音乐治疗对围产期护理中父母压力感知的影响:一项探索性研究

Pub Date : 2021-11-17 DOI:10.1093/mtp/miab016
Jenna Bollard-Marcovitz, R. Tachdjian, Esteban Roa, Luisa Flores, Scott Brown, Amira Gill, Chelsea Brown, Eiress Wicks, H. Danelyan, Mint Tan, Grace Pak, Bethany Pincus, Julia Petrey-Juarez
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引用次数: 2

摘要

围产期的经历包含许多可以影响父母心理健康的压力源。我们研究了音乐疗法(MT)的整合,一种基于证据的健康专业,以及它在父母住院产科和新生儿重症监护病房(NICU)期间的减压作用。采用感知压力量表(PSS)和压力数值评定量表(SNRS-11)对34名产妇和新生儿重症监护病房父母(17名产妇和17名新生儿重症监护病房父母)的压力减轻程度进行测量。参与者包括产前病房的父母(卧床的待产父母)、分娩父母、剖宫产前的术前父母、产后病房足月健康婴儿的父母以及新生儿重症监护病房早产儿的父母。结果是根据会话数而不是参与者总数来计算的,并表明在一次MT会话后,NICU和产前父母的SNRS-11降低了50%。PSS评分显示新生儿重症监护室父母的压力减轻程度较为温和,但在产妇组没有达到统计学上显著的降低。研究结果与mt相关的压力降低水平的现有文献一致,可以作为妊娠、分娩和新生儿重症监护病房住院期间持续护理的一部分。在围产期住院期间,早期的压力筛查可能对父母有益。进一步的研究探索MT的好处,作为住院围产儿父母群体连续护理和压力管理的一部分,可能会鼓励MT服务的纳入并提高护理质量。
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The Effect of Music Therapy on Perceived Parental Stress in Perinatal Care: An Exploratory Study
The perinatal experience contains many stressors that can impact parental mental health. We examined the integration of music therapy (MT), an evidence-based health profession, and its stress reduction role in parents during their inpatient maternity and neonatal intensive care unit (NICU) experience. The Perceived Stress Scale (PSS) and Stress Numeric Rating Scale (SNRS-11) were used to measure stress reduction in 34 maternity and NICU parents (17 maternity patients and 17 NICU parents). Participants included parents on the antepartum unit (expecting parents on bedrest), laboring parents, pre-operation parents before cesarean delivery, parents of full-term healthy infants on the postpartum unit, and parents of premature infants on the NICU. Results were calculated based upon number of sessions rather than total number of participants and indicated that after one MT session, a 50% reduction in the SNRS-11 was measured in NICU and antepartum parents. The PSS score demonstrated a more modest stress reduction in the NICU parents but failed to achieve a statistically significant decrease in the maternity group. Findings were in line with existing literature in MT-associated stress reduction levels and may be integrated as part of an ongoing continuity of care during pregnancy, delivery, and NICU hospitalization. Earlier screening for stress may benefit parents during their perinatal hospital stay. Further research exploring the benefits of MT, as part of continuum of care and stress management for the inpatient perinatal parent population, may encourage the inclusion of MT services and improve quality of care.
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