音乐治疗对早产婴儿亲子关系的影响:一项随机临床试验
Claire M Ghetti1,2, Tora Söderström Gaden2,3, Lucja Bieleninik2,4
1GAMUT-The Grieg Academy Music Therapy Research Centre, The Grieg Academy-Department of Music, University of Bergen, Norway.
JAMA network open
|May 26, 2023
概括
在新生儿重症监护室 (NICU) 中,父母主导的唱歌并没有显著改善父母婴儿的联系. 这种音乐治疗干预被发现是安全的,并被早产婴儿的家庭接受.
科学领域:
- 新生儿护理 新生儿护理
- 发展心理学是发展心理学.
- 音乐治疗是一种音乐疗法.
背景情况:
- 父母与婴儿之间的联系对于婴儿的发育和长期健康至关重要.
- 过早分娩可能会破坏父母与婴儿之间安全的依恋关系的形成.
- 需要进行早期干预,以支持高风险人群的结合.
研究的目的:
- 评估由父母主导,婴儿指导的歌唱的有效性,在音乐治疗的支持下,增强了父母婴儿的联系.
- 为了评估早产婴儿在6个月和12个月的校正年龄时的结合.
- 为了确定在NICU或出院后开始的音乐治疗是否会影响结合.
主要方法:
- 一项随机临床试验,涉及5个国家的早产婴儿 (妊娠期<35周) 和他们的父母.
- 干预组接受了音乐治疗 (MT) 加上标准护理或单独标准护理,无论是在NICU停留期间还是出院后.
- 使用产后结合问卷 (PBQ) 测量了母亲和婴儿之间的联系,在6个月和12个月的年龄修正.
主要成果:
- 在音乐治疗组和标准护理组之间在6个月或12个月的校正年龄时,没有观察到对母婴结合得分的临床显著差异.
- 对于初级结局 (六个月的PBQ) 的估计组效应显示,在NICU (0.55) 或出院后 (1.02) 中,MT没有显著改善.
- 二级结局也没有显示出临床上重要的组间差异.
结论:
- 在这项试验中,父母主导的,婴儿指导的唱歌,无论是在新生儿重症监护室发起的还是出院后发起的,都没有显示出对母亲婴儿纽带的临床显著影响.
- 音乐治疗干预被发现是安全的,并得到了参与者的良好接受.
- 进一步的研究可能会探索基于音乐的替代性或修改性干预措施,以支持早产人群中父母婴儿联系.
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