Submitted by Geyciane Santos (geyciane_thamires@hotmail.com) on 2015-05-20T12:46:00Z No. of bitstreams: 1 Dissertação - Paula Tatiana de Oliveira da Costa.pdf: 14373828 bytes, checksum: 660fd5c53b6eb069ab05fbca996c3711 (MD5) / Made available in DSpace on 2015-05-20T12:46:00Z (GMT). No. of bitstreams: 1 Dissertação - Paula Tatiana de Oliveira da Costa.pdf: 14373828 bytes, checksum: 660fd5c53b6eb069ab05fbca996c3711 (MD5) Previous issue date: 2011-03-30 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Stress in its various forms of expression has been occupying the ranks of higher incidence of injury to health, causing effects on physiological and psychological health. It is known that the main source lies within each individual, from the way each interprets each of the events of his life, coupled with a genetic predisposition to the stimulus of social interaction, family, and relationship with relatives, friends, life experiences, etc. You could say that stress is a complex response of the organism, involving hormonal reactions, physical and psychological against any event that is interpreted as challenging, which instigates the need for adaptation to preserve the well-being and life. This research aimed to study the effects of clinical intervention for stress management techniques from cognitive-behavioral and biofeedback. Among the proposed therapeutic approach for cognitive-behavioral coping with this condition, we used behavioral training in the form of relaxation techniques and biofeedback, as an adjuvant, which was applied by monitoring the Galvanic Skin Response (RGP), by an instrument that feeds back information to a physiological monitor the making be controlled. We started from the application of a standard six sessions and their reassessment after an interval of 25.26 months (on average). 23 subjects participated voluntarily, 73.9% of them were female and 26.1% male, mean age of 40.8 and standard deviation of 11.153. 65.2% of the sample is from the State of Amazonas and the remainder corresponds to the other units of Brazil. The evaluation of the results provided knowledge on how to use strategies acquired the practice of diaphragmatic breathing, as well as the benefits from the training and improvement in family relationships, work environment, traffic behavior, and emotional selfregulation. This study provided an important social relevance for promoting significant and lasting improvement in the participants. However, if necessary making the continuation of studies in the area, besides the improvement of road ever built. / O estresse em suas diversas formas de expressão vem ocupando os ranques de maior incidência de danos à saúde, causando efeitos na saúde psíquica e fisiológica. Sabe-se ainda, que a principal fonte de estresse se encontra no interior de cada indivíduo, a partir da forma como cada um interpreta cada um dos eventos de sua vida, somada a uma predisposição genética associada aos estímulos da interação social, familiar, relação com parentes, amigos, experiências de vida, etc. Pode-se dizer que o estresse é uma resposta complexa do organismo, envolvendo reações hormonais, físicas e psicológicas frente a qualquer evento que seja interpretado como desafiante, o qual instiga a necessidade de adaptação para preservar o bem-estar e a vida. A presente pesquisa objetivou o estudo dos efeitos da intervenção clínica para manejo de estresse a partir de técnicas cognitivo-comportamentais e de biofeedback. Dentre as propostas terapeuticas da abordagem cognitiva-comportamental para o enfrentamento desta condição, foi utilizada o treino comportamental sob forma de técnicas de relaxamento e o biofeedback, como técnica auxiliar, que foi aplicada por meio do monitoramento da Resposta Galvânica da Pele (RGP), através de um instrumento que retroalimenta informações fisiológicas para um monitor as tornando passíveis de controle voluntário. Partiu-se da aplicação de um roteiro padronizado com seis sessões e sua reavaliação após um intervalo de tempo de 25 meses (em média). Participaram voluntariamente do presente estudo 23 indivíduos, sendo 73,9% do sexo feminino e 26,1% do sexo masculino, com idade média de 40,80 e desvio padrão de 11,15. 65,2% da amostra são do Estado do Amazonas e o restante corresponde às demais Unidades Federativas do Brasil. A avaliação dos resultados propiciou conhecimento sobre uso estratégias adquiridas como a prática da respiração diafragmática, assim como os benefícios advindos do treinamento como melhora no relacionamento familiar, ambiente de trabalho, comportamento no trânsito e autorregulação emocional. Este estudo revelou-se de importante relevância social por promover melhora significativa e duradoura em seus participantes. Contudo, se faz necessário a continuidade dos estudos na área, além do aprimoramento do roteiro já construído.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2005. / Härtill 5 uppsatser.

