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.
We aimed to investigate the effect of a mental health website intervention on perceived stress, depression, sleep quality, and social support in women with recurrent miscarriage (RM). Performing a ...randomized controlled trial, the participants in the experimental group (n = 31) received a 12-week mental health website intervention; the participants in the control group (n = 31) received RM standard medical care only. The paired t-tests results for the mean posttest scores for depression (p = .023) and perceived stress (p = .041) in the experimental group showed a significant decrease, but did not in the control group.
Celotno besedilo
Dostopno za:
DOBA, IJS, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
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
The study documented the process of designing and constructing a web-based introductory music therapy course delivered via Blackboard ® 5.5. The course adopted An Introduction to Music Therapy—Theory ...and Practice (2nd ed.) (Davis, Gfeller & Thaut, 1999) as the textbook. It consisted of 9 linear learning units, each contained a study guide/learning objectives and supplementary readings. Adopted educational technology media included e-mail, discussion board, virtual classroom, and multimedia files supplementing the discussion of clinical concerns. Students were to be evaluated by online quizzes, an in-class midterm, journals of virtual field trips, contributions on the discussion board, and a book review. Issues observed from the study were discussed according to their implications to the future development of MTDE.
