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接受 IVF/ICSI 的女性降低应激水平的互动音乐治疗。前瞻性随机研究。

Interactive Music Therapy on Stress Level Reduction in Women Submitted to IVF/ICSI. Prospective Randomized Study.

机构信息

Reproduction Human Laboratory. Obstetrics and Gynecology Dept.; Music and Scenic Arts School. Federal University of Goiás State, Goiânia, Brazil.

Reproduction Human Laboratory. Clinics Hospital. Obstetrics and Gynecology Dept. Faculty of Medicine. Federal University of Goiás State, Goiânia, Brazil.

出版信息

JBRA Assist Reprod. 2021 Apr 27;25(2):209-214. doi: 10.5935/1518-0557.20200068.

DOI:10.5935/1518-0557.20200068
PMID:33904665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8083862/
Abstract

OBJECTIVE

To identify the effects of interactive music therapy on stress levels in women undergoing high complexity infertility treatments.

METHODS

Prospective randomized study involving 113 women treated in the Reproduction Human Laboratory of the Clinics Hospital of the Federal University of Goiás State, submitted to in vitro fertilization/intracytoplasmic sperm injection. We used Depression, Anxiety and Stress Scale, and Lipp's Stress Symptoms Inventory for Adults. In the Intervention Group, we used small and easy to play percussive musical instruments, a guitar, voice, and a recorder. We used interactive music therapy approach individually, applied before baseline ultrasound scan, oocyte pick-up, and embryo transfer. We analyzed the data using the R. Paired Student t-test to compare the results.

RESULTS

Comparison of the stress levels by Depression, Anxiety and Stress Scale between the groups in the final moment of data retrieval resulted in 23.13 (SD±10.51; n=32) in the Control Group and 16.12 (SD±7.87; n=33) in the Intervention Group, being statistically different (p=0.004). Also in Lipp's Stress Symptoms Inventory for Adults there was a significant stress reduction in 39% of the patients in the Intervention Group compared to a reduction of 14% in the patients of the Control Group (p=0.032). In this same measurement resulted that only 3% of the Intervention Group patients versus 23% of the Control Group patients (p=0.027) were in the exhaustion stage.

CONCLUSION

Interactive music therapy was effective for stress reduction in women during assisted reproduction techniques.

摘要

目的

确定互动音乐疗法对接受高复杂性不孕治疗的女性的应激水平的影响。

方法

这是一项前瞻性随机研究,涉及在戈亚斯联邦大学临床医院人类生殖实验室接受体外受精/胞浆内精子注射的 113 名女性。我们使用了抑郁、焦虑和压力量表以及利普氏成人压力症状量表。在干预组中,我们使用了小型且易于演奏的打击乐器、吉他、声音和录音机。我们在基线超声扫描、卵母细胞采集和胚胎移植之前单独使用互动音乐治疗方法。我们使用 R 中的配对学生 t 检验来分析数据,以比较结果。

结果

在最终数据检索时刻,通过抑郁、焦虑和压力量表比较两组的应激水平,对照组为 23.13(SD±10.51;n=32),干预组为 16.12(SD±7.87;n=33),差异具有统计学意义(p=0.004)。在成人利普氏压力症状量表中,干预组有 39%的患者的压力显著降低,而对照组的患者压力降低了 14%(p=0.032)。在同一项测量中,干预组只有 3%的患者处于疲劳阶段,而对照组有 23%的患者(p=0.027)。

结论

互动音乐疗法可有效降低辅助生殖技术中女性的应激水平。

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本文引用的文献

1
Music therapy in stress: proposal of extension to Assisted Reproduction.压力情境下的音乐疗法:辅助生殖领域的拓展建议
JBRA Assist Reprod. 2014 Jun 27;18(2):55-61. doi: 10.5935/1518-0557.20140006.
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Psychological Intervention in the Oocyte Pick-up Room and Recovery Room in Assisted Reproduction: new listening accounts.辅助生殖取卵室和复苏室的心理干预:新的倾听视角。
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Effect of music therapy on the anxiety levels and pregnancy rate of women undergoing in vitro fertilization-embryo transfer: A randomized controlled trial.音乐疗法对接受体外受精-胚胎移植女性焦虑水平及妊娠率的影响:一项随机对照试验。
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Hum Reprod. 2014 Jan;29(1):76-82. doi: 10.1093/humrep/det412. Epub 2013 Nov 19.
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Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese.抑郁、焦虑和压力量表(DASS)的巴西葡萄牙语适应性和验证。
J Affect Disord. 2014 Feb;155:104-9. doi: 10.1016/j.jad.2013.10.031. Epub 2013 Oct 28.
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[Impact of a music therapy program on the stress level of health professionals].[音乐治疗方案对健康专业人员压力水平的影响]
Rev Bras Enferm. 2013 May-Jun;66(3):385-90. doi: 10.1590/s0034-71672013000300013.
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