团体式音乐运动对妊娠期下腰痛孕妇生理、心理及社交支持的质性研究
Group Music-Exercise Intervention for Pregnancy-Related Low Back Pain: A Qualitative Study of Physical, Psychological, and Social Experiences
DOI: 10.12677/acm.2026.161163, PDF,   
作者: 罗芙瑶, 姜沈佳, 沈贺蕾, 范 尧*：重庆医科大学公共卫生学院，重庆；俞丽丽, 周明芳：重庆医科大学附属第三医院妇产中心，重庆
关键词: 妊娠期下腰痛；团体式音乐运动；健康体验；质性研究；Pregnancy-Related Low Back Pain； Group Music-Exercise； Health Experience； Qualitative Study
摘要: 目的：探讨妊娠期下腰痛孕妇参与团体式音乐运动干预的真实体验，为优化课程设计提供依据，并为妊娠期运动处方的制订和实施提供参考。方法：本研究为质性研究。采用目的抽样法，于2025年2月~2025年7月选取参加团体式音乐运动课程的25名妊娠期下腰痛孕妇为研究对象，进行面对面半结构化访谈。采用Colaizzi现象学分析法和MAXQDA 2024软件对资料进行整理和分析。结果：共提炼出生理体验改善、心理体验积极转变、社交支持强化、驱动与阻碍因素4个一级主题，包含11个二级主题。结论：团体式音乐运动干预有助于改善妊娠期下腰痛孕妇的身心健康及社交体验。根据参与者参加课程的驱动与阻碍因素，可采取针对性措施优化运动课程设计，为更多妊娠期下腰痛孕妇提供健康支持。
Abstract: Objective: To explore the lived experiences of pregnant women with pregnancy-related low back pain (PLBP) participating in a group music-exercise intervention, and to provide evidence for optimizing program design and formulating and implementing exercise prescriptions during pregnancy. Methods: This qualitative study employed a purposive sampling method. From February to July 2025, 25 pregnant women with PLBP participating in the group music-exercise program were selected as study participants. Face-to-face, semi-structured interviews were conducted. Data were analyzed using Colaizzi’s phenomenological analysis method and MAXQDA 2024 software. Results: Four primary themes were identified: improved physical experience, positive transformation in psychological experience, enhanced social support, and motivating and hindering factors for participation. These themes encompassed 11 secondary themes. Conclusion: The group music-exercise intervention was beneficial in improving the physical and mental health as well as social experience of pregnant women with PLBP. Based on the motivating and hindering factors identified, targeted measures can be implemented to optimize the exercise program design and provide health support to more pregnant women with PLBP.
文章引用：罗芙瑶, 姜沈佳, 沈贺蕾, 范尧, 俞丽丽, 周明芳. 团体式音乐运动对妊娠期下腰痛孕妇生理、心理及社交支持的质性研究[J]. 临床医学进展, 2026, 16(1): 1257-1266. https://doi.org/10.12677/acm.2026.161163

