Women treated for a gynecological cancer report longstanding post-treatment difficulties for which they rarely seek or receive help. Few intervention studies have successfully improved global sexual health within this population. Research in this domain is challenging due to inconsistent measurements of sexuality, low response rates and high attrition rates. The overarching study objectives were: (a) To contribute to the advancement of research on supportive care needs (including sexual health needs), desire for help, and predictors of needs; and, (b) To inform the development of services for gynecological cancer survivors. In Study 1, a qualitative interview study explored the experiences of 15 gynecological cancer survivors. Interviews were conducted and analysed based on the Interpretive Description approach . In Study 2 (for which results were analyzed in two parts), a descriptive, cross-sectional needs assessment was conducted to measure supportive care needs, desire for help, sexual health and vaginal changes, and service format preferences in 113 patients. In Part 1 of Study 2, descriptive and regression analyses explored patient needs, desire for help and potential predictors of these variables. In Part 2, a descriptive analysis explored sexual health needs and vaginal changes, desire for help with sexual health needs, and their associations with sociodemographic and medical variables. Qualitative results from Study 1 suggested that psychological, emotional and relational aspects of sexuality were as important to the participants as physiological sexual response. In the needs assessment, the strongest predictors of greater unmet needs and increased readiness for help were younger age and shorter time since treatment. Moderate to high sexual and social needs were equally prevalent in women recently treated and those treated several years prior to the study, suggesting that sexual and social needs may remain unaddressed over time. Further, many women who reported a need did not desire help, demonstrating the subjectivity of needs and distress, as well as the potential presence of barriers to seeking help. Both studies revealed a common finding, where sexual health needs were a product of the discordance between participants’ current sexual experiences and their perceptions of ideal sexual health. Overall, the two studies indicate that a significant subgroup of patients experience unmet needs in cancer survivorship, most of which are non-physical; also, while some needs were higher following treatment, unmet social and sexual health needs show little relationship with time since treatment. Ambivalence about receiving help with unmet needs is related to beliefs about the role of the health care team in meeting non-physical needs, as well as other perceived barriers. Patient’s perceived sexual health needs and barriers to receiving help should be evaluated within a comprehensive framework of needs and discussed one-on-one. Future research should explore the added predictive value of other groups of medical and psychological variables.

Women treated for a gynecological cancer report longstanding post-treatment difficulties for which they rarely seek or receive help. Few intervention studies have successfully improved global sexual health within this population. Research in this domain is challenging due to inconsistent measurements of sexuality, low response rates and high attrition rates. The overarching study objectives were: (a) To contribute to the advancement of research on supportive care needs (including sexual health needs), desire for help, and predictors of needs; and, (b) To inform the development of services for gynecological cancer survivors. In Study 1, a qualitative interview study explored the experiences of 15 gynecological cancer survivors. Interviews were conducted and analysed based on the Interpretive Description approach . In Study 2 (for which results were analyzed in two parts), a descriptive, cross-sectional needs assessment was conducted to measure supportive care needs, desire for help, sexual health and vaginal changes, and service format preferences in 113 patients. In Part 1 of Study 2, descriptive and regression analyses explored patient needs, desire for help and potential predictors of these variables. In Part 2, a descriptive analysis explored sexual health needs and vaginal changes, desire for help with sexual health needs, and their associations with sociodemographic and medical variables. Qualitative results from Study 1 suggested that psychological, emotional and relational aspects of sexuality were as important to the participants as physiological sexual response. In the needs assessment, the strongest predictors of greater unmet needs and increased readiness for help were younger age and shorter time since treatment. Moderate to high sexual and social needs were equally prevalent in women recently treated and those treated several years prior to the study, suggesting that sexual and social needs may remain unaddressed over time. Further, many women who reported a need did not desire help, demonstrating the subjectivity of needs and distress, as well as the potential presence of barriers to seeking help. Both studies revealed a common finding, where sexual health needs were a product of the discordance between participants’ current sexual experiences and their perceptions of ideal sexual health. Overall, the two studies indicate that a significant subgroup of patients experience unmet needs in cancer survivorship, most of which are non-physical; also, while some needs were higher following treatment, unmet social and sexual health needs show little relationship with time since treatment. Ambivalence about receiving help with unmet needs is related to beliefs about the role of the health care team in meeting non-physical needs, as well as other perceived barriers. Patient’s perceived sexual health needs and barriers to receiving help should be evaluated within a comprehensive framework of needs and discussed one-on-one. Future research should explore the added predictive value of other groups of medical and psychological variables.

Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior. A total of 350 women 19 through 80 years of age completed a one time, 15-minute online survey regarding their gynecological care seeking behavior. Ordered logistic regression analysis revealed that when controlling for demographic variables and self-concept scores satisfaction was significantly impacted by the quality of provider communication. Specifically, higher quality of communication likely increases satisfaction by 12% (coef = .77; odds ratio= 1.19 at a p< .01). Avoidance was significantly associated with greater provider empathy indicating a 9% decrease in avoidance is likely as empathy scores go up (coef = -.19; odds ratio= 0.96 at a p< .01). When controlling for various demographic factors, self-concept scores and provider communication were not shown to be significantly associated with patient anxiety. These findings suggest that enhancing provider communication quality and empathy may improve satisfaction and lessen patient avoidance. Results also indicate that women who have a more positive evaluation of their genital self-image were more likely to feel greater satisfaction concerning gynecological care. Thematic analysis of open-ended essay questions revealed several themes among 3 main areas: 1). Clinician Communication (active listening, explanation, empathic communication, & pace), 2). Social Environment (hospitality& being relational), and 3). Physical Environment (Privacy, Aesthetics, & Sensate Variables). Detailed explanation, empathetic communication, and not rushing patients through procedures all emerged as important components that may guard against patient anxiety. Results suggest that distress related to gynecological care could be mitigated by easily modifiable improvements to the environment like increasing the temperature of the exam rooms, opting for less harsh lighting, providing a place to hang or set clothing, and more thoughtful placement of baby pictures. Results also suggest that improvements to modesty concerns within the exam room, like larger cloth draping and gowns, may significantly improve the patient experience.

Bakgrund: Missfall innebär spontant avbrytande av graviditet fram till graviditetsvecka 22+0. Missfall utgör den vanligaste orsaken till att en graviditet avslutas och ingen behandling finns för att bota ett pågående missfall. Vid missfall sökte kvinnor oftast vård på akutmottagningar eller gynekologiska avdelningar. Kvinnor upplevde att bemötandet var otillfredsställande av sjuksköterskor och var i behov av ytterligare stöd. Syfte: Att undersöka sjuksköterskors erfarenheter av att omhänderta kvinnor med missfall på akutmottagningar och gynekologiska avdelningar. Metod: Litteraturöversikt med kvalitativ design som omfattade 10 vetenskapliga artiklar från databaserna CINAHL och PubMed. Dataanalysen baserades på Elo och Kyngäs (2008) kvalitativa innehållsanalys med en induktiv ansats. Resultat: Huvudkategorin visade på att Sjuksköterskor strävar efter omvårdnad baserad på compassionate care. Tre kategorier identifierades: Arbetsförhållanden, Kompetens och Omvårdnad samt nio underkategorier. Slutsats: Krävande arbetsförhållande och kompetensbrist begränsade omvårdnaden till kvinnor som drabbats av missfall. Avsaknad av riktlinjer, resurser och tidigare adekvat utbildning försvårar tillämpningen av god omvårdnad. Sjuksköterskor upplevde omhändertagandet av kvinnor med missfall som känslomässigt påfrestande. Författarna identifierade ett behov av vidare forskning inom ämnet då sjuksköterskor efterfrågar ökad kunskap, riktlinjer och resurser för att omhänderta kvinnor med missfall. / Background: Miscarriage is defined as spontaneous loss of pregnancy up to gestational week 22+0. The most common cause of pregnancy loss is miscarriage and there is no cure for an ongoing miscarriage. Women most often sought care at an emergency care unit or gynaecological department when experiencing miscarriage. Women described the care provided by nurses as deficient and needed additional support. Aim: Investigate nurses’ experience of caring for women undergoing miscarriage at emergency units and gynaecological departments. Method: Qualitative literary review based on data gathered through databases CINAHL and PubMed. And inductive qualitative data analysis according to Elo and Kyngäs (2008) was conducted. Results: The main category identified that Nurses aim to implement compassionate care. Three categories were identified: Working conditions, Competence and Nursing care with a total of nine sub-categories. Conclusion: Subpar working conditions and lack of competence deteriorated the care provided to women experiencing miscarriage. Lack of guidelines, resources and previous adequate education prevented good nursing care. Nurses found caring for women undergoing miscarriage emotionally distressing. Further research is recommended in the area by the authors, since nurses demanded increased knowledge, guidelines and resources to care for women undergoing miscarriage.

