Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis

Ching-Hui Chuang; Po-Cheng Chen; ChihChen Sophia Lee; Chung-Hey Chen; Yu-Kang Tu; Shih-Chung Wu

doi:10.1111/jan.13871

Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis

J Adv Nurs. 2019 Apr;75(4):723-733. doi: 10.1111/jan.13871. Epub 2018 Nov 11.

Authors

Ching-Hui Chuang^{1

2}, Po-Cheng Chen³, ChihChen Sophia Lee⁴, Chung-Hey Chen⁵, Yu-Kang Tu⁶, Shih-Chung Wu⁷

Affiliations

¹ Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
² Department of Nursing, National Cheng Kung University, Tainan, Taiwan.
³ Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
⁴ Department of Music Therapy, Southwestern Oklahoma State University, Weatherford, Oklahoma.
⁵ Institute of Allied Health Sciences & Department of Nursing, National Cheng Kung University, Tainan, Taiwan.
⁶ Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
⁷ Department of Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

PMID: 30289556
DOI: 10.1111/jan.13871

Abstract
in English, Chinese

Aims: To determine the effect of music on the management of pain and anxiety in primiparous women during labour.

Background: Music is cost-effective intervention in clinical practice to reduce pain, stress, and anxiety. However, a systematic review with meta-analysis for investigating its effects during labour is still lacking.

Design: A systematic review with meta-analysis.

Data sources: MEDLINE, EMBASE, and CINAHL databases.

Review methods: Randomized controlled trials or quasi-experimental trials concerning the effects of music among primiparous women who were expected to give normal spontaneous delivery were searched and screened up to 31 July 2017. The recruited trials for this review were compliant with the standards of the Cochrane Handbook for Systematic Reviews of Interventions.

Results: A total of 392 primiparous pregnant women (197 in the music intervention group and 195 in the routine care group) from five studies were included in this review. Music as an intervention seemed to lower the pain scores for primiparous women during labour, but the effect was not statistically significant. However, there was a significant benefit of music intervention compared with routine care for primiparous women during labour. In the sensitivity analysis, music intervention showed significant effect on the improvement of pain and anxiety for primiparous women during labour.

Conclusion: Music intervention may be an effective intervention for the management of pain and anxiety for primiparous women during labour.

目的: 确定音乐对初产妇分娩疼痛与焦虑管理方面的效果。背景: 在减少痛苦、压力和焦虑的临床实践方面,音乐是一种划算的干预。然而,关于研究其在分娩过程中所产生影响的荟萃分析,还缺乏系统性评价。设计: 带有荟萃分析的系统性评价。数据来源: MEDLINE、EMBASE和CINAHL数据库。综述方法: 关于音乐效果的随机对照试验或准量实验性试验,截至2017年7月31日,从期望正常自然分娩的初产妇中搜寻和筛选。针对此评价所募集的试验符合《干预措施系统性评价科克伦手册》的标准。结果: 此项评价中包括来自五项研究的总共392名初产妇(197名在音乐干预组,195名在日常护理组)。作为一项干预措施,音乐似乎降低了初产妇在分娩过程中的疼痛指数,但是,从统计学角度来看,效果却并不显著。然而,与初产妇分娩期间的常规护理相比,音乐干预有显著的益处。在敏感性分析中,音乐干预在初产妇分娩期间改善痛苦和焦虑度方面显出了显著效果。结论: 音乐干预可能是初产妇分娩期间痛苦和焦虑管理的有效干预措施.

Keywords: anxiety; labour pain; meta-analysis; music; nursing; pregnancy; systematic review.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Analgesia, Obstetrical / methods*
Anxiety / prevention & control*
Female
Humans
Labor Pain*
Music Therapy*
Parity
Pregnancy
Prenatal Care / methods
Randomized Controlled Trials as Topic

Abstract in English, Chinese

Publication types

MeSH terms

Abstract
in English, Chinese