Effect of guided imagery relaxation on anxiety in cervical cancer: randomized clinical trial.

OBJECTIVES: to evaluate the effect of guided imagery relaxation through virtual reality on anxiety in women with cervical cancer undergoing radiochemotherapy. METHODS: randomized, non-blinded, single-center clinical trial conducted at a cancer reference hospital. 52 women participated, with randomized allocation of 24 in the control group and 28 in the experimental group (12 sessions of guided imagery relaxation through virtual reality, applied three times a week). The outcome was evaluated using the State-Trait Anxiety Inventory and statistical analysis was performed using the Generalized Linear Mixed Model. RESULTS: n the experimental group, women presented significant anxiety traits (p=0.010) before the intervention. Between the 4th and 12th week of follow-up, there was a reduction in anxiety levels, without statistical significance. CONCLUSIONS: guided imagery relaxation through virtual reality provided evidence of anxiety reduction in women with cervical cancer undergoing radiochemotherapy and may contribute to clinical practice. Brazilian Clinical Trial Registry: RBR-7ssvytb.

Effect of guided imagery relaxation on anxiety in cervical cancer: randomized clinical trial / Efecto de la relajación con imagen guiada en la ansiedad en el cáncer cervical: ensayo clínico aleatorizado / Efeito do relaxamento com imagem guiada na ansiedade no câncer cervical: ensaio clínico randomizado

ABSTRACT Objectives: to evaluate the effect of guided imagery relaxation through virtual reality on anxiety in women with cervical cancer undergoing radiochemotherapy. Methods: randomized, non-blinded, single-center clinical trial conducted at a cancer reference hospital. 52 women participated, with randomized allocation of 24 in the control group and 28 in the experimental group (12 sessions of guided imagery relaxation through virtual reality, applied three times a week). The outcome was evaluated using the State-Trait Anxiety Inventory and statistical analysis was performed using the Generalized Linear Mixed Model. Results: n the experimental group, women presented significant anxiety traits (p=0.010) before the intervention. Between the 4th and 12th week of follow-up, there was a reduction in anxiety levels, without statistical significance. Conclusions: guided imagery relaxation through virtual reality provided evidence of anxiety reduction in women with cervical cancer undergoing radiochemotherapy and may contribute to clinical practice. Brazilian Clinical Trial Registry: RBR-7ssvytb.

RESUMEN Objetivos: evaluar el efecto de la relajación con imagen guiada por realidad virtual en la ansiedad en mujeres con cáncer cervical sometidas a radioterapia. Métodos: ensayo clínico aleatorizado, no enmascarado, unicéntrico, realizado en un hospital de referencia en cáncer. Participaron 52 mujeres con asignación aleatoria, 24 en el grupo control y 28 en el experimental (12 sesiones de relajación por imagen guiada por realidad virtual, aplicadas 3 veces por semana). El resultado fue evaluado por el Inventario de Ansiedad Rasgo-Estado y el análisis estadístico fue realizado con el Generalized Linear Mixed Model. Resultados: en el grupo experimental, las mujeres presentaban rasgos de ansiedad significativos (p=0,010) antes de la intervención. Entre la 4ª y 12ª semana de seguimiento, hubo reducción en el estado de ansiedad, sin significancia estadística. Conclusiones: la técnica de relajación por imagen guiada por realidad virtual proporcionó evidencias de reducción de la ansiedad en mujeres con cáncer cervical en tratamiento con radioterapia y puede contribuir en la práctica clínica. Registro Brasileño de Ensayo Clínico: RBR-7ssvytb.