No description available.

Bakgrund: Gynekologisk cancer påverkar olika kvinnor på olika sätt. Varje år drabbas cirka 3000 kvinnor i Sverige av gynekologisk cancer och de vanligaste formerna är; livmoderkroppscancer, äggstockscancer, livmoderhalscancer och vulvacancer. I samband med sjukdom kan kvinnan uppleva olika sorters lidande och att lindra kvinnans lidande genom omvårdnad är en av sjuksköterskans främsta uppgifter. Att få en cancerdiagnos innebär en kris och utöver fysisk omvårdnad har många kvinnor även behov av psykosocial omvårdnad. Syfte: Belysa upplevelser av omvårdnad hos kvinnor med gynekologisk cancer. Metod: En kvalitativ litteraturstudie. Genom databassökning i två databaser; Cinahl och PubMed inhämtades elva empiriska vetenskapliga artiklar. Innehållsanalys av inhämtade artiklar resulterade i att meningsenheter identifierades, kondenserades, kodades och slutligen kategoriserades. Resultat: Vid analys framkom tre teman; information, kommunikation och psykosocialt stöd samt totalt nio underkategorier; tillgänglighet till information, hantering av information, information och förberedelse, information och undervisning, sexuell hälsa och sexualitet, tillgänglighet och kontinuitet, delaktighet, en god relation samt när stödet upphör. Slutsats: Det finns en variation av behov och preferenser gällande omvårdnad hos kvinnor med gynekologisk cancer. Kvinnor önskar bli bemötta som unika personer och göras delaktiga i sin vård. Tillit, hänsyn och lyhördhet poängteras av kvinnor vara viktiga delar av relationen kvinnan har till sjuksköterskan. Genom en personcentrerad omvårdnad kan sjuksköterskan främja kvinnans välmående och delaktighet i omvårdnaden. / Background: Women are affected differently when diagnosed with gynecological cancer. Each year approximately 3000 women in Sweden are diagnosed. The most common forms of gynecological cancer are; endometrial cancer, ovarial cancer, cervix cancer and vulva cancer. Having cancer comes with different types of suffering, and easing the woman’s suffering is one of the nurse´s main tasks. Cancer comes with crisis and in addition to the physical care needs, many women also need psychosocial support from the nurse.  Aim: to illustrate experiences of nursing care amongst women with gynecological cancer.  Method: a qualitative literature review. Articles were searched using the databases Cinahl and PubMed. Eleven articles were included and content analysis resulted in meaning units being identified, condensed, coded and finally categorized. Result: three categories emerged; information, communication and psychosocial support, as well as nine subcategories; availability of information, managing information, information and preparation, information and education, sexual health and sexuality, availability and continuity, participation, a good relationship and when support ends. Conclusion: there is a great variety in women´s needs and preferences of care in relation to gynecological cancer. Women expressed a desire to be met as unique individuals and to be involved in their care. Women pointed out trust, consideration, and responsiveness as important aspects of the relationship women had to their nurse. Through person-centered care, the nurse can promote the woman´s well-being and encourage her participation in nursing care.

