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Os efeitos da musicoterapia nos níveis de ansiedade e de estresse em portadores de válvula cardíaca / The effects of music therapy in the levels of anxiety and stress in patients with heart valveUtida, Ludmila Rodrigues da Silva 10 July 2015 (has links)
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Previous issue date: 2015-07-10 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Cardiovascular disease is one of the main causes of death in many countries. The
Cardiology Brazilian Society believes that the valve disease represents a significant
proportion of hospital admissions for cardiovascular disease. Patients who undergo
invasive procedures, related to heart valve disease, require a multiprofessional
monitoring. This is a qualitative and quantitative study that aims to investigate what the
effects of Music Therapy on the levels of anxiety and stress of patients with heart
prosthesis are. Patients older than eighteen, who had expressed their acceptance by the
Term of Free and Informed Consent, which did not make use of psychotropic drugs and
were not going through another non-pharmacological therapy, were included. The
research was developed at the Serviço de Cardiologia do Hospital das Clínicas da
Universidade Federal de Goiás (Cardiology Service, Hospital das Clinicas, Federal
University of Goiás). The following data collection instruments were used: music
therapeutics form, scale for stress evaluation, trace-state anxiety inventory, session
reports, audio and / or video. The music therapy process, in a humanistic perspective,
was developed by music therapist / researcher, using specific techniques of
Musicotherapy in the course of ten weeks. A group of three female patients, aged 29 to
44 attended all phases of the screening. It was evident that Musicotherapy helped reduce
the stress and anxiety of the participating patients. The chosen songs and testimonies at
the end of the consultations expressed internal contents and showed feelings such as;
suffering, overcoming and resilience among the participants. Regarding quantitative
data, there was an improvement, but without statistically significant differences.
Musicotherapy may be among the non-drug treatment options for patients, who
underwent implantation of metal / biological heart valve, to reduce stress and anxiety. / As doenças cardiovasculares constituem uma das principais causas de morte em vários
países do mundo. A Sociedade Brasileira de Cardiologia considera que a doença valvar
representa uma significativa parcela das internações por doença cardiovascular. Os
pacientes que passam por procedimentos invasivos relacionados à valvopatias
necessitam de um acompanhamento multiprofissional. Este é um estudo de
metodologia mista, quali-quantitativo, desenvolvido a partir de uma pesquisaintervenção
com aplicação de avaliação quantitativa (dentro de uma perspectiva de
antes e depois) e uma análise fenomenológica do processo musicoterapêutico
vivenciado. Tem como principal objetivo investigar quais os efeitos da Musicoterapia
nos níveis de ansiedade e de estresse de pacientes com prótese cardíaca. Foi aprovado
pelo Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade Federal de
Goiás - HC/UFG. Foram incluídos pacientes maiores de dezoito anos, que expressaram
sua aceitação através do Termo de Consentimento Livre e Esclarecido, que não
fizessem uso de psicotrópicos e que não estavam passando por outra terapia não
farmacológica. A pesquisa foi desenvolvida no Serviço de Cardiologia do HC/UFG.
Para a coleta de dados foram utilizados os seguintes instrumentos: ficha
musicoterapêutica, escala para avaliação de estresse, inventário de ansiedade traçoestado,
relatórios de sessões, áudios e/ou vídeos. O processo musicoterapêutico foi
desenvolvido pela musicoterapeuta/pesquisadora, utilizando técnicas específicas da
Musicoterapia no decorrer de dez semanas. Um grupo de três pacientes do sexo
feminino, com idades entre 29 e 44 anos participou de todas as fases do estudo.
Evidenciou-se que a Musicoterapia contribuiu para a redução do estresse e da ansiedade
das pacientes participantes. A partir da análise qualitativa das sessões, revelou-se que as
canções trazidas e os depoimentos no final dos atendimentos expressaram conteúdos
internos e evidenciaram sentimentos como sofrimento, superação e resiliência entre as
participantes. Com relação aos dados quantitativos, houve melhora, mas sem diferenças
estatisticamente significantes. Concluiu-se que a Musicoterapia pode estar entre as
possibilidades de tratamento não medicamentoso dos pacientes submetidos ao implante
de válvula cardíaca metálica/biológica visando reduzir o estresse e a ansiedade.
