International Journal of Nursing Research
International Journal of Nursing Research. 2026; 8: (2) ; 10.12208/j.ijnr.20260071 .
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湖南中医药高等专科学校附属第一医院（湖南省直中医医院）妇二科 湖南株洲
*通讯作者： 蒋维,单位：湖南中医药高等专科学校附属第一医院（湖南省直中医医院）妇二科 湖南株洲；
目的 探讨子午流注择时五行音乐疗法对先兆流产孕妇心理状况的影响，评价干预方案的可行性和有效性。方法 本研究采用随机对照试验设计，选取2023年10月~2024年6月湖南省直中医医院妇二科收治的76例先兆流产孕妇，按随机数字表法分为试验组（n=38）和对照组（n=38）。对照组采取五行音乐疗法干预三周，避开巳时（9:00~11:00）和酉时（17:00~19:00）施乐。试验组根据子午流注择时理论，在巳时施宫调式音乐，酉时施羽调式音乐。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数量表（PSQI）及血压、心率、专注度、放松度、疼痛评分评估心理状况。结果 干预后，试验组SAS评分（38.68±4.85）显著低于对照组（62.53±2.89）；试验组SDS评分（36.97±4.34）显著低于对照组（63.99±2.60）；试验组PSQI评分（5.87±1.88）显著低于对照组（12.82±2.25）；试验组舒张压（64.50±2.70）显著低于对照组（68.68±4.49）；试验组心率（72.71±3.01）显著低于对照组（78.11±3.10）；试验组疼痛评分（0.42±0.50）显著低于对照组（1.52±0.30）；试验组专注度评分（82.08±2.79）显著高于对照组（42.47±4.29）；试验组放松度评分（82.92±3.02）显著高于对照组（42.37±4.56），以上差异均有统计学意义（P<0.05）。结论 子午流注择时五行音乐疗法可有效缓解先兆流产孕妇的焦虑、抑郁、疼痛，改善睡眠质量、专注度及放松度，保障母婴健康。
Objective To explore the impact of Ziwu Liuzhu Time-Selected Five-Element Music Therapy on the psychological status of pregnant women with threatened abortion, and to evaluate the feasibility and effectiveness of the intervention program. Methods A randomized controlled trial design was adopted in this study. From October 2023 to June 2024, 76 pregnant women with threatened abortion admitted to the Second Department of Gynecology, Hunan Provincial Hospital of Traditional Chinese Medicine, were selected and divided into an experimental group (n=38) and a control group (n=38) using a random number table method. The control group received Five-Element Music Therapy for three weeks, with music administration avoided during Sishi (9:00~11:00 AM) and Youshi (5:00~7:00 PM). Based on the Ziwu Liuzhu Time-Selected, the experimental group was given Gong-mode music during Sishi and Yu-mode music during Youshi. The psychological status was evaluated using the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI), as well as indicators including blood pressure, heart rate, attention level, relaxation level, and pain score. Results After the intervention, the SAS score of the experimental group (38.68 ± 4.85) was significantly lower than that of the control group (62.53 ± 2.89); the SDS score of the experimental group (36.97 ± 4.34) was significantly lower than that of the control group (63.99 ± 2.60); the PSQI score of the experimental group (5.87 ± 1.88) was significantly lower than that of the control group (12.82 ± 2.25); the diastolic blood pressure of the experimental group (64.50 ± 2.70) was significantly lower than that of the control group (68.68 ± 4.49); the heart rate of the experimental group (72.71 ± 3.01) was significantly lower than that of the control group (78.11 ± 3.10); the pain score of the experimental group (0.42 ± 0.50) was significantly lower than that of the control group (1.52 ± 0.30); the concentration score of the experimental group (82.08 ± 2.79) was significantly higher than that of the control group (42.47 ± 4.29); the relaxation score of the experimental group (82.92 ± 3.02) was significantly higher than that of the control group (42.37 ± 4.56). All the above differences were statistically significant (P < 0.05). Conclusion Ziwu Liuzhu Time-Selected Five-Element Music Therapy can effectively alleviate anxiety, depression, and pain in pregnant women with threatened abortion, improve their sleep quality, attention level, and relaxation level, thereby protecting maternal and infant health.
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