Diss. (sammanfattning) Växjö : Växjö universitet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Karlstad : Karlstads universitet, 2007. / Härtill 4 uppsatser.

The problem of this study was to compare performances of college students given relaxation instructions and those not given those instructions on a paired-associate learning task. The results indicated that relaxation instructions alone produced a decrement in recall. When subjects received relaxation instructions as well as the suggestion that relaxation enhances learning, the decrement did not occur. Thus, situational demand characteristics appeared to be a significant variable in determining what effect relaxation instructions had on recall.

Orientadores: Joel Sales Giglio, Cibele Andrucioli de Matos Pimenta. / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-05T19:18:30Z (GMT). No. of bitstreams: 1 Elias_AnaCatarinadeAraujo_D.pdf: 2016555 bytes, checksum: fc9eb54fe87d798e109996a98478e447 (MD5) Previous issue date: 2005 / Resumo: Em dissertação de mestrado, desenvolvemos o estudo da Intervenção Terapêutica Relaxamento, Imagens Mentais e Espiritualidade (RIME) para re-significar a Dor Espiritual de pacientes terminais. A continuidade da pesquisa no Doutorado consistiu na operacionalização de um Curso de Capacitação sobre o uso da RIME por profissionais da saúde (Fase 1), na análise da vivência destes profissionais na sua aplicação e na avaliação do uso desta Intervenção junto aos doentes (Fase 2). Os sujeitos foram uma enfermeira, uma médica, três psicólogos e uma terapeuta alternativa voluntária, todos eles experientes ou estudiosos em Cuidados Paliativos, selecionados por convite e que atenderam onze pacientes terminais internados em hospitais públicos das cidades de Campinas, Piracicaba e São Paulo. Este estudo teve como base teórica metodológica a Pesquisa-Ação e a Fenomenologia. Os resultados qualitativos foram colhidos através da Entrevista Semi-Estruturada, do Questionário Estruturado e do Diário, e foram analisados pelo método Análise do Conteúdo através da técnica Análise Temática. Os resultados quantitativos foram analisados pelo método Descritivo através dos dados colhidos pelo instrumento Escala Visual Analógica de Bem-Estar ¿ EVA modelo expressões faciais coloridas, utilizando-se o Teste de Wilcoxon. Na análise da vivência dos profissionais foram encontradas cinco categorias e quinze subcategorias. Na análise da natureza da Dor Espiritual foram encontradas seis categorias e onze subcategorias. Na aplicação da RIME observamos diferença estatisticamente significativa (p<0,0001) isto é, no final das sessões os doentes relataram maior nível de Bem-Estar do que no início da sessão, o que indica que a RIME favoreceu a re-significação da Dor Espiritual dos pacientes terminais. O Programa de Treinamento proposto mostrou-se eficaz para preparar profissionais de saúde para o uso da Intervenção RIME, capacitando-os para o processo de cuidar e para prestar assistência espiritual dentro de uma perspectiva acadêmica / Abstract: In this essay of mastership we developed the study of the Therapeutical Intervention ¿Relaxation, Mental Images and Spirituality¿ (RIME) applied for terminal patients. The continuity for the research in the Doctorship consisted in operating a Course of Capacitance on the RIME Intervention usage by the health area professionals (Phase1) and on the analysis of the living experiences of these professionals in the application and evaluation of the RIME use in the patients (Phase2). The participants were a nurse, a female doctor, three psychologists and an alternative volunteer therapist, all experienced ones or scholars at Palliative Cares, they were selected by invitation and were in charge of caring of eleven terminal outpatients in public hospitals of Campinas, Piracicaba and São Paulo. This study had as a theory methodological base the Action-Research and the Phenomenology. The qualitative results were caught through the Semi-Structured Interview, the Structural Questionnaire and the Diary, and they were analyzed by the Contents Analysis method through the Thematically Analysis techniques. It is descriptive through the data, which were caught by the Analogical Visual Scale instrument of Welfare-AVS, in-color faces model, by using the Wilcoxon test. In the analysis of the professionals experiences were found five categories and fifteen sub-categories. In the analysis of the Spiritual Pain constitution, six categories were found with eleven sub-categories. In the application of the RIME was observed statistically expressive difference (p<0,0001) that is, at the end of each session the patients reported a greater level of welfare than at the beginning, indicating that the RIME favors the re-signification of the Spiritual Pain in the terminal patients. The purposed training program showed itself effective in preparing health area professionals for the use of the RIME Intervention, qualifying them to care and give spiritual assistance inside an academic perspective / Doutorado / Ciencias Biomedicas / Doutor em Ciências Médicas