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Logomúsica: a criação de um novo approach musicoterápico como veículo na promoção da saúde mental / Logomusic: the creation of a new music therapy approach as tool in the promotion of mental healthJuliana Leonardi 31 August 2011 (has links)
Esta pesquisa teve por objetivo a criação de um novo approach musicoterápico inspirado na logoterapia como veículo na promoção da saúde mental. Deste encontro e diálogo entre a logoterapia e as práticas musicoterápicas de base existencial-humanista e cultural, em um contexto de intervenção e pesquisa, nasceu a logomúsica, abordagem musicoterápica criada pelos pesquisadores. Foi montado um grupo de estudo com 15 usuários de um Centro Atenção Psicossocial ao longo de 10 meses de atuação e intervenção com encontros semanais de 1 hora. O trabalho de campo contou com três observadores-participantes treinados para registro no diário de campo e registro audiovisual, além de uma musicoterapeuta como co-terapeuta no piano, violão e percussão. Como procedimentos, realizamos entrevistas individuais iniciais com os sujeitos-pesquisadores, período de observação participante, implantação de ciclos musicoterápicos, a construção coletiva de um espetáculo poético-musical (baseado no protagonismo), a realização de uma mostra artística-terapêutica e uma roda comunitária final para partilhas com os participantes. Os valores dos sujeitos-pesquisadores, a partir deste processo, revelaram a importância do papel da liberdade, da responsabilidade, do protagonismo, da música e dos processos criativos na promoção da saúde mental. Os sentidos compartilhados e mencionados pelos sujeitos-pesquisadores neste trabalho de pesquisa-ação foram: a) as rodas de conversas sobre valores como experiências fortalecedoras para a saúde, a responsabilidade e a liberdade; b) o processo criativo em grupo (saber fazer) como veículos de aprendizado de novas habilidades para o enfrentamento de questões práticas no dia a dia; c) o resgate e partilha da biografia musical como oportunidade de enraizamento existencial (identidade e memória); d) a improvisação poética-musical como espaço para o exercício do saber ser e saber conviver; e) o processo criativo coletivo (construção da mostra poética-musical) como realização do sentido da vida dos participantes (projetos personalizados e o sentido da renovação da comunidade) e, f) a logomúsica, portanto, foi construída nos pilares do noético, do protagonismo, do dialógico e da criatividade musical coletiva, revelando-se uma ferramenta valiosa na promoção da saúde mental. / This research aimed to create a new music therapy approach inspired in logotherapy as a tool to promote mental health. Logomusic is a music therapy approach created by the researchers through the combination of logotherapy and music therapy, with existentialhumanistic and cultural foundation, in a context of intervention and research. A study group with 15 users from a Psychosocial Care Center was set, with interventions lasting for 10 months, through weekly 1-hour meetings. Field work had involvement of three participant-observers, trained for registering on the field diary and audiovisual recording, and a music therapist as co-therapist playing the piano, guitar and percussion. The following procedures were carried out: individual interviews with researchers, period of participant observation, implementation of music therapy cycles, joint construction of a poetic-musical play (based on protagonist roles), organization of an artistic-therapeutic show and a closing community circle for sharing with participants. The values of the research-subjects, from this process, revealed the importance of the role of freedom, responsibility, protagonist roles, music and creative processes in the promotion of mental health. The meanings shared and reported by the research-subjects in this research-action study were: a) talk circles about values as empowering experiences for health, responsibility and freedom; b) the group creative process (knowhow) as tools to learn new skills for dealing with practical issues on a daily basis; c) the access and sharing of the musical biography as an opportunity for existential rooting (identity and memory); d) the poetic-musical improvisation as a space for the exercise of knowing to be and knowing to live with; e) the joint creative process (construction of a poetic-musical play) as an accomplishment of the meaning of participants\' lives (custom-made projects and the sense of renewal of the community) and, f) logomusic, which was built on the pillars of the noetic, the protagonist role, of the dialogue and the collective musical creativity, revealing itself as a valuable tool in promoting mental health.
