Uso da música no manejo da náusea e vômito antecipatórios relacionados à quimioterapia antineoplásica

Abstract

Chemotherapy-related nausea and vomiting might be classified as acute, late, refractory, anticipating events. Anticipating nausea and vomiting occur temporarily long after its stimulus and might be initiated by memories of the treatment or the ambient in which the emetogenic stimulus takes place. The inadequate treatment for anticipating nausea and vomiting determines negative impact in patient’s lives, besides provoking medical complications such as dehydration and anorexia which may weaken the patient’s adherence to this treatment. The antiemetic therapies can be applied for treatment and prevention of Anticipating Nausea and Vomiting, but without success in most cases. Music stands out as a non-pharmacological intervention being a complementary method in human care. This study’s objective is to evaluate the efficiency of a musical intervention in reducing Anticipating Nausea and Vomit symptoms in association with anticancer chemotherapy. This is a pilot study of before and after an experimental project that takes place in one of Ceará’s University Hospitals. This study has 12 subjects who were evaluated using the scale MAT-MASCC for Nausea and Vomiting in 4 different chemotherapy stages: Before the musical intervention, right after the intervention and end of the chemotherapy, 24 hours after chemotherapy and right before the next cycle of chemotherapy (by telenursing). Most of the subjects were women between 22 and 63 year old, with different levels of education in equal proportions, with an income of 1 to 3 minimum wage salaries and catholic. A reduction of the percentage of patients with anticipating nausea from the first moment to the fourth moment (from 50% to 33,3%) but it was not statistically relevant using Friedman test (p=0,497) Leaving space for correlation with the small number of subjects.