Esta pesquisa teve como objetivos, avaliar a influência da técnica de Calatonia sobre as condições clínicas (pressão arterial sistêmica, frequências cardíaca e respiratória, temperatura corpórea axilar, saturação de oxigênio), dor e índices de Aldrete e Kroulik e de Ramsay, dos pacientes no período pós-operatório imediato. Foi realizado um estudo randomizado, com cento e dezesseis pacientes, submetidos à cirurgia de colecistectomia por videolaparoscopia, divididos em grupos experimental (58 pacientes) e placebo (58 pacientes). Os pacientes do grupo experimental receberam a técnica da Calatonia, e os do placebo foram submetidos apenas a toques não intencionais. Os resultados mostraram que os pacientes dos grupos placebo e experimental foram considerados homogêneos quanto às variáveis: sexo, idade, ASA (Physical Status Classification), tempo de procedimento cirúrgico e de permanência na Sala de Recuperação Pós-Anestésica (SRPA). Não se observaram diferenças estatisticamente significantes, entre os grupos, quanto à avaliação clínica da escala de Aldrete e Kroulik e escala de sedação de Ramsay e aos parâmetros clínicos, com exceção da temperatura corpórea axilar, que apresentou diferença estatística significante, no momento de admissão na SRPA. Quanto à dor os pacientes do grupo experimental, apresentaram resultados significativos, podendo-se inferir que o relaxamento proporcionado pela técnica de Calatonia trouxe o alívio do quadro doloroso e, sendo assim, pode-se considerá-la como uma terapia adjuvante para o alívio da dor. Conclui-se que a aplicação da Calatonia pode atuar como recurso complementar à assistência no período pós-operatório imediato, priorizando a subjetividade do ser humano, sem se distanciar da realidade da instituição. Por se tratar de uma proposta inovadora, com a aplicação da técnica no período pós-operatório imediato, acredita-se que a Calatonia contribuirá para uma melhora do quadro clínico, proporcionando o bem-estar físico e emocional do paciente, além de resgatar a assistência humanizada e individualizada. / This research had as objective to evaluate the influence of the technique of Calatonia on the clinical conditions (systemic arterial pressure, cardiac and respiratory frequencies, axillary corporal temperature, oxygen saturation), pain and indexes of Aldrete and Kroulik and that of Ramsay, of the patients in the immediate postoperative period; A randomized study was carried through, with one hundred and sixteen patients, submitted to the Videolaparoscopic cholecystectomy surgery, divided in groups: experimental (58 patients) and placebo (58 patients). The patients of the experimental group received the Calatonia technique, and those of placebo group were submitted only to non-intentional touchs. The results showed that the patients of the groups placebo and experimental were considered homogeneous in which refers to the variables: sex, age, ASA (Physical Status Classification), in the Postanaesthetic Recovery Room (SRPA) it was not observed any significant statistical differences, between the groups, as to the clinical evaluation of the Aldrete and Kroulik scale as well as the sedation scale of Ramsay and the clinical parameters, except the axillary corporal temperature, which presented significant statistical difference, at the moment of the admission at the SRPA. As to the pain, the patients of the experimental group presented significant results, being it possible to infer that the relaxation proportionated by the technique of Calatonia brought the relief of the painful status and, thus, it can be considered as an adjuvant therapy for the relief of the pain. So, it can be concluded that the application of the Calatonia can act as complementary resource to the assistance in the immediate postoperative period, prioritizing the subjectivity of the human being, without leaving the reality of the institution. Since it is a innovative proposal, with the application of the technique in the immediate postoperative period, it is given credit that the Calatonia will contribute for an improvement of the clinical situation, providing the physical and emotional patient well-being, besides rescuing the human and individualized assistance as well.