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Klingande kommunikation : en intervjustudie med skolledare om musikens roll i TräningsskolanNetin Olofson, Barbro January 2013 (has links)
Uppsatsen är en undersökning av hur rektorer för fem olika skolor ser på musikens användning inom träningsskolan. Studien syftar till att få en djupare förståelse av musikens betydelse i skolverksamheten och för eleverna. I kvalitativa, semistrukturerade, intervjuer har skolledare reflekterat kring musiken i verksamheten på den egna skolan. Med en hermeneutisk ansats har sedan materialet bearbetats och analyserats. Träningsskolans elever är en heterogen grupp med dels utvecklingsstörning dels ofta flera funktionshinder. Ofta har de ingen eller begränsad verbal förmåga och därför svårigheter att kommunicera med omgivningen. Studien visar att musiken används på ett flertal sätt i träningsskolans arbete inom samtliga ämnesområden, i såväl gruppverksamhet som individuellt. I de flesta skolorna finns musikpedagog och musikterapeut anställda, i någon form. I undersökningen framgår att musiken skapar glädje, stärker självförtroende och höjer självkänsla, ger sammanhang och gemenskap och fyller, enligt samtliga intervjupersoner, en övergripande viktig funktion – som ett alternativt kommunikationssätt. / The thesis is an investigation of how the principals of five schools look at music used in special school. The study aims to gain a deeper understanding of the importance of music in school activities and for the pupils. In qualitative, semi- structured interviews, school leaders reflected on the use of music in their own schools. The material was then processed and analyzed with a hermeneutical approach. Special school pupils are a diverse group with both developmental disabilities and multiple physical disabilities. Often they have limited or no verbal skills and therefore difficulties to communicate with the environment. The study shows that music is used in several ways in the school in all subject areas, in group activities as well as individually. Most schools have a music teacher and/or music therapist employed. The study shows that music creates joy, strengthens self-confidence and raises self-esteem, provides coherence and community and fills, according to all the respondents, an overall important function - as an alternative means of communication.
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Låtskrivaren : en intervjustudie om låtskrivarlärarens pedagogiska grundsynWickman, Alexzandra January 2018 (has links)
Denna intervjustudie har genomförts med syftet att undersöka hur låtskrivaren och låtskrivarläraren upplever sin livsvärld och genom den synliggöra låtskrivarlärarens pedagogiska grundsyn. För att undersöka fenomenet har kvalitativa forskningsintervjuer genomförts med fyra låtskrivare och lärare i ämnet låtskrivning. Informanterna är verksamma i gymnasieskolan som musiklärare. Resultatet och analysen sker med ett hermeneutiskt och fenomenologiskt förhållningssätt ur ett livsvärldsperspektiv. Intervjustudien har visat att informanterna upplever att deras skrivande hjälper dem att vara strukturerade, fokuserade och att färdigställa och nå resultat, samt bearbeta impulser och känslor. Alla informanter vittnar om hur skrivandet blivit ett sätt för informanterna att bearbeta händelser i livet, lätta som komplicerade, en slags terapi. Passionen för sitt skrivande har stärkts och kommit att bli ett med informanterna ju längre tid som gått och ju mer tid informanterna har gett åt musiken. De menar att inspirationen är något som kommer av ”görandet” och att det går att framkalla om man bara sätter igång, samt att viljan att äga sitt eget konstnärskap är en viktig komponent i skapandet som driver låtskrivaren framåt. / This interview study has been conducted with the purpose of investigating how the songwriter and songwriting teacher experience their life-world and by it visualize the songwriter's pedagogical perspective. Qualitative research interviews have been made with four songwriters and teachers in the subject of songwriting to investigate the phenomenon. The informants are active in the upper secondary school as music teachers. The result and analysis is done with a hermeneutic and phenomenological approach from a life-world perspective. Interview studies have shown that the informants find that their writing helps them to be structured, focused and to complete and achieve results, as well as process impulses and feelings. All informants testify to how the writing has become a way for informants to process events in life, easy as complicated, as a kind of therapy. The passion for their writing has been strengthened and become one with the informants the longer time passed and the more time the informants have given the music. They claim that inspiration is something that comes from the "making" and that it can be evoked if you only get started, and that the desire to own your own artistry is an important component of the creation that drive the songwriter forward.
