Effect of five elements of music combined with cognitive psychological counseling on the efficacy of foetus preservation in late threatened abortion of depressed pregnant women
ZHENG Lijuan LI Hui SU Minyi HUANG Biqiong JIANG Xuewei HU Pinjia HU Zurong
Department of Obstetrics and Gynecology, Guangdong Provincial Maternal and Child Health Hospital, Guangdong Province, Guangzhou 510010, China
Abstract：Objective To observe the effect of five elements of music combined with cognitive psychological counseling on depression threatened abortion in the third trimester, and to explore its effect on maternal sleep quality, serum progesterone and progesterone induced blocking factor (PIBF). Methods A total of 120 pregnant women with advanced threatened abortion admitted to the Department of Obstetrics of Guangdong Provincial Maternal and Child Health Hospital from March 2017 to March 2019 were selected and divided into the conventional treatment group (control group, 60 cases) and the five-element music combined cognitive psychological intervention group (observation group, 60 cases) according to the random number table method. After two weeks of treatment, the time of disappearance of contractions, the length of gestation weeks and the effective rate of treatment were compared. Pittsburgh sleep quality index (PSQI) score, depression self-rating depression scale (SDS), serum progesterone level and PIBF concentration before and after treatment were compared. Results There was no significant difference in age, gestational age, gestational duration, birth duration and SDS score between the two groups (P ＞ 0.05). Compared with the control group, contractions disappeared earlier in the observation group, gestation was prolonged longer, and treatment efficiency was higher (P ＜ 0.05). After treatment, the PSQI score and SDS score of the two groups were lower than that of the control group, and the differences were statistically significant (P ＜ 0.05). After 2 weeks of treatment, SDS score and proportion of moderately depressed pregnant women in both groups were significantly lower than before treatment, while proportion of non-depressed pregnant women was higher (P ＜ 0.05). The distribution of PSQI score and degree in the control group was not significantly different from that before treatment (P ＞ 0.05). The PSQI score in the observation group after treatment was lower than that before treatment, and the proportion of pregnant women with good sleep was higher (P ＜ 0.05). There was no significant difference in serum progesterone and PIBF between the two groups before treatment (P ＞ 0.05). After 2 weeks of treatment, the levels of progesterone and PIBF in the two groups of pregnant women were significantly higher than those before treatment, and the levels of progesterone and PIBF in the observation group were higher than those in the control group (P ＜ 0.05). Conclusion Five elements of music combined with cognitive psychological intervention therapy can improve the depression mood of pregnant women with late-stage threatened abortion with depression, improve the quality of sleep, thus increase the release of progesterone, reduce the immune rejection reaction, improve the treatment efficiency.
郑丽娟 李慧 苏敏仪 黄碧琼 蒋雪薇 胡品佳 胡祖荣. 五行音乐联合认知心理辅导对抑郁孕妇晚期先兆流产保胎疗效的影响[J]. 中国医药导报, 2020, 17(6): 103-106.
ZHENG Lijuan LI Hui SU Minyi HUANG Biqiong JIANG Xuewei HU Pinjia HU Zurong. Effect of five elements of music combined with cognitive psychological counseling on the efficacy of foetus preservation in late threatened abortion of depressed pregnant women. 中国医药导报, 2020, 17(6): 103-106.
[1] 钟韵.孕24～28周晚期先兆流产的研究进展[J].国际生殖健康/计划生育杂志，2018，37（5）：422-425，434.
[2] Dunkel SC，Tanner L. Anxiety，depression and stress in pregnancy：implications for mothers，children，research，and practice [J]. Curr Opin Psychiatry，2012，25（2）：141-148.
[3] 李志云，甘艳微，阮景，等.药膳联合五行音乐辅助治疗晚期先兆流产的疗效观察[J].护理研究，2016，30（31）：3868-3871.
[4] 谢幸，苟文丽.妇产科学[Z].北京：人民卫生出版社，2014： 47-51.
[5] 路桃影，李艳，夏萍，等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学，2014，43（3）：260-263.
[6] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[7] 田燕燕，拓明花，马若梅，等.妊娠晚期孕妇抑郁与睡眠质量的相关性研究[J].中华疾病控制杂志，2018，22（6）：630-634.
[8] 李婷，陈思，曹惠芳，等.妊娠期睡眠呼吸障碍的发生及其高危因素[J].现代妇产科进展，2016，25（5）：354-357.
[9] 徐娅楠，高红，胡智芳，等.妊娠中晚期妇女血压变化及焦虑抑郁与心率变异性的关系[J].中国医药导报，2019， 16（21）：100-103.
[10] Okun ML，Schetter CD，Glynn LM. Poor sleep quality is associated with preterm birth [J]. Sleep，2011，34（11）：1493-1498.
[11] Palagini L，Gemignani A，Banti S，et al. Chronic sleep loss during pregnancy as a determinant of stress：impact on pregnancy outcome [J]. Sleep Med，2014，15（8）：853-859.
[12] Breslau N，Roth T，Rosenthal L，et al. Sleep disturbance and psychiatric disorders：a longitudinal epidemiological study of young adults [J]. Biol Psychiatry，1996，39（6）：411-418.
[13] 孟昕，汪卫东.中医五行音乐疗法的理论和应用探析[J].环球中医药，2017，10（10）：1118-1121.
[14] 张海华，许能贵，李知行，等.针刺配合五行音乐治疗女性抑郁症的临床观察[J].中国针灸，2018，38（12）：1293-1297.
[15] 刘敏婷.五行音乐疗法配合穴位贴敷治疗妊娠晚期失眠效果观察[J].护理与康复，2018，17（1）：7-9.
[16] 刘新娟，王静，黎东梅，等.孕早期先兆流产危险因素的Logistic回归分析[J].中国计划生育和妇产科，2019，11（3）：45-48.
[17] Warriner IK，Wang D，Huong NT，et al. Can midlevel health-care providers administer early medical abortion as safely and effectively as doctors? A randomised controlled equivalence trial in Nepal [J]. Lancet，2011，377（9772）：1155-1161.
[18] Check JH，DiAntonio G，DiAntonio A，et al. The progesterone receptor antagonist mifepristone does not lower serum progesterone induced blocking factor （PIBF） in the presence of progesterone [J]. Clin Exp Obstet Gynecol，2016，43（2）：189-191.
[19] Sun BZ，Kangarloo T，Adams JM，et al. The Relationship Between Progesterone，Sleep，and LH and FSH Secretory Dynamics in Early Postmenarchal Girls [J]. J Clin Endocrinol Metab，2019，104（6）：2184-2194.
[20] Stavaras C，Pastaka C，Papala M，et al. Sexual function in pre- and post-menopausal women with obstructive sleep apnea syndrome [J]. Int J Impot Res，2012，24（6）：228-233.
[21] Hudic I，Fatusic Z. Progesterone - induced blocking factor （PIBF） and Th（1）/Th（2） cytokine in women with threatened spontaneous abortion [J]. J Perinat Med，2009，37（4）：338-342.
2020, Vol. 17 
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