Made available in DSpace on 2016-04-28T20:39:48Z (GMT). No. of bitstreams: 1 Alexandre Santana Hilel.pdf: 429885 bytes, checksum: 09e04cef6eff25dbeb88b1acb20f8015 (MD5) Previous issue date: 2008-06-11 / This research focused a bibliographic study of Imagetherapy as a therapeutic proposal to broach Hashimoto's disease. It has a start point in the results of a empirical noticed in the researcher clinical atuation, using directed imagination in a intention to low laboratorial score of auto--antibodies standed in auto-immune thyroiditis. This research has been organized in one presentation chapter oh Hashimoto's disease in her features: incidence, physiophatology, diagnosis and clinical board. In the following chapter, Imagetherapy is focused as heir history, definition, symbols, archetypes, collective mythology, active imagination, imagination as a directive technique. After, it is conducted to first bibliography study of Hashimoto's disease focusing ethyological factors, existing treatments and prognosis, that explain lack of therapeutical options in front of a nonexistence of specific ethyological factor to this auto-immune disfunction. It was applied Medline, Pubmed and Lilacs database, in a period between 1997 until 2007. A second bibliography research is done, boarding Imagetherapy, without a temporal section, since Jung until the present time, searching for her aplication in laboratorials phenomenons and her use in health research. The results shows for one hiatus that exist between ethyological factors of Hashimoto's disease and existing treatments. About Imagetherapy, it is verified that the use of these techniques become more present since 2000, with their applications in some health areas, in special on the pathologies that, as a Hashimoto's disease, doesn't have ethyologicals factors defined, as a fybromialgia. The results are discussed, focusing that, about Hashimoto's disease there arent researches envolving Imagetherapy, but crossing databases of applicability of other pathologies, verifies the possibility of therapeutical application of these same therapies in Hashimoto's disease / Esta pesquisa enfoca um estudo bibliográfico das Terapias de Imagens Mentais como uma proposta terapêutica para abordagem da Tireoidite de Hashimoto. Teve sua origem através da observação empírica de resultados da atuação clinica do pesquisador, usando-se a imaginação dirigida na diminuição da contagem laboratorial de auto-anticorpos presentes na tireoidite. O presente trabalho é organizado em um capítulo de apresentação da Tireoidite de Hashimoto em seus aspectos prevalência, fisiopatologia, diagnóstico e quadro clínico. No capítulo seguinte, enfoca-se a Terapia de Imagens Mentais, quanto a: histórico, definição, símbolos, arquétipos, mitologia coletiva, Imaginação Ativa, imaginação como técnica diretiva. Após, procedeu-se ao primeiro estudo bibliográfico da Tireoidite de Hashimoto enfocando fatores etiológicos, tratamentos existentes e prognóstico, que demonstrou escassez de opções terapêuticas frente à inexistência de um fator etiológico específico para a sua disfunção auto-imune. Utilizou-se o banco de dados Medline, Pubmed e Lilacs, no período entre 1997 a 2007. Um segundo estudo bibliográfico foi feito, abordando as Terapias de Imagens Mentais, sem corte temporal definido para seu levantamento bibliográfico, desde Jung até a atualidade, pesquisando-se sua aplicação em fenômenos laboratoriais e sua utilização em pesquisas na área da saúde. Os resultados apontam para uma lacuna existente entre os fatores causais da Tireoidite de Hashimoto e os tratamentos existentes. Na terapia das imagens verifica-se que o emprego de tais técnicas se torna mais presente, a partir do ano de 2000, com suas aplicações em algumas áreas da saúde, em especial naquelas patologias que, como a Tireoidite de Hashimoto, não tem fator etiológico definido, tais como a fibromialgia. Discutem-se os resultados, assinalando que, em se tratando da Tireoidite de Hashimoto, não existem trabalhos dessa natureza, mas cruzando-se os dados de aplicabilidade das Terapias de Imagens Mentais nas patologias estudadas, verifica-se a possibilidade de aplicação terapêutica das mesmas terapias a essa patologia