参考文献

[1] Gutke, A., Boissonnault, J., Brook, G. and Stuge, B. (2018) The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. Journal of Women’s Health, 27, 510-517. [Google Scholar] [CrossRef] [PubMed]
[2] Casagrande, D., Gugala, Z., Clark, S.M. and Lindsey, R.W. (2015) Low Back Pain and Pelvic Girdle Pain in Pregnancy. Journal of the American Academy of Orthopaedic Surgeons, 23, 539-549. [Google Scholar] [CrossRef] [PubMed]
[3] 宋成宪, 王润妹, 李太良, 等. 妊娠相关下腰痛的流行病学特征及治疗进展[J]. 中华全科医学, 2017, 15(4): 659-662.
[4] Fruscalzo, A., Cocco, P., Londero, A.P. and Gantert, M. (2021) Correction: Low Back Pain during Pregnancy and Delivery Outcomes. Zeitschrift für Geburtshilfe und Neonatologie, 226, e38-e38. [Google Scholar] [CrossRef] [PubMed]
[5] Pulsifer, J., Britnell, S., Sim, A., Adaszynski, J. and Dufour, S. (2022) Reframing Beliefs and Instiling Facts for Contemporary Management of Pregnancy-Related Pelvic Girdle Pain. British Journal of Sports Medicine, 56, 1262-1265. [Google Scholar] [CrossRef] [PubMed]
[6] Mottola, M.F., Davenport, M.H., Ruchat, S., Davies, G.A., Poitras, V.J., Gray, C.E., et al. (2018) 2019 Canadian Guideline for Physical Activity Throughout Pregnancy. British Journal of Sports Medicine, 52, 1339-1346. [Google Scholar] [CrossRef] [PubMed]
[7] 石志宜, 卢颖, 刘纬华, 王真真, 张红梅. 补充替代医学治疗在妊娠相关下腰痛患者中应用的研究进展[J]. 中国全科医学, 2021, 24(9), 1095-1101.
[8] 焦雅楠, 燕美琴, 张宇涵, 等. 妊娠相关腰痛孕妇生活体验和自我管理的质性研究[J]. 护理研究, 2024, 38(20): 3750-3754.
[9] Stuge, B. (2019) Evidence of Stabilizing Exercises for Low Back-and Pelvic Girdle Pain—A Critical Review. Brazilian Journal of Physical Therapy, 23, 181-186. [Google Scholar] [CrossRef] [PubMed]
[10] Ceprnja, D., Chipchase, L., Fahey, P., Liamputtong, P. and Gupta, A. (2021) Prevalence and Factors Associated with Pelvic Girdle Pain during Pregnancy in Australian Women. Spine, 46, 944-949. [Google Scholar] [CrossRef] [PubMed]
[11] Sward, L., Manning, N., Murchison, A.B., Ghahremani, T., McCaulley, J.A. and Magann, E.F. (2023) Pelvic Girdle Pain in Pregnancy: A Review. Obstetrical & Gynecological Survey, 78, 349-357. [Google Scholar] [CrossRef] [PubMed]
[12] Davenport, M.H., Marchand, A., Mottola, M.F., Poitras, V.J., Gray, C.E., Jaramillo Garcia, A., et al. (2018) Exercise for the Prevention and Treatment of Low Back, Pelvic Girdle and Lumbopelvic Pain during Pregnancy: A Systematic Review and Meta-Analysis. British Journal of Sports Medicine, 53, 90-98. [Google Scholar] [CrossRef] [PubMed]
[13] Yan, C., Hung, Y., Gau, M. and Lin, K. (2014) Effects of a Stability Ball Exercise Programme on Low Back Pain and Daily Life Interference during Pregnancy. Midwifery, 30, 412-419. [Google Scholar] [CrossRef] [PubMed]
[14] Kokic, I., Ivanisevic, M., Uremovic, M., Kokic, T., Pisot, R. and Simunic, B. (2017) Effect of Therapeutic Exercises on Pregnancy-Related Low Back Pain and Pelvic Girdle Pain: Secondary Analysis of a Randomized Controlled Trial. Journal of Rehabilitation Medicine, 49, 251-257. [Google Scholar] [CrossRef] [PubMed]
[15] House, J.S. and Kahn, R.L. (1985) Measures and Concepts of Social Support. In: Cohen, S. and Syme, S.L., Eds., Social Support and Health, Academic Press, 83-108.
[16] Bandura, A. (1977) Self-Efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84, 191-215. [Google Scholar] [CrossRef] 
[17] Ceprnja, D., Chipchase, L., Liamputtong, P. and Gupta, A. (2018) How Do Australian Women Cope with Pelvic Girdle Pain during Pregnancy? A Qualitative Study Protocol. BMJ Open, 8, e022332. [Google Scholar] [CrossRef] [PubMed]
[18] Liddle, S.D. and Pennick, V. (2015) Interventions for Preventing and Treating Low-Back and Pelvic Pain during Pregnancy. Cochrane Database of Systematic Reviews, No. 9, CD001139. [Google Scholar] [CrossRef] [PubMed]
[19] Stafne, S.N., Salvesen, K.Å., Romundstad, P.R., Stuge, B. and Mørkved, S. (2012) Does Regular Exercise during Pregnancy Influence Lumbopelvic Pain? A Randomized Controlled Trial. Acta Obstetricia et Gynecologica Scandinavica, 91, 552-559. [Google Scholar] [CrossRef] [PubMed]
[20] Gutke, A., Betten, C., Degerskär, K., Pousette, S. and Fagevik Olsén, M. (2015) Treatments for Pregnancy‐Related Lumbopelvic Pain: A Systematic Review of Physiotherapy Modalities. Acta Obstetricia et Gynecologica Scandinavica, 94, 1156-1167. [Google Scholar] [CrossRef] [PubMed]
[21] 鄢琴. 营养干预结合抗阻力运动对GDM孕妇分娩方式及母婴结局的影响[J]. 实用妇科内分泌电子杂志, 2022, 9(9): 65-68.
[22] Eliakim, M., Meckel, Y., Nemet, D. and Eliakim, A. (2007) The Effect of Music during Warm-Up on Consecutive Anaerobic Performance in Elite Adolescent Volleyball Players. International Journal of Sports Medicine, 28, 321-325. [Google Scholar] [CrossRef] [PubMed]
[23] Dyrlund, A.K. and Wininger, S.R. (2008) The Effects of Music Preference and Exercise Intensity on Psychological Variables. Journal of Music Therapy, 45, 114-134. [Google Scholar] [CrossRef] [PubMed]
[24] 陈勇. 音乐运动疗法在抑郁症康复治疗中的应用[J]. 人民音乐, 2013(10): 79-81.
[25] 飞, 董玉贵, 崔蕊娥, 等. 功能锻炼联合音乐护理对脑出血患者康复效果影响[J]. 医学临床研究, 2015, 32(11): 2149-2151.
[26] 赵秋云, 林强, 程凯, 等. 音乐运动疗法对脑卒中患者的运动功能、步行能力及心理的影响[J]. 中国康复医学杂志, 2017, 32(3): 293-296.

为你推荐