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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.
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