• 제목/요약/키워드: 음악 요법

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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)

  • 안성연;박은지;문유리;이보영;이은별;김동연;정성희;김진경
    • 여성건강간호학회지
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    • 제29권2호
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    • pp.137-145
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    • 2023
  • 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.

산후 우울감을 보이는 산모에서 나타나는 전두엽 뇌파 비대칭에 대한 음악의 영향 (The Effects of Music on the Frontal EEG Asymmetry of the Mothers with Postpartum Blues)

  • 임성진;신철진
    • 생물정신의학
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    • 제18권3호
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    • pp.134-140
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    • 2011
  • Objectives Postpartum blues is known to be a major risk factor for postpartum depression and can be associated with the problems of language skills, behaviors or learning skills of their children. Therefore, it is very important for clinicians to evaluate precisely and control postpartum blues. Recent studies have found that music has an effect on depressive mood and the frontal EEG asymmetry of the patients with depression. The purpose of this study was to find out the effects of music on the frontal EEG asymmetry of the mothers with postpartum blues. Method Among one hundred and seventy mothers assessed with Korean version of the Edinburg Postnatal Depression Scale (EPDS), nine mothers with postpartum blues (EPDS ${\geq}$ 10) as postpartum blues group and nine non-depressive mothers (EPDS < 10) as non-depressive mother group were included. Ten non-labored, non-depressive women were also included as a normal control group. The subjects were evaluated with the State Trait Anxiety Inventory (STAI)-X1, the Visual Analogue Scale (VAS) and the Depression Adjective Checklist-Korean version (K-DACL) and EEG twice before and after the music sesssion with the length of twenty minutes and thirty two seconds. The statistical analyses were done for A1 score (log R - log L) which were computed from the alpha powers at F3 and F4. Results No significant difference was noted in demographic data among all three groups. The postpartum blues group had higher scores in the STAI-X1, the VAS and the K-DACL compared to the other groups at baseline, and their A1 scores were lower than those of only normal controls. There was a statistically significant increase of A1 score only in the postpartum blues group after the music session. Conclusion This study suggests that the mothers with postpartum blues may have a frontal EEG asymmetry which is possibly associated with their depressive mood, and the music session can affect the frontal asymmetry positively.

수동적 음악청취가 간호대학생의 심리적 안녕감과 우울에 미치는 효과 (Effects of Passive Music Listening on Psychological Well-Being and Depression in Undergraduate Nursing Students)

  • 유문숙;박지원;송미숙;유미애;박형란
    • 한국보건간호학회지
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    • 제27권3호
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    • pp.490-499
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    • 2013
  • Purposes: This study was conducted in order to investigate the effects of passive music listening on psychological well-being and depression in 134 nursing students enrolled in two colleges of nursing in Kyeonggi-do, Korea. Methods: A prospective, pretest and posttest, controlled, quasi-experimental design was used. An intervention group (n= 74) participated in a 14-week passive music listening program before and after each lecture while those who were assigned as a control group (n=60) were given a series of traditional lectures. Analysis of data was performed using chi-square test, independent t-test, and Mann-Whitney U test, using SPSS 19.0. Results: Although no significant difference was observed in psychological well-being (t=0.34, p=.738), depression (z=-3.19, p=.001) showed a significant difference in the experimental group compared to the control group. Conclusions: This study provided evidence of the beneficial impact of passive music listening for nursing students with depression. Conduct of further studies will be needed in order to verify the effects on psychological well-being.

국내 혈액투석환자의 스트레스 중재에 대한 효과 연구: 메타분석 (The Effectiveness of Stress Intervention Program for Hemodialysis Patients in Korea: A meta-analysis)

