대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

음악중재가 비수축검사 임부의 불안과 태아심음 양상에 미치는 효과

Effect of Music Intervention on Maternal Anxiety and Fetal Heart Rate Pattern During Non-Stress Test

  • 오명옥 (고려대학교의료원 안암병원 간호부) ;
  • 김영점 (고려대학교의료원 안암병원 간호부) ;
  • 백초희 (고려대학교의료원 안암병원 간호부) ;
  • 김주희 (고려대학교의료원 안암병원 간호부) ;
  • 박노미 (고려대학교의료원 안암병원 간호부) ;
  • 유미정 (고려대학교의료원 안암병원 간호부) ;
  • 송한솔 (고려대학교의료원 안암병원 간호부)
  • Oh, Myung Ok (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Kim, Young Jeoum (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Baek, Cho Hee (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Kim, Ju Hee (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Park, No Mi (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Yu, Mi Jeong (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Song, Han Sol (Department of Nursing, Korea University Medical Center Anam Hospital)
  • 투고 : 2015.07.16
  • 심사 : 2015.12.10
  • 발행 : 2016.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this cross-over experimental study was to examine effects of music intervention on maternal anxiety, fetal heart rate pattern and testing time during non-stress tests (NST) for antenatal fetal assessment. Methods: Sixty pregnant women within 28 to 40 gestational weeks were randomly assigned to either the experimental group (n=30) or control group (n=30). Music intervention was provided to pregnant women in the experimental group during NST. Degree of maternal anxiety and fetal heart rate pattern were our primary outcomes. State-trait anxiety inventory, blood pressure, pulse rate, and changes in peripheral skin temperature were assessed to determine the degree of maternal anxiety. Baseline fetal heart rate, frequency of acceleration in fetal heart rate, fetal movement test and testing time for reactive NST were assessed to measure the fetal heart rate pattern Results: The experimental group showed significantly lower scores in state anxiety than the control group. There were no significant differences in systolic blood pressure and pulse rate between the two groups. Baseline fetal heart rate was significantly lower in the experimental group than in the control group. Frequency of acceleration in fetal heart rate was significantly increased in the experimental group compared to the control group. There were no significant differences in fetal movement and testing time for reactive NST between the two groups. Conclusion: Present results suggest that music intervention could be an effective nursing intervention for alleviating anxiety during non-stress test.

