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Dear God, Thank you for this day that you have blessed us. We ask thee for your grace to be bestowed upon us as we conduct our pre-oral defense today. Please guide us all
EFFECTS OF MUSIC THERAPY IN REDUCING PAIN OF PARTURIENTS IN ACTIVE PHASE OF THE FIRST STAGE OF LABOR
Presented by: CHAPTER I CHAPTER II CHAPTER III Mr. Rodelin M. Sumiran RN MANc Adviser Ayala, Bertiz, Calderon, De Peralta& Manaois
THE PROBLEM AND ITS BACKGROUND
1.1 Introduction 1.2 Statement of the Problem 1.3 Objectives of the Study 1.4 Scope and Delimitation 1.5 Significance of the Study 1.6 Conceptual Framework 1.7 Hypothesis 1.8 Definition of terms
2.1 Pregnancy 2.2 Labor 2.3 Labor Pain 2.4 Labor Pain Management 2.5 Music 2.6 Music Therapy 2.7 Synthesis
3.1 Research Design 3.2 Setting 3.3 Sampling 3.4 Research Intervention 3.5 Data Gathering Instruments 3.6 Data Gathering Procedure 3.7 Statistical Tool
A Explanatory Statement B Informed Consent C Pain Assessment Interview Guide (PAI Guide) D Physiologic Assessment Sheet (PAS) E Visual Analogue Scale (VAS) F Music Therapy Evaluation Sheet (MTES) G Email Communication to Dr. Phumdoung H Email Communication to Mr. Von Korff I Sample Letter to the Hospital
Describing or defining childbearing also known as pregnancy. Naming the three stages of the first stage of labor. Description of the active phase of the first stage of labor. Citations of the sources of pain during the labor according to Lowe (2002). Music therapy is one of the complementary therapies nowadays used.
1.2 Statement of the Problem
- Determine the effectiveness of music therapy in reducing pain in the active phase of the first stage of labor. - Specifically, this study would answer the following questions. 1. What is the demographic profile of the respondents. - Age - Socio economic group. 2. What is the extent of pain among primiparas in the active phase of the first stage of labor. - Experimental group - Control group 3. Is there any significant effect of music therapy in relieving pain among the primiparas in the active phase of the first stage of labor in the experimental group.
1.3 Objectives of the Study
Determine the effectiveness of music therapy in reducing pain in the active phase of the first stage of labor. Specifically this study intends in: 1. Using pre selected music of different genre. 2. Applying music therapy as nursing intervention in laboring women. 3. Is there any significant effect of music therapy in relieving pain among the primiparas in the active phase of the first stage of labor in the experimental group.
1.4 Scope and Delimitation
This study will be focused on 20 laboring women who are 1840 years old in the active phase of the first stage of labor with 3 to 4 cm cervical dilatation in the labor room of hospitals and Maternity Clinics in Rizal (to be determined) who willingly approved the researcher request of experimentation in their institution that will be conducted within May to July 2008. This study is delimited in subjects who are nit in the active phase of first stage of labor, with mental illness, with hearing loss and in subjects who are multipara.
1.5 Significance of the Study
1. 2. 3. 4. 5. 6.
The findings of this study will be recommended to the ff: Hospitals administration Health workers attending to pregnant women. Obstetrical nurses and midwifes. To the would be mothers. To the Nursing education. Future Researchers.
1.6 Conceptual Framework
REDUCE PAIN AS EVIDENCED BY DECREASE PAIN SCORE
GATE CONTROL THEORY
PRIMIPARA PARTURIENTS IN ACTIVE PHASE FIRST STAGE OF LABOR
There is significant effect between music therapy and reduced level of pain in active phase of the first stage of labor.
1.8 Definition of Terms
Primipara Labor Labor Pain Music Therapy Active Phase of Labor Non- Pharmacological Pain Relief Parturient
Defining pregnancy? Differentiating the 3 signs of pregnancy. Describing the characteristics of 3 trimesters of pregnancy.
Defining the active phase of the first stage of labor. Labor is the series of events by which uterine contraction and abdominal pressure expel the fetus and the placenta from the woman’s body.
2.3 Labor Pain
Several reasons why pain occurs in labor and birth
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Fear to unknown according to Dr. Dick Read Verbal responses according to Harper K and Bell S Physiological and psychological factors according to Bonia and Mcdonald
2.4 Labor pain management
Describing vocalization according to Harper and Bell. Non-verbal reports regarding pain provides more information. Music therapy as a non-pharmacological intervention used pain management. Enumeration of the effects of music therapy according to Penny Simkin (2004).
Music is the art of combining of tones according to Webster Dictionary. The characteristics and organs of classical music according to Johann Bach Ballad is the genre of music. Acoustic music refers to music that use instruments. Music is a form of art that can promote healing and enhance quality of life according to Miriam (1964).
2.6 Music Therapy
Soft music consistently provided significant relief from severe pain according to Phuomdong and Good. Delayed the increase of affective pain according to Phuomdong and Good. Music therapy can reduce the laboring mother’s perception and distress.
Music is considered a part of subjective experience while therapy resides in the realm of empirical and scientific fact. Music therapy requires a connection between the ideas of music; therapy and human nature and the music therapists bridge the musical world of the client and their need therapeutically.
researchers conclude that music is a powerful anxiolytic agent which can be useful for clients who will be in labor. Soft music can reduce the laboring mother’s perception of pain and also her distress. It also provides better pain management, may speed recovery from childbirth and improve the mother- infant relationship.
3.1 Research design
Utilization of a quasi-experimental pretest and posttest design. Usage of pre selected tracks from five different genres. Division of the subjects into two groups, the Control and the Experimental. Enumeration of the independent and extraneous variables to be used in the study.
hospitals and maternity clinics in Eastern Rizal who approved the request to conduct the study in their institution.
A convenience sampling will be utilized wherein the most readily available subjects will be accommodated for his research study. The subjects that will be included in the experimental study are 20 primiparas who are in their active phase of first stage of labor with three to four centimeters of cervical dilatation, with no mental illness and are not having multiple pregnancies. Exclusion of the subjects is based on the criterion of having hearing problems.
3.4 Research Intervention
intervention will compose of three set of tracks which consists of five songs in different genre. The music will compose of five genre; classic by Bach, pop, ballad, classical new age and acoustic.
3.5 Data Gathering Instruments
Pain Assessment Interview Guide
(PAI Guide) POST-TEST
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Physiologic Assessment Sheet (PAS) Visual Analogue Scale (VAS) Music Therapy Evaluation Sheet (MTES)
3.6 Data Gathering Procedure
The researchers will ask permission to conduct the study in hospital. The selection of target subject of the study Securing informed consent for the subject of the study. Conduct on pretest on both experimental and control group. Conduct the post test both to the experimental and control group. Gathering of all data for analysis and interpretation with the help of statistician.
3.7 Statistical Tool
researchers will make use of T-Test as a statistical Tool. The formula as follows:
X1 - X2 S12 + S22 n1 n2
Wherein: x = means ratings of experimental group subjects X = means ratings of the control group subjects S12 = variance in perception/ responses of the experimental group S22 = variance in the perception/responses of the control group n1-n2 = number of items/ criteria
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