Título :	Audição musical como intervenção de enfermagem para alívio da ansiedade na criança em situação cirúrgica : ensaio clínico randomizado
Otros títulos :	Music listening as a nursing intervention to relieve anxiety in children undergoing surgery : a randomized controlled trial
Autor :	Franzoi, Mariana André Honorato
Orientador(es)::	Martins, Gisele
Assunto::	Crianças - cirurgia Ansiedade Música Enfermagem pediátrica
Fecha de publicación :	21-dic-2015
Data de defesa::	31-ago-2015
Citación :	FRANZOI, Mariana André Honorato. Audição musical como intervenção de enfermagem para alívio da ansiedade na criança em situação cirúrgica: ensaio clínico randomizado. 2015. 113 f., il. Dissertação (Mestrado em Enfermagem)—Universidade de Brasília, Brasília, 2015.
Abstract:	Introduction: Pediatric hospitalization tends to be a traumatic and stressful event in children’s lives and their families, especially if it is associated with surgical procedures. Anxiety is one of the main child’s reactions related to the surgery. Among some care strategies, the musical intervention has been increasingly used in the nursing care as a complementary therapy to promote relaxation, emotional and spiritual comfort, distraction, pain and anxiety relief in hospitalized patients. Objective: To investigate the effect of music listening on the levels of preoperative anxiety in children undergoing elective surgery in a pediatric surgical inpatient unit. As a secondary objective, a parental self-report considering that their children were undergoing surgery procedures was obtained and analyzed with regard to their emotional profile. Method: It was a pilot randomized controlled trial, carried out from September 2014 to April 2015, at the Hospital Materno-Infantil in Brasilia, a public tertiary hospital and especialized in the care of children affected by surgical conditions. Participants were randomly allocated to one of two groups: the experimental group which was under music listening for 15 minutes or control group which did not listen to music, but only received the standard care provided at the surgical clinic. The main outcomes variables were: heart rate, systolic and diastolic blood pressure, respiratory rate, oxygen saturation and behavioral manifestations of anxiety. Vital signs were measured by means and anxiety level was obtained by the Preoperative Anxiety Scale Yale (YPAS-m), both measured at the child’s clinic arrival and 15 minutes after the first measure. The study was approved by the Research Ethics Committee and registered in the Brazilian Registry of Clinical Trials platform. Results: Out of 52 children undergoing elective surgery, at 3 years old up to 12 years old, were randomly allocated to the music listening group (n = 26) and control group (n = 26). Both groups have a predominance of male children and the type of genitourinary surgery. Regarding the level of preoperative anxiety, there was no statistically significant difference between the two groups, but it was found that the music listening group showed a statistically significant reduction in their anxiety scores (p = 0.0441), suggesting that 15 minutes of listening was an effective time to the music intervention. There was also a statistically significant decrease in respiratory rate among preschool children in the experimental group compared to the control group, specifically in the second measure (p = 0.0453). Taking into account the parental interviews, it was found that the vast majority of them reported feeling of fear, anxiety and concern about the surgical procedure which have highlighted to the importance to include the family in the context of pediatric surgical care, mainly in relation to the information about anesthesia. Conclusion: Music listening for 15 minutes minimally has showed to be a potentially effective nursing intervention for the preoperative anxiety relief in children undergoing surgical procedures.
metadata.dc.description.unidade:	Faculdade de Ciências da Saúde (FS) Departamento de Enfermagem (FS ENF)
Descripción :	Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, 2015.
metadata.dc.description.ppg:	Programa de Pós-Graduação em Enfermagem
Licença::	A concessão da licença deste item refere-se ao termo de autorização impresso assinado pelo autor com as seguintes condições: Na qualidade de titular dos direitos de autor da publicação, autorizo a Universidade de Brasília e o IBICT a disponibilizar por meio dos sites www.bce.unb.br, www.ibict.br, http://hercules.vtls.com/cgi-bin/ndltd/chameleon?lng=pt&skin=ndltd sem ressarcimento dos direitos autorais, de acordo com a Lei nº 9610/98, o texto integral da obra disponibilizada, conforme permissões assinaladas, para fins de leitura, impressão e/ou download, a título de divulgação da produção científica brasileira, a partir desta data.
DOI:	http://dx.doi.org/10.26512/2015.08.D.19014
Aparece en las colecciones:	Teses, dissertações e produtos pós-doutorado

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