RESUMO Objetivos: avaliar o efeito do relaxamento com imagem guiada por realidade virtual na ansiedade em mulheres com câncer cervical submetidas à radioquimioterapia. Métodos: ensaio clínico randomizado, não mascarado, unicêntrico, realizado em um hospital de referência em câncer. Participaram 52 mulheres com alocação randomizada, 24 no grupo controle e 28 no experimental (12 sessões de relaxamento por imagem guiada por realidade virtual, aplicadas 3 vezes por semana). O desfecho foi avaliado pelo Inventário de Ansiedade Traço-Estado e a análise estatística foi realizada com o Generalized Linear Mixed Model. Resultados: no grupo experimental, as mulheres apresentavam traços de ansiedade significativos (p=0,010) antes da intervenção. Entre a 4ª e 12ª semana de seguimento, houve redução no estado de ansiedade, sem significância estatística. Conclusões: a técnica de relaxamento por imagem guiada por realidade virtual forneceu evidências de redução da ansiedade em mulheres com câncer cervical em tratamento com radioquimioterapia e pode contribuir na prática clínica. Registro Brasileiro de Ensaio Clínico: RBR-7ssvytb.

Effects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study.

OBJECTIVE: To analyze the effects of the technique of virtual reality guided imagery in the vital signs of hematopoietic stem-cell transplantation patients. METHOD: Quasi-experimental study with 35 participants who received an intervention using virtual reality guided imagery with progressive muscle relaxation, applied three times a week for four weeks in a referral hospital for transplants in the south of Brazil. Data collected included: temperature, arterial pressure, respiratory rate, heart rate, pain, and oxygen saturation, before and after each intervention. The comparisons were analyzed using Wilcoxon's test. RESULTS: There was a clinical significance between the mean measurements before and after for respiratory rate (p=0.00) in all stages, and for the variables Heart rate, Temperature, and Oxygen saturation from the 1st to the 12th measurements (p=0.05). CONCLUSION: The intervention was low cost, easy to apply, and showed positive effects, presenting itself as an option for patient-focused care.

Effects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study / Efecto de la relajación con imagen guiada en trasplantados de células madre hematopoyéticas: estudio cuasi experimental / Efeito do relaxamento com imagem guiada em transplantados de células-tronco hematopoéticas: estudo quase experimental

ABSTRACT Objective: To analyze the effects of the technique of virtual reality guided imagery in the vital signs of hematopoietic stem-cell transplantation patients. Method: Quasi-experimental study with 35 participants who received an intervention using virtual reality guided imagery with progressive muscle relaxation, applied three times a week for four weeks in a referral hospital for transplants in the south of Brazil. Data collected included: temperature, arterial pressure, respiratory rate, heart rate, pain, and oxygen saturation, before and after each intervention. The comparisons were analyzed using Wilcoxon's test. Results: There was a clinical significance between the mean measurements before and after for respiratory rate (p=0.00) in all stages, and for the variables Heart rate, Temperature, and Oxygen saturation from the 1st to the 12th measurements (p=0.05). Conclusion: The intervention was low cost, easy to apply, and showed positive effects, presenting itself as an option for patient-focused care.

RESUMEN Objetivo: Analizar efectos de técnica de imagen guiada por realidad virtual en los signos vitales de trasplantados de células madre hematopoyéticas. Método: Estudio cuasi experimental con 35 participantes que recibieron intervención de imagen guiada por realidad virtual con relajación muscular progresivo, aplicada tres veces por semana durante cuatro semanas, en hospital de referencia en trasplante del Sur de Brasil. Los datos recolectados fueron: temperatura, presión arterial, respiración, frecuencia cardíaca, dolor y saturación de oxígeno, antes y después de cada intervención. Las comparaciones analizadas por test de Wilcoxon. Resultados: Hubo significación clínica entre las medianas de los contrastes de antes y después para Frecuencia respiratoria (p=0,00) en todas etapas; y en las variables Frecuencia cardíaca, Temperatura y Saturación de oxígeno, entre la 1ª hasta 12ª evaluación (p=0,05). Conclusión: Los efectos de la intervención mostrados favorables, bajo costo y fácil realización, siendo una opción de acción de cuidado centrado en el paciente.

