Application of Five-Element Music Therapy Combined with Family-Participatory Psychological Care During the In Vitro Fertilization-Embryo Transfer Treatment Period for Infertile Patients with Polycystic Ovary Syndrome

五行音乐疗法结合家庭参与式心理护理在多囊卵巢综合征不孕症患者体外受精-胚胎移植治疗期间的应用

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Abstract

OBJECTIVE: This study evaluates the effectiveness of Five-Element Music Therapy combined with Family-Participatory Psychological Care in women with polycystic ovary syndrome (PCOS)-related infertility undergoing in vitro fertilization-embryo transfer (IVF-ET) treatment. METHODS: A retrospective analysis was conducted on the clinical data of 140 patients with PCOS-related infertility who underwent IVF-ET treatment at the First Affiliated Hospital of Naval Medical University between January 2020 and January 2024. The patients were divided into three groups according to the type of care received: group A (n = 50), which received conventional care; group B (n = 45), which received conventional care plus Family-Participatory Psychological Care; and group C (n = 45), which received conventional care, Family-Participatory Psychological Care, and Five-Element Music Therapy. Outcomes assessed included baseline clinical characteristics, IVF-ET-related indicators, psychological status [Zung Self-Rating Anxiety Scale (Zung-SAS), Zung Self-Rating Depression Scale (Zung-SDS)], quality of life [Modified Polycystic Ovary Syndrome Health-Related Quality of Life Questionnaire (MPCOSQ)], perceived disease burden [Brief Illness Perception Questionnaire (BIPQ)], family function [Chinese version of the Family Assessment Device (FAD)], clinical pregnancy success rate, and nursing satisfaction. RESULTS: Following successful embryo transfer, patients in groups B and C exhibited significantly lower scores on the Zung-SAS, Zung-SDS, FAD, and BIPQ than those in group A, and group C showed the most pronounced improvements (P < 0.05). Similarly, MPCOSQ scores were significantly higher in groups B and C than in group A, and group C demonstrated superior outcomes (P < 0.05). Nursing satisfaction was significantly greater in groups B and C, with group C achieving the highest levels of satisfaction (P < 0.05). CONCLUSION: Integrating Five-Element Music Therapy with Family-Participatory Psychological Care during IVF-ET treatment for patients with PCOS-related infertility alleviates negative emotional states, enhances family function and quality of life, reduces perceived disease burden, and improves nursing satisfaction.

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