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情绪自由技术和音乐对经历产前丧失的孕妇的心理成长、幸福感和皮质醇水平的影响:一项随机对照试验。

The effect of emotional freedom technique and music applied to pregnant women who experienced prenatal loss on psychological growth, well-being, and cortisol level: A randomized controlled trial.

机构信息

Kahramanmaras Sutcu Imam University, Department of Midwifery, 46050 Kahramanmaras, Türkiye.

Inonu University, Department of Midwifery, 44280 Malatya, Türkiye.

出版信息

Arch Psychiatr Nurs. 2023 Aug;45:101-112. doi: 10.1016/j.apnu.2023.04.027. Epub 2023 May 9.

DOI:10.1016/j.apnu.2023.04.027
PMID:37544684
Abstract

INTRODUCTION

Research has shown that application of emotional freedom technique and music ensures psychological growth, increases well-being, and decreases cortisol level.

PURPOSE

In the study, it was aimed to determine the effect of EFT and music applied to pregnant women who had experienced prenatal loss on their psychological growth, well-being, and cortisol level.

METHODS

The study was conducted as a randomized controlled trial in a city hospital in eastern Türkiye with 159 pregnant women, 53 of whom were in the EFT, 53 in the music group, and 53 in the control group. The study data were collected through Subjective Units of Disturbance Scale (SUDS), Subjective Units of Experience (SUE) Scale, Post Traumatic Growth Inventory (PTGI), and WHO-5 Well-Being Index, and saliva samples were taken for cortisol evaluation. EFT was applied to the women two times every other week; the women in the music group listened to music two times every other week. Throughout the week following the first intervention, the women continued the interventions at home.

RESULTS

It was determined that EFT and music significantly decreased the participants' subjective anxiety and salivary cortisol median scores, the lowest anxiety was in the EFT group, and PTGI and WHO-5 Well-Being Index mean scores increased (p < 0.005). Further analyses showed that EFT was more effective in terms of increasing well-being than music (p < 0.001; a > b > c). It was determined that the anxiety levels and salivary cortisol median values of the control group were statistically significantly higher compared to the EFT and music groups (p < 0.001).

CONCLUSION

It was found that EFT and music applied to the women who had experienced prenatal loss decreased anxiety, ensured psychological growth, improved well-being, and decreased salivary cortisol level.

摘要

简介

研究表明,情绪释放技术和音乐的应用可促进心理成长、提高幸福感并降低皮质醇水平。

目的

本研究旨在确定应用情绪释放技术和音乐对经历过产前丧失的孕妇的心理成长、幸福感和皮质醇水平的影响。

方法

该研究在土耳其东部的一家城市医院进行,采用随机对照试验设计,共纳入 159 名孕妇,其中 53 名孕妇接受情绪释放技术干预,53 名孕妇接受音乐干预,53 名孕妇作为对照组。研究数据通过主观干扰量表(SUDS)、主观体验量表(SUE)、创伤后成长量表(PTGI)和世界卫生组织幸福度量表(WHO-5)进行收集,并采集唾液样本评估皮质醇水平。每周两次,对接受情绪释放技术干预的孕妇进行两次干预;每周两次,对接受音乐干预的孕妇播放音乐。在首次干预后的一周内,孕妇在家中继续进行干预。

结果

研究发现,情绪释放技术和音乐干预均显著降低了参与者的主观焦虑和唾液皮质醇中位数评分,其中情绪释放技术组的焦虑最低,PTGI 和 WHO-5 幸福感指数的平均分均增加(p<0.005)。进一步分析表明,情绪释放技术在提高幸福感方面比音乐更有效(p<0.001;a>b>c)。与情绪释放技术和音乐组相比,对照组的焦虑水平和唾液皮质醇中位数显著升高(p<0.001)。

结论

本研究表明,应用情绪释放技术和音乐可降低经历过产前丧失的孕妇的焦虑水平,促进心理成长,提高幸福感,降低唾液皮质醇水平。

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