RESUMO Objetivo: Analisar os efeitos da técnica de imagem guiada por realidade virtual nos sinais vitais de transplantados de células-tronco hematopoéticas. Método: Estudo quase experimental com 35 participantes que receberam intervenção de imagem guiada por realidade virtual com relaxamento muscular progressivo, aplicada três vezes por semana durante quatro semanas, em um hospital de referência em transplante no Sul do Brasil. Os dados coletados foram: temperatura, pressão arterial, respiração, frequência cardíaca, dor e saturação de oxigênio, antes e depois de cada intervenção. As comparações foram analisadas pelo teste de Wilcoxon. Resultados: Houve significância clínica entre as médias das aferições de antes e depois para Frequência respiratória (p=0,00) em todas as etapas; e nas variáveis Frequência cardíaca, Temperatura e Saturação de oxigênio, entre a 1ª até 12ª avaliação (p=0,05). Conclusão: Os efeitos da intervenção se mostraram favoráveis, de baixo custo e fácil realização, sendo uma opção de ação de cuidado centrado no paciente.

Guided imagery relaxation in quality of life of patients undergoing hematopoietic stem cell transplantation: a quasi-experiment.

OBJECTIVE: The aim of this study was to evaluate the effects of the relaxation technique with guided imagery by means of virtual reality on health-related quality of life in patients undergoing hematopoietic stem cell transplantation. METHODS: A quasi-experiment conducted in a Bone Marrow Transplantation Service of a public hospital in southern Brazil. From October 2019 to October 2020, forty-two adult participants who underwent transplantation were included, 35 in the intervention group and seven in the control group. A guided imagery intervention, with audio guiding the relaxation associated with nature images in 360º, was performed during the hospitalization period. Data were collected on the first day of hospitalization, on the transplantation day, during the neutropenia stage, and at pre-hospital discharge. The Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) and Functional Assessment of Cancer Therapy-Neutropenia (FACT-N) were used to assess health-related quality of life, fatigue and neutropenia. Data were analyzed using the Generalized Linear Mixed Model for the evolution of the health-related quality of life assessments over time, considering the groups and stages. Pearson's correlation coefficient was adopted for the correlation analyses. RESULTS: Allogeneic transplantation was predominant: 28 (80%) in the intervention group and 5 (71.43%) in the control group. There were improvements in the health-related quality of life scores, although not significant. A significant difference was found among the stages (p <0.050) and a significant positive correlation (p <0.000) among the variables on general quality of life, additional concerns, fatigue and neutropenia in all stages. CONCLUSION: Patients undergoing hematopoietic stem cell transplantation suffer changes in their quality of life. Interventions based on integrative practices emerge as an option to minimize them. 
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Auricular acupressure in the quality of life of women with breast cancer: a randomized clinical trial. / Acupressura auricular na qualidade de vida de mulheres com câncer de mama: ensaio clínico randomizado.

OBJECTIVE: To evaluate the effects of an auricular acupressure intervention on the quality of life of women with breast cancer undergoing chemotherapy compared with those who did not undergo the intervention. METHOD: A randomized clinical trial with 54 women followed weekly for 12 weeks, with 27 being allocated to the intervention group in which crystal pellets were applied to six acupoints (shen men, kidney, stomach, cardia, brainstem and endocrine), and 27 in the control group. Quality of life was measured in five stages; the first before starting the intervention, and the following stages every three weeks using the Quality of Life Questionnaire - Core 30 and the Quality of Life Questionnaire - Breast Cancer BR-23 instruments. RESULTS: There was improvement in all domains related to quality of life; however, there was significance regarding nausea, vomiting and breast symptoms in the intervention group. CONCLUSION: Auricular acupressure has proven to be a safe, effective, low cost method with no side effects and easily applicable by trained nurses. It may be recommended as complementary therapy in treating breast cancer to improve the quality of life of these women. The study was registered in the Brazilian Registry of Clinical Trials with the code no. RBR-36zcfg.

