ABSTRACT

Introduction

Preterm birth may disturb the typical development of the mother–infant relationship, when physical separation and emotional distress in the neonatal intensive care unit may increase maternal anxiety and create challenges for early interaction. This cluster-randomized controlled trial examined the effects of maternal singing during kangaroo care on mothers’ anxiety, wellbeing, and the early mother–infant relationship after preterm birth.

Method

In the singing intervention group, a certified music therapist guided the mothers (n = 24) to sing or hum during daily kangaroo care during 33–40 gestational weeks (GW). In the control group, the mothers (n = 12) conducted daily kangaroo care without specific encouragement to sing. Using a convergent mixed methods design, the quantitative outcomes included the State-Trait Anxiety Inventory (STAI) at 35 GW and 40 GW to assess the change in maternal-state anxiety levels and parent diaries to examine intervention length. Post-intervention, the singing intervention mothers completed a self-report questionnaire consisting of quantitative and qualitative questions about their singing experiences.

Results

The mothers in the singing intervention group showed a statistically significant decrease in STAI anxiety levels compared to the control group mothers. According to the self-report questionnaire results, maternal singing relaxed both mothers and infants and supported their relationship by promoting emotional closeness and creating early interaction moments.

Discussion

Maternal singing can be used during neonatal hospitalization to support maternal wellbeing and early mother–infant relationship after preterm birth. However, mothers may need information, support, and privacy for singing.

中文翻译：

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袋鼠式护理期间母亲唱歌对早产后母亲焦虑、幸福和母婴关系的影响：一项混合方法研究

摘要

介绍

早产可能会扰乱母婴关系的典型发展，当新生儿重症监护室的身体分离和情绪困扰可能会增加母亲的焦虑并为早期互动带来挑战。这项整群随机对照试验检查了在袋鼠式护理期间母亲唱歌对母亲焦虑、幸福和早产后早期母婴关系的影响。

方法

在歌唱干预组中，一名经过认证的音乐治疗师指导母亲（n = 24）在 33-40 孕周 (GW) 的每日袋鼠护理期间唱歌或哼唱。在对照组中，母亲（n = 12）在没有特别鼓励唱歌的情况下进行日常袋鼠护理。使用收敛混合方法设计，定量结果包括 35 GW 和 40 GW 的状态-特质焦虑量表 (STAI) 以评估母亲状态焦虑水平的变化和父母日记以检查干预长度。干预后，唱歌干预的母亲完成了一份自我报告问卷，其中包括关于她们唱歌经历的定量和定性问题。

结果

与对照组母亲相比，歌唱干预组的母亲在 STAI 焦虑水平上表现出统计学上的显着降低。根据自我报告问卷的结果，母婴歌唱让母婴放松，并通过促进情感亲密和创造早期互动时刻来支持他们的关系。

讨论

在新生儿住院期间可以使用母亲的歌声来支持母亲的健康和早产后早期的母婴关系。但是，母亲可能需要信息、支持和隐私才能唱歌。