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

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.