Backrounds: Usage of addictive substances is a factor which affects the reproductive health of the female users, it affects their risky sexual behavior and fetus healthy development during pregnancy of drug using mothers. Pregnancy also represents a moment in their lifes which affects certain bio-psycho-social aspects forming the beginning of usage of substance abuse. Objectives: The aim of the research was to map a degree and paterns among problem female drug users and changes throughout pregnancy, map the risks of their sexual behavior and quality of their reproductive health, try to find out the availability of gynacology care for female drug users, the amount of care available before, through and after pregnancy. It also includes specific needs and factors affecting reproductive health. Methods and research group: A questionnaire survey of 25 problem female users based on consultations with them, all of them giving birth at least once, was carried out. The study took place at K-center Sananim, using a Field program Progressive, o.s. and around this facility and the place of field program using the "snow ball method". The questionnaire included 164 items in the following parts "Sociodemographic data", "Drug Use", "Risky sexual behavior and reproductive health", "Gynecologic care and barriers to...

O presente estudo teve como objetivo a caracterização genômica das espécies: Mycoplasma hominis, Ureaplasma urealyticum e Ureaplasma parvum em amostras cervicais de gestantes. Cepas de Mycoplasma hominis e de Ureaplasma spp., foram identificadas através do cultivo e por PCR utilizando-se primers genéricos e específicos. Os achados na literatura são contraditórios quanto a participação dessas bactérias nas doenças humanas, especialmente quanto a participação destas em casos de infertilidade e alterações perigestacionais. Considerando a marcante heterogeneidade das cepas de Mycoplasma hominis, utilizamos a reação de RAPD com a finalidade de definir os perfis genômicos das cepas isoladas. A caracterização dos biótipos 1 e 2 do gênero Ureaplasma, respectivamente, Ureaplasma urealyticum e Ureaplasma parvum, através da análise da MBA (Múltipla Banda Antigênica) por PCR, teve como finalidade determinar a predominância de cada uma dessas espécies. Foram estudadas amostras de material cervical de 163 gestantes em várias idades gestacionais. Os resultados obtidos neste trabalho foram: M. hominis foi detectado em 14,7% (24/163) das amostras, sendo a RAPO realizada em 7 das amostras positivas e puras de M. hominis. A reação RAPD demonstrou similaridade do perfil gênico entre as amostras 3 e 4 e entre as amostras 6 e 8, enquanto que as amostras 2, 5 e 7 demonstraram uma grande heterogeneidade. O gênero Ureaplasma foi isolado em 54,6% (89/163) das amostras, sendo 31,5% (28/89) cepas de U. urealyticum e 68,5% (61/89) U. parvum. Foram detectados 10,4% (17/163) casos de co-infecções M. hominis e Ureaplasma spp. O estudo da suscetibilidade das cepas isoladas frente a tetraciclina foi realizado com o intuito de se determinar a freqüência de cepas resistentes a essa droga. Considerando ser este antibiótico o de eleição no tratamento das micoplasmoses humanas e devido aos altos índices de resistência apresentados, resistência esta conferida pela presença do plasmídeo tetM, submetemos nossas amostras à pesquisa deste plasmídeo através da PCR. A presença do plasmídeo tetM foi detectada em 29,5% (7/24) das amostras positivas para Mycoplasma hominis e em 60,7% (54/89) das amostras positivas para Ureaplasma spp., sendo que dentre estas, 57,4% (31/54) foram detectados na espécie U. parvum e 42,6% (23/54) na espécie Ureaplasma urealyticum. O estudo da heterogeneidade intra-espécie das cepas de Mycoplasma hominis pela técnica de RAPD é inédito no Brasil. Da mesma maneira a caracterização das espécies do gênero Ureaplasma em U. parvum e U. urealyticum, através da PCR pela análise da MBA, foi pioneiramente realizada pelo nosso grupo de pesquisa. Esperamos com esse trabalho poder contribuir para um conhecimento melhor da freqüência dessas espécies na nossa população e tentar explicar as divergências das avaliações nas interações entre os micoplasmas e o hospedeiro. / The objective of this study was to characterize the species Mycoplasma hominis, Ureaplasma urealyticum and Ureaplasma parvum in cervical samples