Stress-related diseases and burnout have increased in Sweden during the last decades. In 2006, the most common diagnoses for new cases of sickness compensation were mental and behavioural disorders in both women and men. In spite of the large group of people seeking care for and on long-term sickness absence due to stress-related diseases and burnout, there is no agreement on which treatment they should be offered. The overall aim of this thesis was to describe patients on longterm sick leave because of burnout and to evaluate rehabilitation programs for this patient group. Two patient samples were recruited from the Stress Clinic at the University Hospital in Umeå, Sweden: REST (Rehabilitation for stressrelated disease and burnout; n=136) and QIST (Qigong for stress-related disease and burnout; n=82). A general population sample was from the 2004 Northern Sweden MONICA survey (n=573). Patients in REST were randomised into a 1-year rehabilitation program to either program A (Cognitively-oriented Behavioural Rehabilitation (CBR) and Qigong), or to program B (Qigong alone). In Paper I, baseline data were compared with data from the MONICA sample. In paper II, programs A and B were compared regarding effects on psychological variables and sick leave rates, and in Paper III, 18 patients from program A and B were interviewed to explore subjective experiences of the rehabilitation programs. Patients in QIST were allocated to an intervention with Qigong twice a week for 12 weeks or a control group. Psychological and physical measurements were assessed in QIST. Data were collected by questionnaires, physical measurements, the register on sick leave, and interviews. Patients with burnout reported a more restricted social network and higher work demands than the general population. In relation to women from a general population, women with burnout more often worked “with people”, reported high job strain, a more sedentary work situation and less emotional support. A per-protocol analysis showed no significant differences in treatment effect between program A and B in REST or between the intervention and control group in QIST. All groups improved significantly over time with reduced levels of burnout, anxiety, depression, and fatigue. In REST, lower scores on obsessive-compulsive symptoms, stress behaviour, and sick leave rates were found in both programs and in QIST both groups increased dynamic balance and physical capacity. In an intention-to-treat analysis, patients in program A in REST had significantly fewer obsessive-compulsive symptoms, and larger effect sizes in stress behaviour and obsessive-compulsive symptoms compared to patients in program B. Patients in both REST programs perceived that the 1-year rehabilitation program gave them specific tools to use in secondary prevention. They also emphasised that the good encounters, affirmation and group cohesiveness they perceived during the 8 rehabilitation was a necessary basis for initiation of a behavioural change leading to recovery. In conclusion, compared to a general population, patients with burnout perceived more demands at work and less social support. Lack of emotional support seemed to be more associated with burnout among women. There were no differences in effect between CBR and Qigong compared to Qigong alone, or between a 12 week Qigong intervention compared to a control condition. Improvements were found in all groups in the rehabilitation programs. CBR combined with Qigong have some advantages compared to Qigong alone. An environment with good encounters and affirmation of the patients was experiences as important by the patients and group rehabilitation had advantages as recognition and support from the group. Early rehabilitation measures are important to prevent long-term sickness absence. In future rehabilitation programs it might be necessary to have a more individualized approach and choose treatments preferred by the patient.