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Musikens påverkan på individer med autismspektrumdiagnos : En litteraturöversikt / How individuals with autism spectrum disorder are affected by music : A literature reviewAftevik, Monika, Carlbark, Nina January 2017 (has links)
Individer med autismspektrumdiagnos (ASD) har en begränsad förmåga till sociala interaktioner och ömsesidig kommunikation samt uppvisar ofta hyper- eller hyporeaktioner på sensoriska stimuli. Därför kan till exempel ett besök på vårdcentral, akutmottagning eller vårdavdelning skapa en ökad påfrestning. Eftersom musik används inom olika former av terapi, exempelvis vid demens, eller som smärtlindring vid cancer var det av intresse att undersöka dess effekt vid ASD. Syftet med denna litteraturöversikt var att undersöka hur individer med ASD påverkas av musik. Sammanlagt 11 vetenskapliga artiklar analyserades. I resultatet framträdde fyra teman: fysisk påverkan, social påverkan, emotionell påverkan samt koncentration och coping. Musik eller musikterapi sågs exempelvis inverka på ångest, humör och sociala interaktioner på ett positivt sätt. Även rent fysiskt sågs reaktioner i de delar av hjärnan som involveras i musikuppfattning och känslobearbetning när musik spelades. Sjuksköterskans mål är att utföra en personcentrerad omvårdnad där kunskap om musikens inverkan skulle kunna kombineras med klinisk praxis för att underlätta interaktioner med patienter med ASD. Framtida forskning om musikens påverkan på vuxna individer med ASD kan ge ytterligare kunskap i ämnet som kan leda till riktlinjer och rutiner för enkel användning av musik som icke-farmakologisk åtgärd vid vård av patienter med ASD. / Individuals with autism spectrum disorder (ASD) tend to have a limited capacity for social interactions, communications, and usually show hyper or hypo reactions to sensory stimuli. Time spent in health facilities can therefore be extra stressful. Since music is used for therapy or pain relief in cancer treatment and dementia care for example, it would be interesting to further explore the effects of music. The aim of this literature review was to investigate how individuals with ASD are affected by music. Eleven literature articles were analyzed and as a result, four themes emerged: physical, social, emotional influence and also focus and coping. Anxiety, mood, and social interactions were affected in a positive way by music or music therapy. Physical reactions in the brain were seen in regions underlying music perception and emotional processing. The nurse’s goal is person-centered care, and the knowledge of the effects of music and the possibility to use music in clinical practice, could make working with ASD patients easier. Future research on this subject could provide further knowledge and result in guidelines and routines for an easy use of music in the care of individuals with ASD.
