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音乐疗法对孕期焦虑的影响:随机对照试验的系统评价

Effect of Music Therapy on Anxiety in Pregnancy: A Systematic Review of Randomized Controlled Trials.

作者信息

Shafqat Naseema, Agrawal Amit, Pushpalatha K, Singh Bharti, Verma Ranjana, Podder Lily, Das Saikat, Sutar Roshan F

机构信息

Obstetrics and Gynecology Nursing, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

Neurosurgery, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

出版信息

Cureus. 2024 Sep 10;16(9):e69066. doi: 10.7759/cureus.69066. eCollection 2024 Sep.

Abstract

Pregnancy can heighten anxiety levels, impacting both maternal and fetal well-being. This systematic review synthesizes evidence from 33 randomized controlled trials exploring the effects of music therapy on anxiety in pregnant women. The studies included diverse populations, ranging from women undergoing in vitro fertilization (IVF) to those facing high-risk pregnancies. Music therapy interventions varied widely, including virtual reality experiences, classical music, lullabies, and patient-selected music, administered at different pregnancy stages such as IVF treatments, elective cesarean sections, and high-risk hospitalizations. The findings consistently demonstrated that music therapy significantly reduces anxiety levels in pregnant women. Positive outcomes included reductions in both state and trait anxiety, improved pregnancy rates, and enhanced maternal-fetal parameters. Additionally, music therapy showed promise in reducing anxiety during labor, cesarean deliveries, and high-risk hospital stays. These varied interventions and their positive outcomes highlight the potential of music therapy as an effective, non-pharmacological approach to managing pregnancy-related anxiety. This review provides a comprehensive overview of the existing evidence on music therapy's efficacy in alleviating anxiety during pregnancy. It underscores the need for further research to standardize interventions and incorporate music therapy into routine prenatal care. By enhancing the overall well-being of expectant mothers, music therapy could become a valuable adjunct to conventional prenatal care practices.

摘要

怀孕会加剧焦虑情绪,影响母婴健康。本系统综述综合了33项随机对照试验的证据,这些试验探讨了音乐疗法对孕妇焦虑的影响。研究对象包括不同人群,从接受体外受精(IVF)的女性到面临高危妊娠的女性。音乐疗法干预措施差异很大,包括虚拟现实体验、古典音乐、摇篮曲和患者自选音乐,在不同的妊娠阶段实施,如IVF治疗、择期剖宫产和高危住院期间。研究结果一致表明,音乐疗法能显著降低孕妇的焦虑水平。积极成果包括状态焦虑和特质焦虑水平降低、妊娠率提高以及母婴参数改善。此外,音乐疗法在减轻分娩、剖宫产和高危住院期间焦虑方面也显示出前景。这些多样的干预措施及其积极成果凸显了音乐疗法作为一种有效、非药物方法来管理与妊娠相关焦虑的潜力。本综述全面概述了现有关于音乐疗法缓解孕期焦虑疗效的证据。它强调需要进一步研究以规范干预措施,并将音乐疗法纳入常规产前护理中。通过提高准妈妈的整体幸福感,音乐疗法可能成为传统产前护理实践的宝贵辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5452/11465781/395b12587e3e/cureus-0016-00000069066-i01.jpg

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