李红玉 陈朝霞

【摘要】 目的：觀察音乐疗法与心理激励措施应用于初产妇的临床效果。方法：选取2016年10月-2017年9月笔者所在医院的135例初产妇为研究对象，将其随机分为A组（音乐疗法组）、B组（心理激励措施组）及C组（音乐疗法与心理激励措施组），每组45例。统计比较三组的满意度、干预前后的应激激素及情绪状态评分。结果：C组的满意率高于A组及B组，差异均有统计学意义（字2=6.429，5.294，P<0.05）；干预前三组去甲肾上腺素（norepinephrine，NE）、醛固酮（aldosterone，ALD）、皮质醇（cortisol，Cor）等应激激素及焦虑、抑郁等情绪状态评分比较，差异均无统计学意义（F=0.397、0.612、0.502、0.068、0.208，P>0.05），干预后C组的应激激素及情绪状态评分均显著优于A组及B组，差异均有统计学意义（F=10.263、9.763、13.524、9.972、8.953，P<0.05）。结论：音乐疗法与心理激励措施可有效改善初产妇的不良应激及情绪状态，也更受产妇认可，因此适用于初产妇。

【关键词】 音乐疗法； 心理激励措施； 初产妇； 临床效果

doi：10.14033/j.cnki.cfmr.2018.17.089 文献标识码 B 文章编号 1674-6805（2018）17-0-03

Observation on the Clinical Effect of Music Therapy and Psychological Incentive Measures in the Application of Primiparas/LI Hongyu，CHEN Zhaoxia.//Chinese and Foreign Medical Research，2018，16（17）：-186

【Abstract】 Objective：To observe the clinical effect of music therapy and psychological incentive measures in the application of primiparas.Method：A total of 135 primiparas in our hospital from October 2016 to September 2017 were selected as the study object，and they were randomly divided into group A（music therapy group），group B（psychological incentive measures group） and group C（music therapy and psychological incentive measures group），45 cases in each group.Then the satisfaction degree，stress hormones and emotional state scores before and after the intervention of three groups were analyzed and compared.Result：The satisfaction degree of group C were higher than those of group A and group B，the differences were statistically significant（字2=6.429，5.294，P<0.05）；the stress hormones such as norepinephrine（NE），aldosterone（ALD），cortisol（Cor） and emotional state scores such as anxiety，depressed of the three groups before the intervention were compared，and there were no significant differences（F=0.397，0.612，0.502，0.068，0.208，P>0.05），the stress hormones and emotional state scores of group C were all significantly better than those of group A and group B，the differences were statistically significant（F=10.263，9.763，13.524，9.972，8.953，P<0.05）.Conclusion：The music therapy and psychological incentive measures can effectively improve the bad stress and emotional state.It is also more accepted by the parturient，so it is more suitable to the primiparas.

【Key words】 Music therapy； Psychological incentive measures； Primiparas； Clinical effect

First-authors address：Nanchong Maternal and Child Health Care of Family Planning Service Center，Nanchong 637000，China

初产妇不同于经产妇，其对围生期知识认知度相对较低，且对于各方面缺乏相关经验，因此在围生期面临的问题较多[1-2]。同时由于分娩过程中的疼痛及其他因素，对初产妇情绪状态的干預需求较高，因此对初产妇进行干预的过程中，对上述指标的改善是重点内容[3]。本文中笔者对音乐疗法与心理激励措施应用于初产妇的临床效果进行观察，现总结如下。

1 资料与方法

1.1 一般资料

选取2016年10月-2017年9月笔者所在医院的135例初产妇为研究对象，纳入标准：三组产妇均为单胎顺产产妇，年龄>20岁且<40岁；孕周≥37周；对研究知情并签署同意书。排除标准：经产妇；精神与认知状态异常者；文盲及小学文化者；合并妊娠期疾病者；合并其他慢性基础疾病者；子宫手术史者。本研究经医院伦理学委员会批准通过。将其随机分为A组（音乐疗法组）45例、B组（心理激励措施组）45例及C组（音乐疗法与心理激励措施组）45例，A组初产妇年龄20～36岁，平均（26.9±4.5）岁；……