Claudia Regina de Oliveira Zanini

Music therapy effects on the quality of life and the blood pressure of hypertensive patients

FUNDAMENTO: A hipertensao arterial (HA) e uma doenca de massa, com consequencias para o aparelho cardiocirculatorio, pois suas complicacoes elevam as taxas de morbi-mortalidade. Controlar a pressao arterial (PA) diminui complicacoes e pode preservar a qualidade de vida (QV) dos pacientes. Estudos mostram os efeitos positivos da musica como coadjuvante no tratamento de diversas patologias. OBJETIVO: Avaliar o efeito da musicoterapia na QV e no controle da PA de pacientes hipertensos. METODOS: Realizou-se um ensaio clinico controlado que avaliou pacientes de ambos os sexos, maiores que 50 anos, HA estagio 1, em uso de medicacao, matriculados em servico multiprofissional para tratamento da HA. Divididos em grupos experimental (GE) e controle (GC). O GE, alem do tratamento convencional, participou de sessoes musicoterapicas semanais por doze semanas. O GC permaneceu sob tratamento padrao do servico. Antes e apos a intervencao foi aplicado nos dois grupos o questionario SF-36 e verificada a PA. A voz, importante elemento da comunicacao, reflexo do estado fisico, psiquico e emocional, foi o principal recurso utilizado. Estatistica: testes t-Student e Wilcoxon (significantes p<0,05). RESULTADOS: Os grupos eram inicialmente semelhantes quanto a sexo, idade, escolaridade e QV avaliada. Na comparacao inicial e final dos pacientes do GE observamos melhora significativa na QV (p<0,05) e no controle da PA (p<0,05). Sem modificacoes na adesao. CONCLUSOES: A musicoterapia contribuiu para a melhora da QV e do controle da PA, sinalizando que essa atividade pode representar um reforco na abordagem terapeutica em programas de atendimento multidisciplinar ao paciente hipertenso.BACKGROUND Arterial Hypertension (AH) is a mass disease, with consequences for the cardiocirculatory system, since its complications raise the rates of morbidity and mortality. Controlling blood pressure (BP) reduces complications and may preserve the quality of life (QOL) of patients. Studies show positive effects of music therapy as an adjuvant in the treatment of several diseases. OBJECTIVE to evaluate the effect of music therapy on the QOL and BP control of hypertensive patients. METHODS This was a controlled clinical study that evaluated patients of both genders, aged over 50 years, with stage 1 hypertension, in use of medication and enrolled in multidisciplinary service for treatment of hypertension. They were divided into an experimental group (EG) and a control group (CG). The EG, in addition to the conventional treatment, participated in weekly music therapy sessions for twelve weeks. The CG received the standard treatment of the service. Before and after the intervention, the SF-36 questionnaire was applied in both groups, and the BP of each patient was measured. The voice, an important element of communication, reflecting the patients physical, mental and emotional state, was the main resource used. STATISTICS Student T-test and Wilcoxon test were considered significant at p <0.05. RESULTS The groups were initially similar in gender, age, education, and the assessed QOL. In the initial and final comparison of EG patients, we observed a significant improvement on the QOL (p <0.05) and BP control (p <0.05), with no change in adhesion. CONCLUSIONS Music therapy has contributed to an improvement on the QOL and BP control of patients, suggesting that this activity may represent a therapeutic approach to help strengthen the programs of multidisciplinary care of hypertensive patients.

O efeito da musicoterapia na qualidade de vida e na pressão arterial do paciente hipertenso

