. The main purposes of this study were to compare the differences in stress, anxiety, social support, sleep quality and depressive symptoms ...in couples experiencing recurrent miscarriage compared to peers who experience full‐term normal childbirth in southern Taiwan.
Methods
Convenience sampling and snowball sampling were used respectively to recruit 78 couples with and 80 couples without recurrent miscarriage from October 2014 to July 2015. Five structured questionnaires including Perceived Stress Scale, State‐ Anxiety Inventory, Interpersonal Support Evaluation List, Pittsburgh Sleep Quality Index and Edinburgh Depression Scale were administered.
Results
Women who experienced recurrent miscarriage perceived significantly higher levels of stress, anxiety and depressive symptoms than their husbands. Women in the recurrent miscarriage group reported significantly greater depressive symptoms than women of the other group. A stepwise multiple regression analysis indicated key predictors of depressive symptoms among women of childbearing age, accounting for 62.9% of the variance, were anxiety, stress, social support and history of recurrent miscarriage.
Conclusion
Women with recurrent miscarriage suffer mild to moderate depressive symptoms and a greater incidence of depression than their peers who experienced normal childbirth. Health professionals can use the knowledge gained from these findings to evaluate women with recurrent miscarriage for stress, anxiety and depressive symptoms and develop supportive interventions.
SUMMARY STATEMENT
What is already known about this topic?
Recurrent miscarriage is considered a major life event and, for some, a failure to fulfil a core responsibility for the family lineage.
Research about the differences between genders in both the type and degree of emotional response to a miscarriage is limited.
What this paper adds?
Women with recurrent miscarriage suffer mild to moderate depressive symptoms and a greater incidence of depression than women without recurrent miscarriage.
The key predictors of depressive symptoms among women of childbearing age were anxiety, stress, social support and history of recurrent miscarriage, accounting for 62.9% of the variance.
The implications of this paper:
This study highlights the need to increase healthcare professionals' awareness of the importance of evaluating stress, anxiety and depressive symptoms in women with recurrent miscarriage.
It is recommended that future studies develop and test supportive care protocols for couples experiencing recurrent miscarriage.
Gymnastics is a preferable safe exercise for postnatal women performing regularly.
The aim of this pilot randomized controlled trial was to determine whether the aerobic gymnastic exercise improves ...stress, fatigue, sleep quality and depression in postpartum women.
Single-blinded, randomized controlled trial held from December 2014 until September 2015. Setting: Postnatal clinic of a medical center in southern Taiwan.
140 eligible postnatal women were systematically assigned, with a random start to experimental (n=70) or a control (n=70) group.
Engage in aerobic gymnastic exercise at least three times (15min per section) a week for three months using compact disc in the home.
Perceived Stress Scale, Postpartum Fatigue Scale, Postpartum Sleep Quality Scale, and Edinburgh Postnatal Depression Scale.
In a two-way ANOVA with repeated measures, the aerobic gymnastic exercise group showed significant decrease in fatigue after practicing exercise 4 weeks and the positive effects extended to the 12-week posttests. Paired t-tests revealed that aerobic gymnastic exercise participants had improved significantly in perceived stress and fatigue after 4 weeks gymnastic exercise; these positive effects extended to the 12-week posttests. In addition, the changes in physical symptoms-related sleep inefficiency after 12 weeks gymnastic exercise were significantly decreased in the experimental group compared with the control group.
The findings can be used to encourage postnatal women to perform moderate-intensity gymnastic exercise in their daily life to reduce their stress, fatigue and improve sleep quality.
Prenatal sleep disturbance has been associated with undesirable birthing outcomes. To determine the effectiveness of listening to music at home in improving sleep quality, 121 Taiwanese pregnant ...women with poor sleep quality (Pittsburgh Sleep Quality Index PSQI score > 5) were systematically assigned, with a random start to music listening (n = 61) or control (n = 60) group. Participants in the music listening group self-regulated listening to music in addition to receiving general prenatal care similar to that in the control group for 2 weeks. The PSQI and State-Anxiety Inventory were used to assess outcomes. ANCOVA analyses were used with the pretest scores as covariates and showed significant improvement in sleep quality, stress, and anxiety in the music listening group compared with the control group. The most frequently used music genre by participants in the experimental group was lullabies, followed by classical music and crystal baby music. This study supported the theory that 2-week music listening interventions may reduce stress, anxiety, and yield better sleep quality for sleep-disturbed pregnant women. The analysis of participants' journals also implied that the expectant mothers' choices of musical genres may correlate more with perceived prenatal benefits or the desire to interact with their unborn child.
PDF