from pregnant women. Strains of Mycoplasma hominis and Ureaplasma spp., were identified by means of culture and by PCR using generic and specific primers. The findings in the literature with regard to the involvement of these bacteria in human diseases are contradictory, especially regarding their involvement in cases of infertility and perigestational changes. In view of the strong heterogeneity among Mycoplasma hominis strains, we used RAPD to define the profiles of the strains isolated. Biotypes 1 and 2 of the genus Ureaplasma - Ureaplasma urealyticum and Ureaplasma parvum respectively - were characterized by means of MBA (Multiple Banded Antigenic) analysis using PCR to determine the predominance of each of these species. Samples of cervical material from 163 pregnant women at various stages of pregnancy were studied. The results obtained in this study were: M. hominis was detected in 14.7% (24/163) of the samples, and RAPD analyses carried out in 7 M. hominis strains. The RAPD similarly gene profile was showed: between strains 3 and 4, and between strains 6 and 8. The strains 2, 5 and 7 showed a pronounced heterogeneity in the gene profile. The genus Ureaplasma was isolated in 54.6% (89/163) of the samples, of which 31.5% (28/89) were U. urealyticum and 68.5% (61/89) U. parvum. Mycoplasma hominis and Ureaplasma spp., coinfection were detected in 10.4% (17/163) of the samples. The study of the susceptibility of the isolated strains to tetracycline was carried out with a view to determining the frequency of strains resistant to this drug. As this is the antibiotic of choice in the treatment of human mycoplasmoses, and in view of the high resistance indices observed, which are conferred by the presence of the \"tetM\" plasmid, we looked for this plasmid in our samples using PCR. The presence of the tetM plasmid, was detected 57,1% (4/7) of the Mycoplasma hominis - positive samples and in 40,2% (29/72) of the Ureaplasma spp - positive samples. Of the latter, 41,6% (25/72) were detected in the species U. parvum and 33,4% (4/12) were detected in the species Ureaplasma urealyticum. This is the first time that a study of the intraspecies heterogeneity of Mycoplasma hominis strains using RAPD has been carried out in Brazil. Characterization of the genus Ureaplasma species into U. parvum and U. urealyticum by means of PCR using MBA analysis was likewise pioneering effort by our research group. We hope that our work will contribute to a greater knowledge of the frequency of these species in our population and that it will help to explain differences in the assessment of the interaction between mycoplasma and the host.

Para citação, referenciar também o artigo: A prevalência de lesões intra-epiteliais de baixo e alto grau em mulheres com diagnóstico colpocitológico de atipias de significado indeterminado no município de Maceió, Alagoas (http://repositorio.unifesp.br/handle/11600/6151) conforme determinação da orientadora. / Made available in DSpace on 2015-07-22T20:49:15Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-03-31 / Introdução: O exame colpocitológico pelo método de Papanicolaou permite a detecção precoce de lesões precursoras de neoplasias do colo uterino e alterações citopáticas, priorizando as mulheres de maior risco, garantindo diagnóstico, tratamento e seguimento adequados. Objetivos: Determinar a prevalência de lesões intra-epiteliais de baixo e alto grau em mulheres com diagnóstico colpocitológico de atipias de significado indeterminado no município de Maceió, Alagoas; conhecer a influência da idade (em anos completos) e os agentes etiológicos para doenças sexualmente transmissíveis para o risco de desenvolvimento das lesões e intra-epiteliais de alto grau em mulheres com diagnóstico colpocitológico de atipias de significado indeterminado. Método: Estudo transversal de prevalência realizado no Posto de Atendimento Médico Salgadinho; Bloco de Atenção à Saúde da Mulher Maceió, Alagoas. Foram estudados 253 prontuários de mulheres com diagnóstico colpocitológico de atipias de significado indeterminado no período de um ano. Resultados: A prevalência de lesões intraepiteliais foi de 23,7% (60 casos): 14 casos com lesão de baixo grau, (26,7%) e 46 com lesão de alto grau ou carcinoma (73,3%). Conclusões: A prevalência de lesões intra-epiteliais de alto grau em mulheres com