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音乐疗法对高危孕妇无应激试验结果及焦虑水平的影响:一项随机对照试验。

The effect of music therapy on non-stress test results and anxiety levels in high-risk pregnant women: A randomized controlled trial.

机构信息

Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey.

Republic of Turkey Ministry of Health, Konya City Hospital, Konya, Turkey.

出版信息

Int J Nurs Pract. 2024 Dec;30(6):e13281. doi: 10.1111/ijn.13281. Epub 2024 Jun 20.

Abstract

AIM

This study was conducted to determine the effects of music therapy on non-stress test results and anxiety levels in high-risk pregnant women.

METHODS

This randomized controlled study was conducted in pregnant women who were hospitalized in the High-Risk Pregnancy Service of Meram Medical Faculty Hospital, Konya, Turkey, between April 1 and July 31, 2021. In the intervention group (n = 58), a 20-min music therapy with ney sounds was performed, while in the control group (n = 58), routine care practices were applied. Hüseyni maqam of ney was selected, a melodic mode used by Turks for music therapy. Data were collected using the Descriptive Information Form, the Non-Stress Test Evaluation Form, and the State-Trait Anxiety Inventory.

RESULTS

After music therapy, the intervention group experienced increased mean acceleration (p = 0.010) and foetal movement rates (p < 0.001) while no such difference was observed in the control group. The state anxiety levels of pregnant women differed significantly between the intervention and control groups (p < 0.001). Regression analysis showed that music therapy reduced state anxiety levels in pregnant women by a factor of 4.6 (p < 0.001).

CONCLUSION

Based on the findings, music therapy was found to enhance acceleration and foetal heart rate in high-risk pregnant women while reducing state anxiety levels.

摘要

目的

本研究旨在探讨音乐疗法对高危孕妇无应激试验结果和焦虑水平的影响。

方法

本随机对照研究于 2021 年 4 月 1 日至 7 月 31 日在土耳其科尼亚梅拉姆医学院高危妊娠服务部住院的孕妇中进行。在干预组(n=58)中,进行了 20 分钟的 Ney 声音音乐疗法,而在对照组(n=58)中,采用常规护理措施。选择了 Ney 的 Hüseyni maqam,这是土耳其人用于音乐疗法的旋律模式。使用描述性信息表、无应激试验评估表和状态-特质焦虑量表收集数据。

结果

音乐疗法后,干预组的平均加速(p=0.010)和胎儿运动率(p<0.001)增加,而对照组则没有这种差异。干预组和对照组孕妇的状态焦虑水平有显著差异(p<0.001)。回归分析显示,音乐疗法使孕妇的状态焦虑水平降低了 4.6 倍(p<0.001)。

结论

基于这些发现,音乐疗法被发现可增强高危孕妇的加速和胎儿心率,同时降低其状态焦虑水平。

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