Esta pesquisa teve como objetivos, avaliar a influência da técnica de Calatonia sobre as condições clínicas (pressão arterial sistêmica, frequências cardíaca e respiratória, temperatura corpórea axilar, saturação de oxigênio), dor e índices de Aldrete e Kroulik e de Ramsay, dos pacientes no período pós-operatório imediato. Foi realizado um estudo randomizado, com cento e dezesseis pacientes, submetidos à cirurgia de colecistectomia por videolaparoscopia, divididos em grupos experimental (58 pacientes) e placebo (58 pacientes). Os pacientes do grupo experimental receberam a técnica da Calatonia, e os do placebo foram submetidos apenas a toques não intencionais. Os resultados mostraram que os pacientes dos grupos placebo e experimental foram considerados homogêneos quanto às variáveis: sexo, idade, ASA (Physical Status Classification), tempo de procedimento cirúrgico e de permanência na Sala de Recuperação Pós-Anestésica (SRPA). Não se observaram diferenças estatisticamente significantes, entre os grupos, quanto à avaliação clínica da escala de Aldrete e Kroulik e escala de sedação de Ramsay e aos parâmetros clínicos, com exceção da temperatura corpórea axilar, que apresentou diferença estatística significante, no momento de admissão na SRPA. Quanto à dor os pacientes do grupo experimental, apresentaram resultados significativos, podendo-se inferir que o relaxamento proporcionado pela técnica de Calatonia trouxe o alívio do quadro doloroso e, sendo assim, pode-se considerá-la como uma terapia adjuvante para o alívio da dor. Conclui-se que a aplicação da Calatonia pode atuar como recurso complementar à assistência no período pós-operatório imediato, priorizando a subjetividade do ser humano, sem se distanciar da realidade da instituição. Por se tratar de uma proposta inovadora, com a aplicação da técnica no período pós-operatório imediato, acredita-se que a Calatonia contribuirá para uma melhora do quadro clínico, proporcionando o bem-estar físico e emocional do paciente, além de resgatar a assistência humanizada e individualizada. / This research had as objective to evaluate the influence of the technique of Calatonia on the clinical conditions (systemic arterial pressure, cardiac and respiratory frequencies, axillary corporal temperature, oxygen saturation), pain and indexes of Aldrete and Kroulik and that of Ramsay, of the patients in the immediate postoperative period; A randomized study was carried through, with one hundred and sixteen patients, submitted to the Videolaparoscopic cholecystectomy surgery, divided in groups: experimental (58 patients) and placebo (58 patients). The patients of the experimental group received the Calatonia technique, and those of placebo group were submitted only to non-intentional touchs. The results showed that the patients of the groups placebo and experimental were considered homogeneous in which refers to the variables: sex, age, ASA (Physical Status Classification), in the Postanaesthetic Recovery Room (SRPA) it was not observed any significant statistical differences, between the groups, as to the clinical evaluation of the Aldrete and Kroulik scale as well as the sedation scale of Ramsay and the clinical parameters, except the axillary corporal temperature, which presented significant statistical difference, at the moment of the admission at the SRPA. As to the pain, the patients of the experimental group presented significant results, being it possible to infer that the relaxation proportionated by the technique of Calatonia brought the relief of the painful status and, thus, it can be considered as an adjuvant therapy for the relief of the pain. So, it can be concluded that the application of the Calatonia can act as complementary resource to the assistance in the immediate postoperative period, prioritizing the subjectivity of the human being, without leaving the reality of the institution. Since it is a innovative proposal, with the application of the technique in the immediate postoperative period, it is given credit that the Calatonia will contribute for an improvement of the clinical situation, providing the physical and emotional patient well-being, besides rescuing the human and individualized assistance as well.