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

안성연; 박은지; 문유리; 이보영; 이은별; 김동연; 정성희; 김진경

doi:10.4069/kjwhn.2023.06.21

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 원문보기

KJWHN : Korean journal of women health nursing, v.29 no.2, 2023년, pp.137 - 145

안성연 (가톨릭대학교 서울성모병원 분만실) , 박은지 (가톨릭대학교 서울성모병원 분만실) , 문유리 (가톨릭대학교 서울성모병원 분만실) , 이보영 (가톨릭대학교 서울성모병원 분만실) , 이은별 (가톨릭대학교 서울성모병원 분만실) , 김동연 (가톨릭대학교 서울성모병원 간호혁신 unit) , 정성희 (가톨릭대학교 서울성모병원 분만실) , 김진경 (가톨릭대학교 서울성모병원 산과병동)

Abstract ▼ AI-Helper

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.

주제어

표/그림 (5)

그림 Figure 1. The study design.
그림 Figure 2. CONSORT flow diagram modified for a non-randomized trial design.
표 Table 1. General characteristics according to whether primiparous women received prenatal music therapy during labor (N=136)
표 Table 2. Effects of prenatal music care on labor pain and childbirth experience (N=136)
표 Table 3. Effect of prenatal music care on self-esteem during primiparous women's labor (N=136)

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