A carregar...
Publicação
Avaliação da intervenção musical em contexto de cuidados paliativos
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 2.73 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
O envelhecimento da população, é cada vez mais crescente nos países desenvolvidos, o que determina novas necessidades de cuidados de saúde por parte da comunidade. A esperança média de vida tem vindo a aumentar desde os anos 60 e o facto de as pessoas viverem mais anos não significa que vivam com mais saúde, tendo os/as profissionais de saúde o desafio de corresponder às necessidades de uma sociedade mais envelhecida e, por vezes, doente. Os cuidados paliativos são uma parte crucial dos serviços de saúde e têm como objetivo aliviar o sofrimento grave relacionado com a saúde, seja ele físico, psicológico, social ou espiritual, devendo estar disponíveis para a toda a população que necessite deste tipo de cuidados, na sua maioria, adulta e idosa. A música tem relação com a saúde e o bem-estar, pelo que, começou a ser utilizada para acelerar o processo de cura das pessoas doentes. Hoje, são descritos na literatura os seus efeitos positivos, sendo explorada enquanto intervenção clínica, nomeadamente em cuidados paliativos. Este estudo analítico e quantitativo tem como objetivos: 1) Avaliar a influência da intervenção musical nas pessoas em cuidados paliativos com a capacidade cognitiva comprometida e/ou com dificuldades em expressar-se verbalmente tendo em conta as diversas dimensões avaliáveis através da Escala PAINAD- Escala de Avaliação da Dor na Demência Avançada (Grupo A); 2) Avaliar a influência da intervenção musical nas pessoas em cuidados paliativos com a capacidade cognitiva mantida e de narrarem a sua experiência subjetiva face à intervenção tendo em conta os sintomas físicos e psicológicos avaliáveis através da Escala de EDMONTON- Escala de Avaliação de Sintomas de Edmonton (Grupo B). A metodologia teve recurso à aplicação da escala PAINAD e escala de EDMONTON a pessoas internadas numa Unidade de Cuidados Paliativos, em Portugal, antes e após uma intervenção musical. Procedeu-se à análise estatística das diferenças significativas antes e após a intervenção. A intervenção musical demonstrou ser benéfica na alteração da expressão de dor através da vocalização, da linguagem corporal e da pontuação total de dor através da escala PAINAD e melhoria do score de depressão, da ansiedade, da sonolência, do bem-estar, do apetite, do cansaço e da falta de ar, avaliado através da escala de EDMONTON. Em conclusão, a intervenção musical demonstrou-se positiva no controlo da sintomatologia avaliada e sem maleficio em nenhum dos sintomas avaliados. O estudo permite abrir novos caminhos e possibilidades para investigações futuras nesta área.
The aging of the population is something increasingly increasing in developed countries, which increases the health care needs of the community. Average life expectancy has been increasing since the 60s and the fact that people live longer does not mean that they live healthier, with health professionals having the challenge to meet the needs of this ageing society. Palliative care is a crucial part of health services and aims to alleviate serious health-related suffering, be it physical, psychological, social or spiritual, and should be available to the entire population that needs this type of care. Music began to be used in the Middle Ages to speed up the healing process of sick people and in the seventeenth century one began to realize the positive effects that music had on sick people. That said, music began to be used not only for leisure, but also as a clinical intervention. This analytical and quantitative study aims to evaluate the benefits of musical intervention in the context of palliative care, whose specific objectives were: 1)To evaluate the influence of musical intervention on people in palliative care with impaired cognitive capacity and/or with difficulties in expressing themselves verbally taking into account the various dimensions that can be assessed through the PAINAD Scale (Group A); 2) To evaluate the influence of musical intervention on people in palliative care with the cognitive capacity maintained and to narrate their subjective experience of the intervention taking into account the symptoms physical and psychological assessable through the EDMONTON Scale (Group B). The methodology used the application of the PAINAD scale and the EDMONTON scale to people hospitalized in a Palliative Care Unit in Portugal, before and after a musical intervention. Subsequently, the statistical analysis of the significant differences before and after the musical intervention was carried out. The musical intervention proved to be beneficial in altering pain expression through vocalization, body language, total pain score through the PAINAD scale and improvement of depression, anxiety, drowsiness, well-being, appetite, tiredness and shortness of breath, assessed through the EDMONTON scale. In conclusion, the musical intervention proved to be positive in the control of the symptomatology evaluated and without harm in any of the symptoms evaluated.
The aging of the population is something increasingly increasing in developed countries, which increases the health care needs of the community. Average life expectancy has been increasing since the 60s and the fact that people live longer does not mean that they live healthier, with health professionals having the challenge to meet the needs of this ageing society. Palliative care is a crucial part of health services and aims to alleviate serious health-related suffering, be it physical, psychological, social or spiritual, and should be available to the entire population that needs this type of care. Music began to be used in the Middle Ages to speed up the healing process of sick people and in the seventeenth century one began to realize the positive effects that music had on sick people. That said, music began to be used not only for leisure, but also as a clinical intervention. This analytical and quantitative study aims to evaluate the benefits of musical intervention in the context of palliative care, whose specific objectives were: 1)To evaluate the influence of musical intervention on people in palliative care with impaired cognitive capacity and/or with difficulties in expressing themselves verbally taking into account the various dimensions that can be assessed through the PAINAD Scale (Group A); 2) To evaluate the influence of musical intervention on people in palliative care with the cognitive capacity maintained and to narrate their subjective experience of the intervention taking into account the symptoms physical and psychological assessable through the EDMONTON Scale (Group B). The methodology used the application of the PAINAD scale and the EDMONTON scale to people hospitalized in a Palliative Care Unit in Portugal, before and after a musical intervention. Subsequently, the statistical analysis of the significant differences before and after the musical intervention was carried out. The musical intervention proved to be beneficial in altering pain expression through vocalization, body language, total pain score through the PAINAD scale and improvement of depression, anxiety, drowsiness, well-being, appetite, tiredness and shortness of breath, assessed through the EDMONTON scale. In conclusion, the musical intervention proved to be positive in the control of the symptomatology evaluated and without harm in any of the symptoms evaluated.
Descrição
Tese de mestrado, Epidemiologia, Universidade de Lisboa, Faculdade de Medicina, 2024
Palavras-chave
Cuidados paliativos Intervenção musical Envelhecimento Música Teses de mestrado - 2024