FUNDAMENTO: A hipertensao arterial (HA) e uma doenca de massa, com consequencias para o aparelho cardiocirculatorio, pois suas complicacoes elevam as taxas de morbi-mortalidade. Controlar a pressao arterial (PA) diminui complicacoes e pode preservar a qualidade de vida (QV) dos pacientes. Estudos mostram os efeitos positivos da musica como coadjuvante no tratamento de diversas patologias. OBJETIVO: Avaliar o efeito da musicoterapia na QV e no controle da PA de pacientes hipertensos. METODOS: Realizou-se um ensaio clinico controlado que avaliou pacientes de ambos os sexos, maiores que 50 anos, HA estagio 1, em uso de medicacao, matriculados em servico multiprofissional para tratamento da HA. Divididos em grupos experimental (GE) e controle (GC). O GE, alem do tratamento convencional, participou de sessoes musicoterapicas semanais por doze semanas. O GC permaneceu sob tratamento padrao do servico. Antes e apos a intervencao foi aplicado nos dois grupos o questionario SF-36 e verificada a PA. A voz, importante elemento da comunicacao, reflexo do estado fisico, psiquico e emocional, foi o principal recurso utilizado. Estatistica: testes t-Student e Wilcoxon (significantes p<0,05). RESULTADOS: Os grupos eram inicialmente semelhantes quanto a sexo, idade, escolaridade e QV avaliada. Na comparacao inicial e final dos pacientes do GE observamos melhora significativa na QV (p<0,05) e no controle da PA (p<0,05). Sem modificacoes na adesao. CONCLUSOES: A musicoterapia contribuiu para a melhora da QV e do controle da PA, sinalizando que essa atividade pode representar um reforco na abordagem terapeutica em programas de atendimento multidisciplinar ao paciente hipertenso.BACKGROUND Arterial Hypertension (AH) is a mass disease, with consequences for the cardiocirculatory system, since its complications raise the rates of morbidity and mortality. Controlling blood pressure (BP) reduces complications and may preserve the quality of life (QOL) of patients. Studies show positive effects of music therapy as an adjuvant in the treatment of several diseases. OBJECTIVE to evaluate the effect of music therapy on the QOL and BP control of hypertensive patients. METHODS This was a controlled clinical study that evaluated patients of both genders, aged over 50 years, with stage 1 hypertension, in use of medication and enrolled in multidisciplinary service for treatment of hypertension. They were divided into an experimental group (EG) and a control group (CG). The EG, in addition to the conventional treatment, participated in weekly music therapy sessions for twelve weeks. The CG received the standard treatment of the service. Before and after the intervention, the SF-36 questionnaire was applied in both groups, and the BP of each patient was measured. The voice, an important element of communication, reflecting the patients physical, mental and emotional state, was the main resource used. STATISTICS Student T-test and Wilcoxon test were considered significant at p <0.05. RESULTS The groups were initially similar in gender, age, education, and the assessed QOL. In the initial and final comparison of EG patients, we observed a significant improvement on the QOL (p <0.05) and BP control (p <0.05), with no change in adhesion. CONCLUSIONS Music therapy has contributed to an improvement on the QOL and BP control of patients, suggesting that this activity may represent a therapeutic approach to help strengthen the programs of multidisciplinary care of hypertensive patients.

The effect of educational intervention on the disease knowledge of diabetes mellitus patients

La prevencion de diabetes y sus complicaciones es un desafio para el equipo de salud. El objetivo de esta investigacion fue evaluar el efecto de accion educativa sobre el conocimiento de la enfermedad en pacientes portadores de diabetes tipo 2. Fue realizado ensayo clinico aleatorizado con 62 pacientes registrados en servicio de referencia en tratamiento de la hipertension arterial en 2010. Los datos fueron obtenidos a traves de un cuestionario aplicado a los grupos Intervencion (GI) y Control (GC), al inicio y al final del estudio. El GI participo de actividades educativas grupales, utilizando la metodologia problematizadora. Los resultados muestran un aumento significativo del conocimiento sobre la diabetes en pacientes del GI, en todas las cuestiones (p<0,05). En el GC, algunas alteraciones observadas, fueron mucho menores cuando comparadas al GI. Se concluye que fue posible elevar los conocimientos sobre la enfermedad por medio de realizacion de actividades educativas. Numero del Registro clinico, Identificador primario: RBR-58n26hDescriptores: Enfermeria en Salud Comunitaria; Educacion en Salud; Diabetes Mellitus; Autocuidado.Rev. Latino-Am. EnfermagemThe prevention of diabetes and its complications is a challenge for the healthcare team. The aim of this study was to evaluate the effect of educational action on the disease knowledge of patients with type 2 diabetes. A randomized clinical trial was conducted with 62 patients registered in a service of reference in the treatment of hypertension in 2010. Data were collected through a questionnaire applied to the Intervention (IG) and Control (CG) groups at the beginning and at the end of the study. The IG participated in group educational activities, using problematization methodology. The results showed a significant increase in knowledge about diabetes in the patients of the IG, in all the topics (p<0.05). In the CG, some changes were observed in knowledge, however, these were fewer when compared with the IG. In conclusion, it was possible to increase disease knowledge through the performance of educational activities. Clinical trial identifier: RBR-58n26h.

