J Korean Acad Nurs.  2016 Jun;46(3):315-326. 10.4040/jkan.2016.46.3.315.

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

• Oh MO
• Kim YJ
• Baek CH
• Kim JH
• Park NM
• Yu MJ
• Song HS

• KMID: 2413339
• DOI: http://doi.org/10.4040/jkan.2016.46.3.315

Abstract

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 alel viating anxiety during non-stress test.

Keyword

Music; Fetal heart rate; Cardiotocography; Anxiety

MeSH Terms

Adult
*Anxiety
Blood Pressure/physiology
Body Temperature
Cross-Over Studies
Female
Gestational Age
Heart Rate, Fetal/*physiology
Humans
Logistic Models
*Music Therapy
Odds Ratio
Pregnancy
Surveys and Questionnaires

Figure

• 

  Figure 1 Flow diagram of subject progress through the phases of the randomized cross- over design.

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