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基于音乐的干预措施对孕期母婴参数的影响:一项系统评价。

Effect of Music-Based Interventions on Maternal and Fetal Parameters during Pregnancy: A Systematic Review.

作者信息

Dogan-Gangal Aliye, Akin Belgin, Kocoglu-Tanyer Deniz

机构信息

Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Gazi University, Ankara, Turkey.

Nursing Department, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey.

出版信息

Complement Med Res. 2024;31(6):540-550. doi: 10.1159/000540263. Epub 2024 Aug 22.

Abstract

INTRODUCTION

Music is a non-pharmacological intervention often used to improve maternal mental health during pregnancy. However, there is limited evidence regarding the effectiveness of music-based interventions on maternal and fetal parameters during pregnancy. We present a systematic review of the available research literature on the effects of music interventions on maternal and fetal parameters.

METHODS

A comprehensive literature search was conducted on the Web of Science, PubMed, ScienceDirect, Scopus, CINAHL, MEDLINE, Cochrane, ProQuest, and Turkish databases. The review included randomized controlled and quasi-experimental studies. Two independent authors evaluated the methodological quality of each study using the Quality Assessment Tool for Quantitative Studies. The study was registered in PROSPERO (CRD42018102914).

RESULTS

The literature review yielded a total of 723 studies. Among these studies, 13 were included in this study. Most of the studies involving low-risk pregnant women reported that music had no effect on stress but reduced anxiety and depression. The effect of music on pregnant women's blood pressure varied depending on the presence of medical conditions that could affect their blood pressure. While some studies showed that music interventions effectively increased fetal movement and acceleration, the available findings were limited.

CONCLUSION

Healthcare professionals can use simple, cost-effective, and practical music interventions to improve maternal mental health during pregnancy without neglecting medical treatment. Future well-designed studies are recommended to investigate the effects of music on maternal psychological, physiological parameters and fetal parameters in high-risk pregnancies.

摘要

引言

音乐是一种非药物干预手段,常用于改善孕期母亲的心理健康。然而,关于基于音乐的干预措施对孕期母婴参数有效性的证据有限。我们对现有的关于音乐干预对母婴参数影响的研究文献进行了系统综述。

方法

在科学网、PubMed、ScienceDirect、Scopus、CINAHL、MEDLINE、Cochrane、ProQuest和土耳其数据库上进行了全面的文献检索。该综述纳入了随机对照和准实验研究。两位独立作者使用定量研究质量评估工具评估了每项研究的方法学质量。该研究已在国际前瞻性系统评价注册库(PROSPERO,注册号:CRD42018102914)登记。

结果

文献综述共检索到723项研究。其中,本研究纳入了13项。大多数涉及低风险孕妇的研究报告称,音乐对压力没有影响,但能减轻焦虑和抑郁。音乐对孕妇血压的影响因是否存在可能影响其血压的医疗状况而异。虽然一些研究表明音乐干预能有效增加胎动和胎心加速,但现有研究结果有限。

结论

医疗保健专业人员可以使用简单、经济有效且实用的音乐干预措施来改善孕期母亲的心理健康,同时不忽视医疗治疗。建议未来开展设计良好的研究,以调查音乐对高危妊娠中母亲心理、生理参数及胎儿参数的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d10/11633902/3e4bbf710774/cmr-2024-0031-0006-540263_F01.jpg

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