Estudo randomizado testando musicoterapia na redução da fadiga relacionada ao câncer em mulheres com neoplasia maligna de mama ou ginecológica em curso de radioterapia
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Data
2012-04-05
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Universidade Federal de Goiás
Resumo
To study the influence of music therapy in reduction of Fatigue related
to cancer in patients with breast’s or gynecology’s cancer, during the radiotherapy
treatment.
METHODS: This is a randomized controled study (Control Group - CG e
Musictherapy Group - MTG) wich values fatigue, life’s quality, anxienty, depression
by using evaluative instruments Functional Assessment of Cancer Therapy:
Fatigue (FACT-F), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI)
in three differents moments (during first week of radiotherapy, in the intermediate
phase’s week and during the last week of radiotherapy) for patients of bouth
groups. Women allocated in MTG, in addition to the scales described above,
answered the Music therapy Questionary (MQ), and the Subjective Impression of
the Subject’s Questionary in last meeting. Music Therapy sessions were individual
and lasted an average of 40 minutes. Music therapeutic techniques used were
Musical Audition (MA) and Therapeutic Musical Audition (TMA).
RESULTS: 164 women were randomized and 116 women with middle age of
52,9 (CG) and 51,85 years (MTG) were included in the analysis. MTG’s patients
had on average 10 music therapy sessions, totalizing 509 assistences during
the search. In the analysis between groups, Functional Assesment of Cancer
Therapy: Fatigue (FACIT-F) demonstrated significance related to Trial Outcome
Index (TOI) (p=0,011), Functional Assesment of Cancer Therapy – Geral (FACT-G) FACT-G (p=0,001) FACIT-F FACT-F(p=0,005) areas to the MGT compared to
CG. In comparisson made inside the same group results pointed a significant
worsening for women. The GMT showed a significant in TOI, FACT-G and FACIT
– F (p<0,001) areas in fatigue scale. Music Therapy Questionary showed that
59,3% of the pacients didn’t know what music therapy was, and 53,7% thought
that Music Therapy was a relaxing activity. In the end of the process, based on
ISS, 98,1% of the women afirmated that Music Therapy made difference in their
lives, 96,2% reported a positive perception of music therapy, 75,5% noticed less
fatigue and 84,9% reported less stress.
CONCLUSION: Individual Music therapy is effective in treatment of Fatigue
Related to Cancer during the radiotherapy, to depression and to improve quality
of life.
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ALCÂNTARA-SILVA, Tereza Raquel de Melo. Estudo randomizado testando musicoterapia na redução da fadiga relacionada ao câncer em mulheres com neoplasia maligna de mama ou ginecológica em curso de radioterapia. 2012. 157 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2012.