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


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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นนทิชา ถาวรไพบูลย์บุตร. (2555). กรอบอ้างอิงการรับรู้ทางสายตา. บทความฟื้นวิชา,17(3), 25-29.
ศศิธร พุ่มดวง. (2551). การลดปวดในระยะคลอดโดยไม่ใช้ยา. (พิมพ์ครั้งที่ 2). กรุงเทพฯ: อัลลายด์เพรส.
Abushaikha, L., & Oweis, A. (2005). Labour pain experience and intensity: a Jordanian perspective. International
Journal of Nursing Practice, 11(1), 33-38.
de Tommaso, M., Calabrese, R., Vecchio, E., Francesco, V. D. V., Lancioni, G., & Livrea, P. (2009). Effects of affective pictures on pain sensitivity and cortical
responses induced by laser stimuli in healthy subjects and migraine patients. International Journal of Psychophysiology, 74(2), 139-148.
Edmonds, W. A., & Kennedy, T. D. (2017). An applied guide to research designs: Quantitative, qualitative, and mixed methods(2 nd ed.). California: Sage Publications.
Evans, D. (2002). The effectiveness of music as an intervention for hospital patients: a systematic review. Journal of Advanced Nursing, 37(1), 8-18.
Johnsen, E. L., Tranel, D., Lutgendorf, S., & Adolphs, R. (2009). A neuroanatomical dissociation for emotion induced by music. International Journal
of Psychophysiology, 72(1), 24-33.
Johnson, M. H. (2005). How does distraction work in the management of pain?. Current Pain and Headache Reports, 9(2), 90-95.
Kenntner-Mabiala, R., & Pauli, P. (2005). Affective modulation of brain potentials to painful and nonpainful stimuli. Psychophysiology, 42(5), 559-567.
Labor, S., & Maguire, S. (2008). The pain of labour. Reviews in Pain, 2(2), 15-19.
Liu, Y. H., Chang, M. Y., & Chen, C. H. (2010). Effects of music therapy on labour pain and anxiety in Taiwanese first-time mothers. Journal of Clinical
Nursing, 19(7-8), 1065-1072.
Lowdermilk, D. L., & Perry, S. E. (2006). Anatomy and physiology of pregnancy. Maternity Nursing, 208-230.
Melzack, R., & Katz, J. (2004). The gate control theory: Reaching for the brain. Pain: Psychological Perspectives, 13-34.
Padmanabhan, R., Hildreth, A. J., & Laws, D. (2005). A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia, 60(9), 874-877.
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Maternal child nursing care (5th ed.). Missouri: Elsevier Health Sciences.
Rhudy, J. L., Bartley, E. J., & Williams, A. E. (2010). Habituation, sensitization, and emotional valence modulation of pain responses. Pain, 148(2), 320-327.
Rhudy, J. L., Williams, A. E., McCabe, K. M., Russell, J. L., & Maynard, L. J. (2008). Emotional control of
nociceptive reactions (ECON): do affective valence and arousal play a role?. Pain, 136(3), 250-261.
Roy, M., Piché, M., Chen, J. I., Peretz, I., & Rainville, P. (2009). Cerebral and spinal modulation of pain by emotions. Proceedings of the National Academy
of Sciences, 106(49), 20900-20905.
Weber, A., Werneck, L., Paiva, E., & Gans, P. (2015). Effects of music in combination with vibration in acupuncture points on the treatment of fibromyalgia. The Journal of Alternative and Complementary Medicine, 21(2), 77-82.
Wiwatwongwana, D., Vichitvejpaisal, P., Thaikruea, L., Klaphajone, J., Tantong, A., & Wiwatwongwana, A. (2016). The effect of music with and without
binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial. Eye, 30(11), 1407-1414.
Zampi, D. D. (2016). Efficacy of Theta Binaural Beats for the Treatment of Chronic Pain. Alternative Therapies in Health and Medicine, 22(1), 32-38.