探討音樂治療對早產兒生理指標的影響

Influences of Music Therapy on the Physiological Index of Prematurity

本研究目的是探討音樂治療介入對早產兒生理指標的影響，是採類實驗重複設計，於音樂開始前、音樂治療介入及音樂結束後之各別1分鐘、5分鐘、10分鐘，三個情境測量早產兒的心跳速率、呼吸速率、血氧飽和濃度值，選在未進行任何醫護措施的時段。計收27位早產兒，平均出生體重為1940.6公克(726-2,460)，平均出生週數為33.6週(25-36)，平均5分鐘的Apgar Score 8.7(6-10)，收案平均年齡為8天(1-75)。研究結果顯示音樂治療介入後與早產兒心跳速率、呼吸速率、血氧飽和濃度的變化有顯著相關(p＜ .05)，即隨著音樂介入後，會使早產兒心跳、呼吸速率降低，血氧飽和濃度增加，呈現生理穩定現象。本研究結果可以提供臨床新生兒照護措施的依據，適時將音樂治療列入發展支持性照護中，以提昇早產兒之照護品質。

The purpose of this research is to explore the influences of music therapy on the physiological indices of premature babies. A quasi-experimental design with repetitive measures was applied. The heart rate, respiratory rate, and blood oxygen saturation were recorded at the 1st, 5th and 10th minute in three different situations, respectively: before music played, during music was playing, and after music stopped. Twenty seven premature babies were enrolled, of which averages of birth body weight, gestational age, the Apgar score and age were 1940.6 grams, 33.6 weeks, 8.7 and 8 days. The result revealed that the intervention of music therapy had significant relationship with the changes of the heart rate, respiratory rate, and blood oxygen saturation. That is, the heart rate, respiratory rate and blood oxygen saturation would increase after the music therapy and the babies sustained physiologically stable. The result of this study provides a basis of clinical nursing care of neonates. An appropriate approach of music therapy can improve the quality of care of premature babies.