Music in the relief of stress and distress in cancer patients.

OBJECTIVES: to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital. METHODS: quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test. RESULTS: the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress - p < 0.001. CONCLUSIONS: the use of music diminishes the stress and the distress of cancer patients.

Consumo de substâncias psicoativas em pacientes com tuberculose: adesão ao tratamento e interface com Intervenção Breve / Psychoactive substance use in patients with tuberculosis: treatment adherence and interface with Brief Interventions / Consumo de sustancias psicoactivas en pacientes con tuberculosis: adhesión al tratamiento e interfaz con Intervención Breve

Enquadramento: O consumo de substâncias psicoativas associado à tuberculose estabelece uma urgente questão de saúde pública. Objetivo: Caracterizar o perfil e o consumo das substâncias psicoativas dos pacientes em tratamento da tuberculose e analisar a relação entre as variáveis de saúde, o consumo e a adesão ao tratamento, na perspetiva da Intervenção Breve (IB). Metodologia: Estudo descritivo correlacional, com 114 pacientes, utilizando o Self-Reporting Questionnaire e o Alcohol Smoking and Substance Involvement Screening Test, no período de 2016 a 2017. Resultados: Os fumadores que consumiam álcool (p = 0,058) e aqueles que relataram não ter doenças crónicas (p = 0,024) apresentaram necessidade de receber IB. O consumo de cannabis destacou-se entre os fumadores (p = 0,009). Relativamente à frequência da adesão ao tratamento, 40% faziam uso de tabaco, 21,1% uso de álcool, 10,5% uso de cannabis e 13,7% de cocaína. Conclusão: Verificou-se a vulnerabilidade desta população em relação ao consumo de substâncias psicoativas quanto à adesão ao tratamento.

Background: Psychoactive substance use associated with tuberculosis is an urgent public health issue in the contemporary world. Objective: To characterize the profile and psychoactive substance use of patients undergoing tuberculosis treatment and to analyze the association between health-related variables, consumption, and treatment adherence, from the perspective of Brief Interventions (BI). Methodology: Descriptive correlational epidemiological study, with 114 patients, from 2016 to 2017. The Self-Reporting Questionnaire and the Alcohol, Smoking and Substance Involvement Screening Test were used. Results: Smokers who drank alcohol (p = 0.058) and those who reported not having chronic diseases (p = 0.024) had a need to receive BI. Cannabis use was more frequent among smokers (p = 0.009). As for the frequency of treatment adherence, 40% of participants smoked, 21.1% drank alcohol, 10.5% used cannabis, and 13.7% used cocaine. Conclusion: These results demonstrated the vulnerability of this population to psychoactive substance use based on treatment adherence.

Introducción: El consumo de sustancias psicoactivas asociadas al tuberculosis constituye un problema urgente de salud pública en el mundo contemporáneo. Objetivo: Caracterizar el perfil y el consumo de sustancias psicoactivas de los pacientes sometidos a un tratamiento contra la tuberculosis y analizar la relación entre las variables de salud, consumo y adhesión al tratamiento, desde la perspectiva de la Intervención Breve (IB). Metodología: Se llevó a cabo un estudio epidemiológico descriptivo correlativo, con 114 pacientes, mediante el Self-Reporting Questionnaire y el Alcohol Smoking and Substance Involvement Screening Test, de 2016 a 2017. Resultados: Los fumadores que consumían alcohol (p = 0,058) y los que informaron que no tenían enfermedades crónicas (p = 0,024), presentaron la necesidad de recibir IB. El consumo de cannabis fue más frecuente entre los fumadores (p = 0,009). En cuanto a la frecuencia de la adhesión al tratamiento, el 40% consumía tabaco, el 21,1% alcohol, el 10,5% cannabis y el 13,7% cocaína. Conclusión: Los resultados demostraron la vulnerabilidad de esta población en relación con el consumo de sustancias psicoactivas en cuanto a la adhesión al tratamiento.

Effect of music therapy on stress in chemically dependent people: a quasi-experimental study.

OBJECTIVE: to evaluate the effect of music therapy on the stress of chemically dependent people. METHOD: quasi-experimental study conducted at a philanthropic institution with 18 chemically dependent people undergoing treatment. Salivary cortisol (stress hormone) was collected in three moments: before, 60 minutes after, and 120 minutes after a music therapy group intervention. Statistical analysis adopted a significance level of p < 0.05 and used the Wilcoxon and Kruskal-Wallis non-parametric tests. RESULTS: after 60 minutes of intervention, there was a statistically significant reduction in mean salivary cortisol levels (p < 0.001). A reduction was also noted after 120 minutes, but without statistical significance (p = 0.139). CONCLUSION: a single session of 60 minutes of group music therapy was able to reduce stress (salivary cortisol levels) of chemically dependent people.

Effect of music therapy on stress in chemically dependent people: a quasi-experimental study / Efeito da musicoterapia sobre o estresse de dependentes químicos: estudo quase-experimental / Efecto de la musicoterapia sobre el estrés de dependientes químicos: estudio cuasi-experimental

ABSTRACT Objective: to evaluate the effect of music therapy on the stress of chemically dependent people. Method: quasi-experimental study conducted at a philanthropic institution with 18 chemically dependent people undergoing treatment. Salivary cortisol (stress hormone) was collected in three moments: before, 60 minutes after, and 120 minutes after a music therapy group intervention. Statistical analysis adopted a significance level of p < 0.05 and used the Wilcoxon and Kruskal-Wallis non-parametric tests. Results: after 60 minutes of intervention, there was a statistically significant reduction in mean salivary cortisol levels (p < 0.001). A reduction was also noted after 120 minutes, but without statistical significance (p = 0.139). Conclusion: a single session of 60 minutes of group music therapy was able to reduce stress (salivary cortisol levels) of chemically dependent people.

RESUMO Objetivo: avaliar o efeito da musicoterapia sobre o estresse de dependentes químicos. Método: estudo quase-experimental realizado em instituição filantrópica com 18 dependentes químicos em tratamento. O cortisol salivar (hormônio do estresse) foi coletado antes, 60 e 120 minutos após única intervenção musicoterapêutica realizada em grupo. A análise estatística adotou nível de significância de p < 0,05 mediante aplicação dos testes não paramétricos de Wilcoxon e de Kruskal-Wallis. Resultados: após 60 minutos da intervenção musicoterapêutica, houve redução estatisticamente significante nas médias dos níveis de cortisol salivar (p < 0,001). Após 120 minutos, também houve redução, mas sem significância estatística (p = 0,139). Conclusão: sessão única de 60 minutos de musicoterapia em grupo mostrou-se capaz de reduzir o estresse (níveis de cortisol salivar) de dependentes químicos.

RESUMEN Objetivo: evaluar el efecto de la musicoterapia sobre el estrés de dependientes químicos. Método: estudio cuasi-experimental realizado en institución filantrópica con 18 dependientes químicos en tratamiento. El cortisol salivar (hormona del estrés) fue recogido antes, 60 y 120 minutos después de una única intervención musicoterapéutica realizada en grupo. El análisis estadístico adoptó un nivel de significancia de p <0,05 mediante la aplicación de las pruebas no paramétricas de Wilcoxon y de Kruskal-Wallis. Resultados: después de 60 minutos de la intervención musicoterapéutica, hubo reducción estadísticamente significativa en las medias de los niveles de cortisol salivar (p <0,001). Después de 120 minutos, también hubo reducción, pero sin significancia estadística (p = 0,139). Conclusión: uma única sesión de 60 minutos de musicoterapia en grupo se mostró capaz de reducir el estrés (niveles de cortisol salivar) de dependientes químicos.