Religião/espiritualidade e apoio social na melhoria da qualidade de vida da pessoa com cancro avançado / Religion/spirituality and social support in improving the quality of life of patients with advanced cancer / Religión/espiritualidad y apoyo social para mejorar la calidad de vida de las personas con cáncer avanzado

Enquadramento: O constructo religiosidade/espiritualidade e apoio social sugere melhoria na qualidade de vida nos doentes com cancro avançado em terapêutica paliativa ou cuidado paliativo. Objetivo: Verificar se as pessoas com cancro avançado que estão a receber terapêutica paliativa e/ou cuidado paliativo, utilizam a religiosidade/espiritualidade e apoio social para o enfrentamento da doença, e comparar o seu uso na melhoria da qualidade de vida. Metodologia: Estudo observacional, transversal e analítico, realizado num hospital no sul do Brasil, de janeiro a julho de 2018. Dados recolhidos através de um questionário sociodemográfico/clínico e do Quality of Life Questionnaire-Core 15-Palliative. O teste não paramétrico de Mann Whitney foi utilizado para análise comparativa. Resultados: Participaram 107 doentes na terapêutica paliativa e 19 no cuidado paliativo. O uso da religiosidade/espiritualidade e apoio social foi unanimemente utilizado. A presença de um familiar como cuidador principal teve significância (p = 0,014), predizendo melhor qualidade de vida. Conclusão: Cabe ao enfermeiro promover o cuidado humano e viabilizar o uso do constructo religioso/espiritual e social, em especial a presença do cuidador familiar, para melhorar a qualidade de vida da pessoa com cancro avançado.

Background: The religion/spirituality and social support may improve the quality of life of patients with advanced cancer receiving palliative therapy or palliative care. Objective: To determine if patients with advanced cancer receiving palliative therapy and/or palliative care use religion/spirituality and social support to cope with the disease, and assess if these aspects improve their quality of life. Methodology: Observational, cross-sectional, and analytical study conducted in a hospital in southern Brazil from January to July 2018. A sociodemographic/clinical questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15 Palliative Care were used. The nonparametric Mann-Whitney test was used for comparative analysis. Results: A total of 107 patients receiving palliative therapy and 19 patients receiving palliative care participated in this study. Religion/spirituality and social support were unanimously used. The presence of a family member as the main caregiver was significant (p = 0.014), predicting a better quality of life. Conclusion: Nurses are responsible for promoting humanized care and the use of religion/spirituality and social support, namely the presence of family caregivers, with a view to improving the quality of life of patients with advanced cancer.

Marco contextual: El constructo religiosidad/espiritualidad y apoyo social sugiere una mejora en la calidad de vida de los pacientes con cáncer avanzado en la terapia paliativa o en los cuidados paliativos. Objetivo: Verificar si las personas con cáncer avanzado que reciben terapia paliativa y/o cuidados paliativos utilizan la religiosidad/espiritualidad y el apoyo social para afrontar la enfermedad, y comparar su uso para mejorar su calidad de vida. Metodología: Estudio observacional, transversal y analítico, realizado en un hospital del sur de Brasil, de enero a julio de 2018. Los datos se recogieron mediante un cuestionario sociodemográfico/clínico y el Quality of Life Questionnaire-Core 15-Palliative. Para el análisis comparativo se utilizó la prueba no paramétrica de Mann Whitney. Resultados: Participaron 107 pacientes en la terapia paliativa y 19 en los cuidados paliativos. El uso de la religiosidad/espiritualidad y el apoyo social se utilizó de forma unánime. La presencia de un miembro de la familia como cuidador principal fue significativa (p = 0,014), y predice una mejor calidad de vida. Conclusión: Es responsabilidad del enfermero promover el cuidado humano y permitir el uso del constructo religioso/espiritual y social, especialmente de la presencia del cuidador familiar, para mejorar la calidad de vida de las personas con cáncer avanzado.