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

• Ano de defesa: 2009
• Autor(a) principal: ZANINI, Claudia Regina de Oliveira
• Orientador(a): JARDIM, Paulo César Brandão Veiga
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Doutorado em Ciencias da Saude
• Departamento: Ciencias da Saude
• País: BR
• Palavras-chave em Português: Musicoterapia, Hipertensão Arterial, Qualidade de Vida, Tratamento, Terapia Complementar, Saúde Pública
• Palavras-chave em Inglês: Music Therapy, Hypertension; Quality of Life, Treatment, Complementary Therapies, Public Health
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/1556

INTRODUCTION: Arterial Hypertension (AH) is a mass disease, with consequences for the cardiocirculatory system. It may result in an increase in morbidity and mortality rates. Controlling blood pressure (BP) lessens complications and helps preserve quality of life (QL). Studies have shown the positive effects of music as a coadjuvant in the treatment of various pathologies. OBJECTIVES: To evaluate the effect of music therapy on QL and in the control of BP in hypertensive patients. METHODS: This project was approved by the Ethics Committee of the UFG Clinical Hospital. A controlled clinical trial evaluated patients of both sexes, over 50 years old, AH stage 1, under medication and enrolled in a multidisciplinary AH treatment program. They were divided into experimental (EG) and control (CG) groups. In addition to conventional treatment, the EG participated in weekly music therapy sessions over 12 weeks. The CG continued with the program&#8223;s regular treatment. Before and after the intervention, two QL-evaluation instruments, the SF-36 and Bulpitt and Fletcher questionnaires, were administered to the two groups. Change in BP was also measured. The voice, an important element in communication and a reflection of physical, psychological and emotional state, was the main therapeutic resource used. The t-student, Mann-Whitney, Wilcoxon, Chi-Squared and Fisher tests were used for statistical analysis. The Pearson or Spearman correlations were used to analyze the correlation between the QL instruments. Data were analyzed using the SPSS program. Values of p<0.05 were considered significant. RESULTS: The groups were initially homogeneous as regards sex, age, education level, QL. In the before-and-after comparison, the EG patients showed a significant improvement in BP control and QL. The CG registered no significant change. We find good correlation between the instruments of QL evaluation. CONCLUSION: Music therapy contributed to better BP control and QL improvement. The two QL evaluation instruments correlated well, with the possibility of a more holistic view of the patient. This therapeutic modality may represent an important contribution to multidisciplinary programs serving hypertensive patients