Efectos de intervención educativa sobre el conocimiento de la enfermedad en pacientes con diabetes mellitus

La prevencion de diabetes y sus complicaciones es un desafio para el equipo de salud. El objetivo de esta investigacion fue evaluar el efecto de accion educativa sobre el conocimiento de la enfermedad en pacientes portadores de diabetes tipo 2. Fue realizado ensayo clinico aleatorizado con 62 pacientes registrados en servicio de referencia en tratamiento de la hipertension arterial en 2010. Los datos fueron obtenidos a traves de un cuestionario aplicado a los grupos Intervencion (GI) y Control (GC), al inicio y al final del estudio. El GI participo de actividades educativas grupales, utilizando la metodologia problematizadora. Los resultados muestran un aumento significativo del conocimiento sobre la diabetes en pacientes del GI, en todas las cuestiones (p<0,05). En el GC, algunas alteraciones observadas, fueron mucho menores cuando comparadas al GI. Se concluye que fue posible elevar los conocimientos sobre la enfermedad por medio de realizacion de actividades educativas. Numero del Registro clinico, Identificador primario: RBR-58n26hDescriptores: Enfermeria en Salud Comunitaria; Educacion en Salud; Diabetes Mellitus; Autocuidado.Rev. Latino-Am. EnfermagemThe prevention of diabetes and its complications is a challenge for the healthcare team. The aim of this study was to evaluate the effect of educational action on the disease knowledge of patients with type 2 diabetes. A randomized clinical trial was conducted with 62 patients registered in a service of reference in the treatment of hypertension in 2010. Data were collected through a questionnaire applied to the Intervention (IG) and Control (CG) groups at the beginning and at the end of the study. The IG participated in group educational activities, using problematization methodology. The results showed a significant increase in knowledge about diabetes in the patients of the IG, in all the topics (p<0.05). In the CG, some changes were observed in knowledge, however, these were fewer when compared with the IG. In conclusion, it was possible to increase disease knowledge through the performance of educational activities. Clinical trial identifier: RBR-58n26h.

Efeito de intervenção educativa sobre o conhecimento da doença em pacientes com diabetes mellitus

La prevencion de diabetes y sus complicaciones es un desafio para el equipo de salud. El objetivo de esta investigacion fue evaluar el efecto de accion educativa sobre el conocimiento de la enfermedad en pacientes portadores de diabetes tipo 2. Fue realizado ensayo clinico aleatorizado con 62 pacientes registrados en servicio de referencia en tratamiento de la hipertension arterial en 2010. Los datos fueron obtenidos a traves de un cuestionario aplicado a los grupos Intervencion (GI) y Control (GC), al inicio y al final del estudio. El GI participo de actividades educativas grupales, utilizando la metodologia problematizadora. Los resultados muestran un aumento significativo del conocimiento sobre la diabetes en pacientes del GI, en todas las cuestiones (p<0,05). En el GC, algunas alteraciones observadas, fueron mucho menores cuando comparadas al GI. Se concluye que fue posible elevar los conocimientos sobre la enfermedad por medio de realizacion de actividades educativas. Numero del Registro clinico, Identificador primario: RBR-58n26hDescriptores: Enfermeria en Salud Comunitaria; Educacion en Salud; Diabetes Mellitus; Autocuidado.Rev. Latino-Am. EnfermagemThe prevention of diabetes and its complications is a challenge for the healthcare team. The aim of this study was to evaluate the effect of educational action on the disease knowledge of patients with type 2 diabetes. A randomized clinical trial was conducted with 62 patients registered in a service of reference in the treatment of hypertension in 2010. Data were collected through a questionnaire applied to the Intervention (IG) and Control (CG) groups at the beginning and at the end of the study. The IG participated in group educational activities, using problematization methodology. The results showed a significant increase in knowledge about diabetes in the patients of the IG, in all the topics (p<0.05). In the CG, some changes were observed in knowledge, however, these were fewer when compared with the IG. In conclusion, it was possible to increase disease knowledge through the performance of educational activities. Clinical trial identifier: RBR-58n26h.