  • 배연희;이고운;염혜아
    • 한국융합학회논문지
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    • 제11권2호
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    • pp.361-373
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    • 2020
  • 본 연구의 목적은 국내에서 혈액투석환자를 대상으로 적용된 스트레스 중재프로그램을 메타분석하여 스트레스 중재프로그램의 효과를 확인하고, 스트레스 중재 방법의 특성과 경향을 파악하기 위함이다. 분석대상연구는 총 10편으로 MINORS를 사용하여 문헌의 질평가를 실시하였으며, Comprehen sive Meta Analysis Version 3.0 및 Review manager version 5.3을 활용하여 자료를 분석하였다. 연구의 질 평가 점수는 21.2점이었으며, 중재프로그램의 심리적 스트레스에 대한 효과크기는 -.72, 생리적 스트레스 중 코티졸의 효과크기는 -.52로 보통의 효과를 보였다. 하위그룹 분석에서 음악요법, 아로마요법, 투석 중 중재, 개인중재, 1회당 60분 이상의 중재, 총 10~20회기 중재의 효과가 더 컸다. 본 연구 결과를 활용하여 추후 효과적인 스트레스 중재프로그램을 구성할 수 있을 것이며, 추후 혈액투석환자를 대상으로 한 무작위배정 실험연구가 더 필요하다.

오감 자극 노인성 치매 예방 프로그램 (A Five-Senses Stimulation Program for preventing Senile Dementia Diseases)

  • 정민영;박천규;손명동
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2010년도 춘계 종합학술대회 논문집
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    • pp.594-600
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    • 2010
  • 노인 인구의 급격한 증가와 더불어 노인성질환도 증가함에 따라 일상적인 생활을 하지 못하는 노인에 대한 요양과 치료는 노인장기요양보험제도의 실시로 어느 정도 효과를 거두고 있지만 치매 예방을 통한 유병률 감소는 사회적 비용을 감소시킬 수 있음에도 불구하고 그 중요성이 간과되고 있다. 특히 요양시설이나 복지기관 현장에서는 경증 치매 및 치매 예방에 대한 프로그램은 전무하거나 일시적이고 단편적인 기법만을 활용하고 있는 실정이다. 이에 본 논문에서는 치매에 관심이 있는 노인을 대상으로 복지 전문가가 현장에서 비교적 손쉽게 적용할 수 있는 손운동법(촉각), 회상요법(시각), 치료레크리에이션(미각), 음악요법(청각), 원예치료(후각) 등 오감을 자극하는 기법들을 적절히 조화시켜 체계적으로 적용할 수 있는 치매 예방 프로그램을 제안한다.

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국내외 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰 (An Integrated Literature Review of Non-pharmacological Intervention in Older Adults with Mild Cognitive Impairment)

  • 이정은
    • 디지털융복합연구
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    • 제19권3호
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    • pp.471-482
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    • 2021
  • 본 연구의 목적은 국내외 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰을 통해 비약물적 중재 프로그램 개발을 위한 기초자료를 제공하기 위함이다. 국내외 경도인지장애 노인의 비약물적 중재연구에 대한 통합적 문헌분석 결과, 최종 16개의 논문이 선정되었다. 비약물적 중재 프로그램의 전반적인 경향은 모두 인지강화를 주목적으로 하되 국내연구는 운동요법 등의 신체적 활동보다 음악치료와 웃음요법 등의 정서적 활동이 병합된 경우가 많은 반면, 국외연구는 정서적 활동보다는 신체적 활동을 병합한 연구가 많았다. 중재 프로그램 효과는 결과변수에 따라 다르게 나타났는데 일차적 변수는 인지기능과 우울로 나타났고, 이차적 변수는 신체적 기능, 일상생활수행능력과 자기효능감에 중재 효과가 있는 것으로 나타났다. 본 연구결과를 토대로 경도인지장애 노인의 치매예방을 위한 다양한 비약물적 중재 프로그램 개발을 통해 임상현장에서 적용할 수 있는 다학제적 접근에 기여할 수 있을 것이다.