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Musiken skapar en bro mellan människor : en intervjustudie med personal inom Daglig VerksamhetWallin, Marianne January 2013 (has links)
Studien är en undersökning om hur personal beskriver musikverksamheten i den omsorgsgren som erbjuder sysselsättning för personer med grav till lindrig intellektuell funktionsnedsättning. Studien söker också svar på vilka reflektioner personalen har kring musikverksamhet. Uppsatsens problemområde uppstår i skärningspunkten mellan det praktiska, vardagliga arbetet med musikanvändning i mötet med personer med intellektuell funktionsnedsättning och uppsatsens problemområde utifrån det musikterapeutiska ämnesområdets teori och tillämpning. Studien har den kvalitativa forskningsintervjun som metod. Det teoretiska vetenskapsperspektivet har hämtat inspiration ur hermeneutiken. Forskningsresultaten visar på att det finns en kunskap som helt bygger på beprövad erfarenhet bland den grupp av individer som undersökningen omfattar och att det finns ett uttalat behov av en kompletterande teoretisk baserad kunskap. Forskningsresultaten belyser olika perspektiv på reflektioner kring musikanvändning. Dessa resultat har sedan bearbetats under diskussionsdelen i ljuset av de teoribildningar som presenteras under ämnesområdet. / The study is a research project on how personnel appreciate music in the branch of care that provides activities for persons suffering from severe to mild intellectual deficiency. The study also attempts to find answers to what kind of observations the personnel have concerning the use of music as activity. The problem area of the study arises from the meeting point between on the one hand the practical, everyday application of music on persons with reduced intellectual capacity. On the other hand, the study will illustrate the adaptional possibilities of the theories of the topic area. The research results show that there is information which is completely based on tested experience among the group of individuals included in the research project, and further that there is an explicit need for supplementary theoretically based knowledge. The research results point to different perspectives concerning observations of the application of music. These results have later in the study been treated in the discussion part and shed light on by theories which are presented in the topic area. The method being used in the study is the qualitative research interview. The theoretical scientific perspective is taken from the hermeneutics.
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Musikens betydelse i omvårdnaden av personer med demenssjukdom : En litteraturstudieHögberg Eriksson, Rebecca, Linde, Amanda January 2018 (has links)
Bakgrund: Antalet personer med demenssjukdom ökar i världen. Demenssjukdom försämras progressivt och ger en dödlig utgång. God omvårdnad är den viktigaste åtgärden idag. Sjuksköterskan har det yttersta ansvaret för omvårdnaden och implementering av nya metoder. Tidigare studier påvisar att alternativa omvårdnadsåtgärder kan vara ett gott komplement till sedvanlig vård för patientgruppen. Det är tidigare känt att musik främjar hälsa hos människan. Syfte: Att beskriva musikens betydelse i omvårdnaden av personer med demenssjukdom samt att granska hur musiken har använts i inkluderade artiklar. Metod: En beskrivande litteraturstudie, baserad på 14 artiklar, totalt sju kvantitativa, fem kvalitativa samt två av mixad ansats. Huvudresultat: Musik minskade beteendemässiga och psykiska symtom vid demens, var en källa till glädje och sinnesro. Mänsklig kontakt, interaktion och relation sågs stärkas. Musik hade en distraherande funktion och användes vid observation och bedömning av patientgruppen. Musik förmedlades individuellt eller i grupp av musikterapeuter, musiker och vårdare. Musiken förmedlades via CD-spelare, MP3-spelare, sång, konserter och musikterapi. Musiken var i form av bekanta sånger, professionellt utformad- eller individanpassad efter patientgruppen. Slutsats: Musik i omvårdnaden av personer med demens sågs ha övervägande positiv betydelse. Kunskap kring musikens betydelse i omvårdnaden kan underlätta och förbättra demenssjukvården. Litteraturstudien kan tyda på att musik kan verka som ett gott komplement till sedvanlig vård. Musik tycktes ha positiv betydelse oberoende av hur musiken hade använts. Fortsatt forskning kring musikens betydelse i omvårdnad samt hur musiken har använts kan ses betydande för att utveckla demensvården. / The number of people with dementia increases in the world, is a progressive disease and gives a fatal outcome. The most important measure is to provide good care. The nurse's role includes the overall responsibility for the care and the implementation of new methods. Studies have shown that alternative care can be a good complement to ordinary care for this group of patients. In previous studies music has shown positive results in promoting health in humans.
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[en] MUSIC - A BRIDGE OVER TIME: DEMENTIA AND MUSICAL MEMORY / [pt] MÚSICA - UMA PONTE NO TEMPO: DEMÊNCIA E MEMÓRIA MUSICALMARIANGELA APARECIDA REZENDE ALEIXO 07 July 2004 (has links)
[pt] O presente trabalho visa investigar o impacto da demência
na memória musical a partir de um referencial teórico
oriundo da neurociência e das ciências sociais. Apesar de
alguns estudos apontarem a música como a última habilidade
cognitiva a ser perdida nos processos demenciais, há poucas
pesquisas sistematizadas sobre esse tema. A investigação da
relação das funções musicais e sua organização funcional
cerebral aliada aos aspectos da emoção, bem como do
contexto sociocultural em que o sujeito está inscrito
permearam um caminho para a compreensão da memória musical.
