Relaxamento com imagem guiada

In recent decades, cancer has become a public health problem worldwide; the diagnosis and its treatment cause significant physical and psychological morbidity, compromising Health-Related Quality of Life (HRQoL) of survivors.Complementary and Alternative Therapies, such as mind-body therapies, has been used by cancer patients to reduce symptoms and other side effects of treatment.Objective: To evaluate the effects of nursing interventions: Relaxation with Guided Imagery (visualization) on HRQoL and on depression in adult patients with cancer during chemotherapy.Methodology: quantitative, quasi-experimental, longitudinal and prospective study conducted in the Specialized Oncology Center and in the Chemotherapy Center of Clinical Hospital, Ribeirão Preto-SP, Brazil.The patients were divided into two groups: Control and Intervention (CG and IG) and IG received relaxation sessions with guided imagery during chemotherapy, both groups responded to questionnaires about HRQoL (EORTC QLQ-C30) and depression (Beck Depression Inventory) at the beginning, middle and end of treatment.Results: The total sample and by group (baseline) was composed mostly of women, between 40 and 59 years old, married, retired or housewives, Catholic, living in Ribeirão Preto, with a low educational level (elementary school).The most common cancers were breast, bowel and gastric.At one time, both groups showed most common symptoms: pain, fatigue, insomnia and loss of appetite and were 'not depressed'.During the study, the comparison between groups, statistically significant differences were found in T1 with CG showing better scores for global QoL, social functioning, and nausea and vomiting.In T2, the differences were significant for physical functioning and T3 to physical functioning, emotional functioning, role functioning, fatigue, and nausea and vomiting, with better scores for IG.Comparing the times, the CG had impairment in physical, emotional and social functioning, nausea and vomiting, and constipation, while the IG showed improvement in emotional functioning.According to the BDI, the differences were statistically significant between groups and between times, with most patients of IG presenting 'no depression' than the CG.Conclusion: The results showed that the intervention of relaxation with guided imagery was effective for improving HRQoL in various functions (physical, emotional and role functioning), symptoms (nausea and vomiting, pain, insomnia, loss of appetite) and depression.This technique is simple, low-cost, safe and beneficial and this intervention led to a physical and mental relaxation of the patient, observed through the physiological parameters and HRQoL and depression instruments used, confirming the hypothesis that Relaxation with Guided Imagery provides improvement in HRQoL and depression in adult cancer patients undergoing chemotherapy.It is hoped that the practice of intervention of Relaxation with Guided Imagery is disclosed and disseminated in the day-to-day nursing, so that in the near future, patients with cancer can benefit from these therapies

Anxiety · Beck Anxiety Inventory · Beck Depression Inventory · Breast cancer · Cancer · Depression · Nausea · Physical therapy · Psychiatry · Psychological intervention · Vomiting · Complementary and Alternative Medicine Studies · Medicine · Nursing · Palliative and Oncologic Care · Women's cancer prevention and management · Internal Medicine

• Health-related quality of life (HRQoL) in patients with cancer and other concurrent illnesses

  Open Access•Barbara A Elliott, Colleen M Renier et al.•Quality of Life Research•2004

  Add to list

• Complementary and alternative medicine use among adults

  Open Access•Patricia M Barnes, Eve Powell‐griner et al.•Seminars in Integrative Medicine•2004

  Add to list