某医院产检孕妇的音乐行为、运动锻炼与情绪的关系研究  

A study on the relationship between music behavior,exercise and emotion among pregnant women who underwent prenatal examination in a hospital

作　　者：芦琪乐 韦欣雨 王艳梅 俞丽丽 雷迅[1,3] 范尧 LU Qi-le;WEI Xin-yu;WANG Yan-mei;YU Li-li;LET Xun;FAN Yao(Schoo of Public Health Chongqing Medical University,Chongqing 401331,China)

机构地区：[1]重庆医科大学公共卫生学院,重庆401331 [2]重庆医科大学附属第三医院妇产中心,重庆401120 [3]医学与社会发展研究中心,重庆401331

出　　处：《中国健康教育》2025年第1期13-22,共10页Chinese Journal of Health Education

基　　金：重庆市教委教育教学改革研究项目(233155);重庆市大学生创新创业训练计划项目(202210631038);重庆医科大学未来医学青年创新团队发展支持计划(W0209);重庆医科大学未来医学青年创新团队发展支持计划(W0013)。

摘　　要：目的探讨运动锻炼在妊娠期妇女音乐行为与情绪间的中介效应,以及音乐行为和运动锻炼对情绪的交互效应。方法采用自制音乐行为问卷、中文版孕期体力活动问卷、正性负性情绪量表、患者健康问卷抑郁量表对重庆市某三甲医院的部分妊娠期妇女进行调查,采用Process中介模型、引入交互项的线性回归模型分析音乐行为、运动锻炼对妊娠期妇女情绪的影响机制。结果妊娠期妇女音乐行为得分的中位数为-0.07(-0.45,0.23)分,运动锻炼能耗值的中位数为3.70(0.80,9.60)MET-h/week,运动锻炼达标人数为542人(34.60%);正性情绪得分的中位数为28.00(22.00,31.00)分;抑郁情绪得分的中位数为4.00(2.00,6.00)分,抑郁阳性数为78(4.98%)。偏相关分析结果显示,音乐行为与运动锻炼(r=0.256)、正性情绪(r=0.201)均呈正相关,运动锻炼与正性情绪呈正相关(r=0.184)(P<0.05);但音乐行为(r=0.004)、运动锻炼(r=-0.048)与抑郁情绪均不相关(P>0.05)。中介效应检验结果显示,在音乐行为→运动锻炼→正性情绪路径中,总效应值为2.337(95%CI:1.786~2.927),间接效应值为0.433(95%CI:0.265~0.622),间接效应占总效应的比值为18.51%,表明运动锻炼在音乐行为与正性情绪间存在部分中介效应;在音乐行为→运动锻炼→抑郁情绪路径中,总效应(95%CI:-0.259~0.288)和直接效应(95%CI:-0.189~0.377)均不显著,而间接效应显著为-0.080(95%CI:-0.154~-0.012),表明运动锻炼在音乐行为与抑郁情绪间存在遮掩效应。线性回归分析结果显示,音乐行为和运动锻炼的交互项系数为负(P<0.05),表明音乐行为和运动锻炼对正性情绪存在替代模式的交互效应。结论运动锻炼在音乐行为与正性情绪间存在部分中介效应,且音乐行为和运动锻炼存在替代效应。故可认为妇女在妊娠期进行音乐行为和运动锻炼,有利于促进自身情绪健康。Objective To explore the mediating effect of exercise on the relationship between musical behavior and emotion in pregnant women,and the interactive effect of musical behavior and exercise on emotion.Methods Self-made Musical Behavior Questionn,Chinese version of the Pregnancy Physical Activity Questionnaire,Positive and Negative Affective Scale and Patient Health Questionnaire were used to investigate 1565 pregnant women in a third-class hospital in Chongqing,and mediation model and linear regression model analyze the influence mechanism of musical behavior and exercise on the emotion of pregnant women.Results The median score(P_(25),P_(75))of musical behavior in pregnant women was-0.07(-0.45,0.23).The median score(P_(25),P_(75))of exercise energy consumption was 3.70(0.80,9.60)METh/week,and 542 pregnant women(34.60%)reached the standard of exercise.The median score(P_(25),P_(75))of positive emotion was 28.00(22.00,31.00).The median score(P25,P75)of depression was 4.00(2.00,6.00),and the case number of depression was 78(4.98%).The results of partial correlation analysis showed that musical behavior was positively correlated with exercise(r=0.256)and positive emotion(r=0.201),and exercise was positively correlated with positive emotion(r=0.184)(P<0.05).However,musical behavior(r=0.004)and exercise(r=-0.048)were not associated with depression(P>0.05).The mediating effect test showed that in the path of musical behavior→exercise→positive emotion,the total effect value was 2.337(95%CI:1.786-2.927),the indirect effect value was 0.433(95%CI:0.265-0.622),accounting for 18.51%.It showed that there was partial mediating effect of exercise between musical behavior and positive emotion.In the path of musical behavior→exercise→depression,the total effect(95%CI:-0.259-0.288)and the direct effect(95%CI:-0.189-0.377)were not significant,while the indirect effect was significant(-0.080,95%CI:-0.154--0.012).It showed that there was masking effect of exercise between musical behavior and depression.Linear regression analy

关 键 词：妊娠期妇女 音乐行为 运动锻炼 正性情绪 抑郁情绪 

分 类 号：R193[医药卫生—卫生事业管理]