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

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-06-20 DOI:10.1111/ijn.13281

Yasemin E. Aksoy PhD, Sema D. Yilmaz PhD, Süreyya Kiliç Master of Science

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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.

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音乐疗法对高危孕妇非压力测试结果和焦虑水平的影响：随机对照试验

目的：本研究旨在确定音乐疗法对高危孕妇非压力测试结果和焦虑水平的影响。方法：本随机对照研究的对象是 2021 年 4 月 1 日至 7 月 31 日期间在土耳其科尼亚市梅拉姆医学院附属医院高危妊娠服务处住院的孕妇。干预组（58 人）进行了 20 分钟的尼音音乐治疗，对照组（58 人）则采用常规护理方法。选择了土耳其人用于音乐疗法的 Hüseyni maqam。结果音乐治疗后，干预组的平均加速度（p = 0.010）和胎动率（p <0.001）均有所提高，而对照组则无此差异。干预组和对照组孕妇的状态焦虑水平差异显著（p < 0.001）。回归分析表明，音乐疗法可将孕妇的状态焦虑水平降低 4.6 倍（p < 0.001）。结论根据研究结果，音乐疗法可提高高危孕妇的加速度和胎儿心率，同时降低状态焦虑水平。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.