척추마취 하 수술 환자의 불안, 혈압, 심박수 및 혈당에 미치는 음악요법의 효과 (Effect of Music Therapy on Anxiety, Blood Pressure, Heart Rate and Glucose Levels of Patients Undergoing Surgery during Spinal Anesthesia)

  • 정계선;김미형
    • 기본간호학회지
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    • 제22권1호
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    • pp.25-34
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    • 2015
  • Purpose: This study was conducted to exam the effect of listening to preferred music on patients' anxiety, blood pressure, heart rate, and glucose levels during spinal anesthesia. Methods: A quasi-experimental research design was used. The participants were divided into an experimental group (n=30) and a control group (n=30) undergoing lower leg operations using spinal anesthesia. The mean age was 35.1 years and the mean time of listening to the music was 71.33 minutes. The experimental group was provided with their preferred music selected by each of the participants; the control group was not provided with any music. Results: The state of anxiety was decreased significantly in the experimental group(F=4.14, p=.046). Anxiety (VAS) was also significantly lower in the experimental group (F=4.62, p=.036). Conclusion: The results of the study show that listening to preferred music is an effective method for reducing peri-operative anxiety for patients during spinal anesthesia.

연하장애 위험 여성노인의 노래중재 적용 효과 (The Effect of Singing Intervention for Women Elderly with Dysphagia Risk)

  • 윤옥종;이영희
    • 성인간호학회지
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    • 제24권4호
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    • pp.380-389
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    • 2012
  • Purpose: This study was conducted to describe the risk of dysphagia and to evaluate the effects of a singing intervention for women elderly in community. Methods: One-group pre test-post test design was used. The subjects were 29 women over the age of sixty and residing in a local area. A singing intervention consisted of breathing, vowel production and singing. The one hour intervention occurred once a week for eight weeks. The variables of dysphagia risk, a swallowing test, and nutritional status were measured. Analysis was done by paired t-test. Results: There was a significant decrease in the score of dysphagia risk (p<.001). There were significant increases in the swallowing test scores [modified water swallowing test (p=.032), food test (p=.001)]. There were no significant differences in nutritional status (triceps skin fold thickness, mid arm muscle circumference). Conclusion: The findings support that a singing intervention can be helpful in reducing the risk of dysphagia may improve deglutition for the women elderly. These results suggest that this study may contribute to the use of a singing intervention for women elders with dysphagia risk.

음악요법이 치매노인의 인지, 문제행동, 수면에 미치는 효과 (Effects of a music therapy on cognition, problematic behavior, and sleep in elderly with dementia)

  • 전은영;장군자;유현숙;이희완
    • 대한예방한의학회지
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    • 제15권2호
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    • pp.101-113
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    • 2011
  • Objective : The purpose of this study was to determine the effects of the music therapy on cognition, problematic behavior, and sleep disturbance in elderly with dementia. Method : The study was designed using a nonequivalent control group pretest-posttest design. The subjects comprised of 39 elders (Experimental group : 19, Control group : 20) who living in D city. The instruments used for this study were the MMSE, problematic behavior assessment tool, and sleep assessment instrument. The data were analyzed using SPSS 17.0 program. Results : The repeated measure ANOVA revealed that the music therapy had the effect on the problematic behavior and sleep. There were statistically significant differences in problematic behavior between the pretest and posttest in the experimental group. Conclusion : The study suggests that the music therapy can be applied for the aged with dementia to improve the problematic behaviors.

혈액암 환자(患者)에게 실행한 한방음악치료(韓方音樂治療) 요법이 백혈구 내(內) ANC(절대호중구수)수치 증가에 미치는 영향 (The effectiveness of ANC's number increasing by using Oriental Medicine Music Therapy which was applied to blood cancer patients)

  • 이승현;박미라;안지원;백유상
    • 대한한의학원전학회지
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    • 제18권2호통권29호
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    • pp.190-204
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    • 2005
  • The purpose of this research is to discover changes of WBC and ANC numbers before and after applying Oriental medicine therapy to blood cancer patients. After that, appropriate music therapy method was well planned and carried for patients. Demonstration and music were conducted according to Ohaeng theory. The oriental music therapy was conducted three hours everyday by listening to music and we made patients participate in playing the instrument for one hour in two times a week. The result was verified in three ways by checking and comparing numbers of WBC, ratio of ANC and New Trophil before and after the experiment. In addition to that verification, we analyzed patients' survey and their response after treatment. The result was that WBC and ANC were efficient as p=0.0419, p=0.0262 each and the ratio of New trophil was not efficient in p=0.999, but partially increased.

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