The Effects of Visualizing Valence Picture and Listening to Classical Thai Music Inserting Binaural Beats on the First Stage of Labor Pain and Vital Signs of Primigravidarum

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อาทิตยา เพิ่มสุข
สุชาดา กรเพชรปาณี
ยุทธนา จันทะขิน

Abstract

Pain during the first stage of labor occurs in all women and its severity follows the progression
of labor. Relaxation and pain relief are important during this time. The objectives of this research
were: to develop appropropriate valence pictures and classical music tracks inserted with binaural
beats, and then to study their effectiveness on pain and on the vital signs in the first stage of
labor in primigravidarum. The subjects were 60 primigravida women who had been admitted to
Prachomkloa Hospital, Phetchaburi Province. They were divided into three groups with 20 subjects
in each group. An experimental group received the valence pictures and the classical music inserted
with binaural beats; a second experimental group received the valence pictures and classical music
tracks without binaural beats program; and a control group received standard care. Labor pain was
assessed by the Visual Analogue Scale (VAS). Labor pain and vital signs were measured before,
immediately, and 30 minutes after intervention. The research instruments were valence picture
and classical music tracks inserted/not inserted with binaural beats program. Data were analyzed
using chi-square, and repeated measures MANOVA.
The results showed that: (1) the visualization activities, in tandem with 30 minutes of listening to classical music inserted with binaural beats, helped women to relax, and to relieve pain during labor; (2) the first experimental group exhibited a significant decrease in their average labor pain score when compared with the control group and with the second experimental group, immediately and 30 minutes after intervention (p< .05); (3) the first experimental group showed a significant decrease in vital signs when compared with the control group and the second experimental group, immediately after intervention (p< .05); and (4) the second experimental group showed a significant relief in pain immediately after intervention when compared with the control group (p< .05).

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บทความวิจัย (Research Articles)

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