diagnóstico colpocitológico de atipias de significado indeterminado foi elevada, o aumento do risco para o desenvolvimento das lesões foi proporcional ao aumento da idade e observou-se maior percentual de mulheres infectadas com o papilomavirus entre as portadoras de lesões de baixo grau. / Introduction: The cervical cytology by the Papanicolaou method allows early detection of precursor lesions of cervical cancers and cytopathic changes, giving priority to women at greatest risk, providing diagnosis, treatment and follow-up with. Objectives: To determine the prevalence of squamous intraepithelial lesions of low and high grade in women with Pap smear diagnosis of atypical cells of undetermined significance in the city of Maceió, Alagoas, to determine the influence of age (in years) and the etiologic agents for STDs the risk of development of lesions and intraepithelial high-grade in women diagnosed with cervical cytology of atypical cells of undetermined significance. Method: A cross-sectional prevalence Tour held at the Health Care Salgadinho; Block Health Care of Women Maceió, Alagoas. We studied records of 253 women with Pap smear diagnosis of atypical squamous cells of undetermined significance in the period of one year. Results: The prevalence of intraepithelial lesions was 23.7% (60 cases): 14 cases with low-grade lesion, (26.7%) and 46 with injuries to top grade or carcinoma (73.3%). Conclusions: The prevalence of squamous intraepithelial lesions of high grade in women diagnosed with cervical cytology of atypical cells of undetermined significance was high, increasing the risk for the development of lesions was proportional to increasing age and there was a higher percentage of women infected with papillomavirus among the carriers with low-grade lesion. / TEDE / BV UNIFESP: Teses e dissertações

Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2015-11-11T16:34:34Z No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-11-12T09:23:20Z (GMT) No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2015-11-12T09:23:20Z (GMT). No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2012-04-05 / 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. / Estudar a influência da musicoterapia na redução da fadiga relacionada ao câncer em mulheres com câncer de mama ou ginecológico durante o tratamento radioterápico. MÉTODOS: Trata-se de um estudo randomizado controlado (Grupo Controle - GC e Grupo de Musicoterapia - GMT) de avaliação da fadiga e fatores corelacionados (qualidade de vida, ansiedade, depressão) em mulheres submetidas à radioterapia através dos instrumentos avaliativos Functional Assessment of Cancer Therapy: Fatigue (FACT-F), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) em três momentos distintos (durante a primeira semana de radioterapia, na semana da fase intermediária e durante a última semana de radioterapia) para as participantes dos dois grupos. As sessões de musicoterapia foram individuais, com duração, em média, de 40 minutos. As técnicas musicoterapêuticas utilizadas foram audição musical (AM) e audição musical terapêutica (AMT). RESULTADOS: Foram randomizadas 164 mulheres (82 GC e 82 GMT) e incluídas na análise 116 mulheres com média de idade de 52,9 anos (GC) e 51,85 anos (GMT). As participantes do GMT tiveram em média 10 sessões de musicoterapia, totalizando 509 atendimentos ao longo da pesquisa. Os resultados da FACT-F mostraram maior significância quanto aos domínios Trial Outcome Index (TOI) (p=0,011), Functional Assesment of Cancer Therapy – Geral (FACT-G0 (p=0,005) e Functional Assesment of Cancer Therapy - Fatigue (FACT-F) (p=0,001) para o GMT em relação ao GC. O Questionário Musicoterapêutico mostrou que 59,3% nada sabiam a respeito da Musicoterapia e para 53,7% ela se constituia em uma atividade de relaxamento. Ao final do processo, por meio do questionário Impressão Subjetiva do Sujeito obteve-se que 98,1% afirmaram que a Musicoterapia fez diferença em sua vida; 96,2% relataram percepção positiva da musicoterapia; 75,5% perceberam melhora quanto à fadiga e 84,9% relataram redução do estresse. CONCLUSÃO: A musicoterapia individual é efetiva para a redução da fadiga relacionada ao câncer e dos sintomas depressivos, assim como para a melhora da qualidade de vida de mulheres com câncer de mama ou ginecológico, submetidas à radioterapia.