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Avalia??o da efic?cia da t?cnica de relaxamento com imagem guiada em pacientes oncol?gicos submetidos a tratamento quimioter?pico

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Previous issue date: 2017-03-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / To evaluate the efficacy of the guided imaging relaxation technique in cancer
patients submitted to chemotherapy in relation to decreasing levels of depression,
anxiety and stress. Methods: Non-randomized clinical trial type study. The sample
consisted of participants of both sexes, and aged 30 years or more starting
chemotherapy treatment in a university hospital in Porto Alegre. The patients were
divided into two groups: Experimental Group, in which the relaxation technique was
applied, and Control Group, without the intervention. The relaxation sessions with the
guided imaging technique had a duration of 12 minutes and were performed during a
period of 16 weeks, always during the chemotherapy procedure. In order to evaluate
the levels of depression, anxiety and stress were applied the instruments Beck
Depression Inventory, Beck Anxiety Inventory and Distress Thermometer
respectively, in the initial and final period of the study. Data were analyzed in the
EpiInfo7.0 statistical software using Student's t-tests, Wilcoxon-Mann-Whitney and
Pearson's Chi-square. Values of p <0.05 were considered significant. Results: Onehundred
thirteen participants were included, with a mean age of 51.3 years, 62.8%
were female and 72.6% married. The most prevalent types of neoplasia were breast,
lung and intestine cancers. Fifty-seven patients participated in the Experimental
Group and 56 patients in the Control Group. There was a decrease in depression,
anxiety and stress levels in the Experimental Group, with a range of depression
scores ranging from 17.3 ? 9.04 to 14.5 ? 7.47 (p<0.0001), anxiety of 15.1 ? 8.84 to
12.9 ? 7.58 (p<0.0001) and for stress 5.1228 ? 1.8905 for 4.4386 ? 1.6905
(p<0.0001). In the Control Group, no significant difference was observed between
the initial and final evaluation. Conclusions: the intervention through the relaxation
technique with guided imagery showed efficacy in reducing the levels of depression,
anxiety and stress in this sample of cancer patients undergoing chemotherapy. / avaliar a efic?cia da t?cnica de relaxamento com imagem guiada em
pacientes oncol?gicos submetidos a tratamento quimioter?pico em rela??o ?
diminui??o dos n?veis de depress?o, ansiedade e estresse. M?todos: Estudo do tipo
ensaio cl?nico n?o randomizado. A amostra foi constitu?da de participantes de ambos
os sexos, com idade igual ou superior a 30 anos e que estavam iniciando tratamento
quimioter?pico em um hospital universit?rio de Porto Alegre. Os pacientes foram
divididos em dois grupos: Grupo Experimental, no qual foi aplicada a t?cnica de
relaxamento, e Grupo Controle, sem a interven??o. As sess?es de relaxamento com
a t?cnica de imagem guiada tiveram dura??o de 12 minutos e foram realizadas
durante um per?odo de 16 semanas, sempre durante o procedimento quimioter?pico.
Para avaliar os n?veis de depress?o, ansiedade e estresse foram aplicados os
instrumentos Invent?rio de Depress?o de Beck, Invent?rio de Ansiedade de Beck e
Term?metro de Distress respectivamente, no per?odo inicial e final do estudo. Os
dados foram analisados no software estat?stico EpiInfo7.0 utilizando os testes t de
Student,Wilcoxon-Mann-Whitney e Qui-quadrado de Pearson. Foram considerados
significativos valores de p<0,05. Resultados: Foram inclu?dos 113 participantes,
com m?dia de idade de 51,3 anos, sendo 62,8% do sexo feminino e 72,6% casados.
Os tipos de neoplasia mais prevalentes foram c?ncer de mama, pulm?o e intestino.
Foram alocados 57 pacientes no Grupo Experimental e 56 pacientes no Grupo
Controle. Houve diminui??o dos n?veis de depress?o, ansiedade e estresse nos
pacientes do Grupo Experimental, com varia??o dos escores de depress?o de
17,3?9,04 para 14,5?7,47 (p<0,0001), de ansiedade de 15,1?8,84 para 12,9?7,58
(p<0,0001) e de estresse 5.1228?1.8905 para 4.4386?1.6905 (p<0,0001). No Grupo
Controle n?o foi observada diferen?a significativa entre a avalia??o inicial e final.
Conclus?es: A interven??o atrav?s da t?cnica de relaxamento com imagem guiada
mostrou efic?cia em reduzir os n?veis dos sintomas de depress?o, ansiedade e
estresse nesta amostra de pacientes oncol?gicos em vig?ncia de quimioterapia.

Identiferoai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7580
Date31 March 2017
CreatorsLufiego, Claudia Adriana Facco
ContributorsSchneider, Rodolfo Herberto
PublisherPontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Instituto de Geriatria e Gerontologia
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS
Rightsinfo:eu-repo/semantics/openAccess
Relation4438661476953179033, 500, 500, 500, 600, 2296420844541114010, -969369452308786627, 2075167498588264571

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