El efecto de la musicoterapia en la calidad de vida y en la presión arterial del paciente hipertenso

FUNDAMENTO: A hipertensao arterial (HA) e uma doenca de massa, com consequencias para o aparelho cardiocirculatorio, pois suas complicacoes elevam as taxas de morbi-mortalidade. Controlar a pressao arterial (PA) diminui complicacoes e pode preservar a qualidade de vida (QV) dos pacientes. Estudos mostram os efeitos positivos da musica como coadjuvante no tratamento de diversas patologias. OBJETIVO: Avaliar o efeito da musicoterapia na QV e no controle da PA de pacientes hipertensos. METODOS: Realizou-se um ensaio clinico controlado que avaliou pacientes de ambos os sexos, maiores que 50 anos, HA estagio 1, em uso de medicacao, matriculados em servico multiprofissional para tratamento da HA. Divididos em grupos experimental (GE) e controle (GC). O GE, alem do tratamento convencional, participou de sessoes musicoterapicas semanais por doze semanas. O GC permaneceu sob tratamento padrao do servico. Antes e apos a intervencao foi aplicado nos dois grupos o questionario SF-36 e verificada a PA. A voz, importante elemento da comunicacao, reflexo do estado fisico, psiquico e emocional, foi o principal recurso utilizado. Estatistica: testes t-Student e Wilcoxon (significantes p<0,05). RESULTADOS: Os grupos eram inicialmente semelhantes quanto a sexo, idade, escolaridade e QV avaliada. Na comparacao inicial e final dos pacientes do GE observamos melhora significativa na QV (p<0,05) e no controle da PA (p<0,05). Sem modificacoes na adesao. CONCLUSOES: A musicoterapia contribuiu para a melhora da QV e do controle da PA, sinalizando que essa atividade pode representar um reforco na abordagem terapeutica em programas de atendimento multidisciplinar ao paciente hipertenso.BACKGROUND Arterial Hypertension (AH) is a mass disease, with consequences for the cardiocirculatory system, since its complications raise the rates of morbidity and mortality. Controlling blood pressure (BP) reduces complications and may preserve the quality of life (QOL) of patients. Studies show positive effects of music therapy as an adjuvant in the treatment of several diseases. OBJECTIVE to evaluate the effect of music therapy on the QOL and BP control of hypertensive patients. METHODS This was a controlled clinical study that evaluated patients of both genders, aged over 50 years, with stage 1 hypertension, in use of medication and enrolled in multidisciplinary service for treatment of hypertension. They were divided into an experimental group (EG) and a control group (CG). The EG, in addition to the conventional treatment, participated in weekly music therapy sessions for twelve weeks. The CG received the standard treatment of the service. Before and after the intervention, the SF-36 questionnaire was applied in both groups, and the BP of each patient was measured. The voice, an important element of communication, reflecting the patients physical, mental and emotional state, was the main resource used. STATISTICS Student T-test and Wilcoxon test were considered significant at p <0.05. RESULTS The groups were initially similar in gender, age, education, and the assessed QOL. In the initial and final comparison of EG patients, we observed a significant improvement on the QOL (p <0.05) and BP control (p <0.05), with no change in adhesion. CONCLUSIONS Music therapy has contributed to an improvement on the QOL and BP control of patients, suggesting that this activity may represent a therapeutic approach to help strengthen the programs of multidisciplinary care of hypertensive patients.