키워드

참고문헌

  1. Chang MY, Chen CH, Huang KF. Effects of music therapy on psychological health of women during pregnancy. Journal of Clinical Nursing. 2008;17(19):2580-2587. http://dx.doi.org/10.1111/j.1365-2702.2007.02064.x
  2. Yuksel F, Akin S, Durna Z. Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing. 2014;23(1-2):54-64. http://dx.doi.org/10.1111/j.1365-2702.2012.04283.x
  3. Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. The Cochrane Database of Systematic Reviews. 2013;6:CD006908. http://dx.doi.org/10.1002/14651858.CD006908.pub2
  4. Siedliecki SL, Good M. Effect of music on power, pain, depression and disability. Journal of Advanced Nursing. 2006;54(5):553-562. http://dx.doi.org/10.1111/j.1365-2648.2006.03860.x
  5. Lee JM, Hong HS. The effect of a preference music therapy on anxiety and pain of cystoscopy. Journal of Korean Biological Nursing Science. 2011;13(1):44-52.
  6. Ovayolu N, Ucan O, Pehlivan S, Pehlivan Y, Buyukhatipoglu H, Savas MC, et al. Listening to Turkish classical music decreases patients' anxiety, pain, dissatisfaction and the dose of sedative and analgesic drugs during colonoscopy: A prospective randomized controlled trial. World Journal of Gastroenterology. 2006;12(46):7532-7536. http://dx.doi.org/10.3748/wjg.v12.i46.7532
  7. Park MI, Shin DY, Chung KM, Lee YT, Hwang JH, Kim MY, et al. The effect of maternal hearing of "$\alpha$-brain wave induced sound" and "natural sounds" on fetal heart rate in preterm and term pregnancies. Korean Journal of Obstetrics and Gynecology. 2000;43(8):1400-1406.
  8. Shin HS, Kim JH. Music therapy on anxiety, stress and maternalfetal attachment in pregnant women during transvaginal ultrasound. Asian Nursing Research. 2011;5(1):19-27. http://dx.doi.org/10.1016/s1976-1317(11)60010-8
  9. Mancuso A, De Vivo A, Fanara G, Denaro A, Lagana D, Accardo FM. Effects of antepartum electronic fetal monitoring on maternal emotional state. Acta Obstetricia et Gynecologica Scandinavica. 2008;87(2):184-189. http://dx.doi.org/10.1080/00016340701823892
  10. Kinsella MT, Monk C. Impact of maternal stress, depression and anxiety on fetal neurobehavioral development. Clinical Obstetrics and Gynecology. 2009;52(3):425-440. http://dx.doi.org/10.1097/GRF.0b013e3181b52df1
  11. Monk C, Fifer WP, Myers MM, Sloan RP, Trien L, Hurtado A. Maternal stress responses and anxiety during pregnancy: Effects on fetal heart rate. Developmental Neuropsychology. 2000;36(1):67-77. http://dx.doi.org/10.1002/(SICI)1098-2302(200001)36:1<67::AID-DEV7>3.0.CO;2-C
  12. Kafali H, Derbent A, Keskin E, Simavli S, Gozdemir E. Effect of maternal anxiety and music on fetal movements and fetal heart rate patterns. The Journal of Maternal-Fetal & Neonatal Medicine. 2011;24(3):461-464. http://dx.doi.org/10.3109/14767058.2010.501122
  13. Lee JW, Park MR, Lee JB, Lee SJ, Park ES, Park YJ. A review on the methods of sample size determination in nursing research. Journal of Korean Academy of Women's Health Nursing. 1998;4(3):375-387.
  14. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. The New Medical Journal. 1978;21(11):69-75.
  15. Chang SB, Kim HS, Ko YH, Bae CH, An SE. Effects of abdominal breathing on anxiety, blood pressure, peripheral skin temperature and saturation oxygen of pregnant women in preterm labor. Korean Journal of Women Health Nursing. 2009;15(1):32-42. http://dx.doi.org/10.4069/kjwhn.2009.15.1.32.
  16. Hankins GD, Miller DA. A review of the 2008 NICHD research planning workshop: Recommendations for fetal heart rate terminology and interpretation. Clinical Obstetrics and Gynecology. 2011;54(1):3-7. http://dx.doi.org/10.1097/GRF.0b013e31820a015b
  17. Cito G, Luisi S, Mezzesimi A, Cavicchioli C, Calonaci G, Petraglia F. Maternal position during non-stress test and fetal heart rate patterns. Acta Obstetricia et Gynecologica Scandinavica. 2005;84(4):335-338. http://dx.doi.org/10.1111/j.0001-6349.2005.00644.x
  18. Tucker SM, Miller LA, Miller DA. Mosby's pocket guide to fetal monitoring: A multidisciplinary approach. 6th ed. St. Louis, MO: Mosby; 2008.
  19. Sjostrom K, Valentin L, Thelin T, Marsal K. Maternal anxiety in late pregnancy: Effect on fetal movements and fetal heart rate. Early Human Development. 2002;67(1-2):87-100. http://dx.doi.org/10.1016/S0378-3782(01)00256-0
  20. Ventura T, Gomes MC, Carreira T. Cortisol and anxiety response to a relaxing intervention on pregnant women awaiting amniocentesis. Psychoneuroendocrinology. 2012;37(1):148-156. http://dx.doi.org/10.1016/j.psyneuen.2011.05.016
  21. Yang M, Li L, Zhu H, Alexander IM, Liu S, Zhou W, et al. Music therapy to relieve anxiety in pregnant women on bedrest: A randomized, controlled trial. MCN The American Journal of Maternal Child Nursing. 2009;34(5):316-323. http://dx.doi.org/10.1097/01.nmc.0000360425.52228.95
  22. Shahhosseini Z, Pourasghar M, Khalilian A, Salehi F. A review of the effects of anxiety during pregnancy on children's health. Materia Socio-medica. 2015;27(3):200-202. http://dx.doi.org/10.5455/msm.2015.27.200-202
  23. Kane HS, Dunkel Schetter C, Glynn LM, Hobel CJ, Sandman CA. Pregnancy anxiety and prenatal cortisol trajectories. Biological Psychology. 2014;100:13-19. http://dx.doi.org/10.1016/j.biopsycho.2014.04.003
  24. Simavli S, Gumus I, Kaygusuz I, Yildirim M, Usluogullari B, Kafali H. Effect of music on labor pain relief, anxiety level and postpartum analgesic requirement: A randomized controlled clinical trial. Gynecologic and Obstetric Investigation. 2014;78(4):244-250. http://dx.doi.org/10.1159/000365085
  25. Biddiss E, Knibbe TJ, McPherson A. The effectiveness of interventions aimed at reducing anxiety in health care waiting spaces: A systematic review of randomized and nonrandomized trials. Anesthesia and Analgesia. 2014;119(2):433-448. http://dx.doi.org/10.1213/ane.0000000000000294
  26. Pildner von Steinburg S, Boulesteix AL, Lederer C, Grunow S, Schiermeier S, Hatzmann W, et al. What is the "normal" fetal heart rate? PeerJ. 2013;1:e82. http://dx.doi.org/10.7717/peerj.82
  27. Monk C, Myers MM, Sloan RP, Ellman LM, Fifer WP. Effects of women's stress-elicited physiological activity and chronic anxiety on fetal heart rate. Journal of Developmental and Behavioral Pediatrics. 2003;24(1):32-38. http://dx.doi.org/10.1097/00004703-200302000-00008
  28. Akbarzade M, Rafiee B, Asadi N, Zare N. The effect of maternal relaxation training on reactivity of non-stress test, basal fetal heart rate, and number of fetal heart accelerations: A randomized controlled trial. International Journal of Community Based Nursing and Midwifery. 2015;3(1):51-59.
  29. Allister L, Lester BM, Carr S, Liu J. The effects of maternal depression on fetal heart rate response to vibroacoustic stimulation. Developmental Neuropsychology. 2001;20(3):639-651. http://dx.doi.org/10.1207/s15326942dn2003_6
  30. Olesen AG, Svare JA. Decreased fetal movements: Background, assessment, and clinical management. Acta Obstetricia et Gynecologica Scandinavica. 2004;83(9):818-826. http://dx.doi.org/10.1111/j.0001-6349.2004.00603.x