A musicoterapia configurou-se como o espaço terapêutico
possível nessa trajetória em que um Eu-musical - individual
ou grupal - pode ser reconstruído num tempo presente,
através das diferentes sonoridades musicais. / [en] The present dissertation aims at examining the dementia
impact on the musical memory through the theorical
references of neuroscience and social sciences. Although
some studies indicate that the musical ability is one of
the latest capacities to be lost in dementia, there are few
researches about this theme. The investigation of relations
of musical functions and its cerebral funcional
organization togheter with the aspects of emotion and
social cultural context where the subject is inserted led
to an attempt to understanding the musical memory. Music
therapy became the possible therapeutic setting a course
where a musical self - individual or group - can be
reconstructed in a present time through the different
musical sonorities.
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Group music therapy utilising marimba playing for children with low self-esteemBest, Helene January 2014 (has links)
Qualitative research was conducted to explore if, and how, music therapy utilising group marimba playing can facilitate increased self-esteem for children in a small independent school in the Western Cape. The case study involved ten weekly group music therapy sessions as well as a performance session. African marimbas were used in conjunction with other methods of active music making in the group sessions. Excerpts of video recordings were analysed and the Behavioural Indicators of Self-esteem (BIOS) rating scale was completed for each child pre- and post-intervention in order to examine whether music therapy sessions facilitated changes in children’s self-esteem that transferred to the classroom situation. The findings from the qualitative analysis of video excerpts indicate that group music therapy intervention utilising marimba playing appeared to facilitate the development of self-esteem. Experiences were provided to increase the participants’ sense of worthiness and competence. Results of the BIOS scale could not be statistically analysed due to the small sample size, but the data suggests that the music therapy intervention had an impact that carried over to the classroom situation on participants who were assessed to have lower self-esteem before the intervention (compared to others in the sample) as observed in their classroom behaviour. / Dissertation (MMus)--University of Pretoria, 2015. / Music / MMus / Unrestricted
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Collaborations between music therapist and parents to transfer music therapy activities into the home context for children with Autism Spectrum DisorderTracey, Kerryn A. January 2017 (has links)
This qualitative research study explored areas of similarity and contrast between a music therapy student's interpretations of selected audiovisual excerpts from music therapy sessions with a child with Autistic Spectrum Disorder (ASD), and his parent's interpretations of the same. A further feature of the study was investigating how these interpretations could inform the collaborative creation of a music activity for use in the home environment. Eight one-on-one music therapy sessions were conducted with an eight year-old boy with ASD at Alpha School in the Western Cape. The sessions were video recorded. Once the music therapy process was complete, four primary excerpts and five secondary excerpts were selected. Interpretations of the four primary excerpts were written by the music therapy student. A semi-structured interview consisting of two parts was then conducted with the child's parent. Part one involved eliciting the parent's interpretations of the four primary excerpts. Part two involved the viewing of the five secondary excerpts as part of a discussion between the music therapy student and parent, leading to the collaborative creation of a music activity for the home environment. The interpretations of the music therapy student and parent were matched with the music therapy student's interpretations for the purposes of qualitative content analysis and comparative analysis. Codes were derived for the interpretations, and then grouped into sub-categories and categories. Two overarching themes were then drawn from the data: operation of the music therapy student's contextual lens; and operation of the parent's lens. Within these two themes, different sub-themes were present: music therapy student’s reflexivity; focus on developing relationship; focus on clinical musical features; valuing offerings as musical; parent's pride in her child; noticing musical interactions; and focusing on successful interactions. These themes then implicitly informed the collaborative creation of a music activity for the home context. / Dissertation (MMus)--University of Pretoria, 2017. / Music / MMus / Unrestricted
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