Dissertations / Theses on the topic 'Complementary therapies'
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Sutton, Eileen Joan. "Complementary therapies in NHS cancer care : an examination of the provision of complementary therapies in a regional cancer network." Thesis, University of Bristol, 2007. http://hdl.handle.net/1983/bc3c2120-249b-4821-a084-d0e5fc6e8851.
Full textJakes, Daniel. "The Perceptions and Experiences of Acupuncture users: A New Zealand Perspective." Thesis, University of Canterbury. Health Sciences, 2014. http://hdl.handle.net/10092/9156.
Full textCarden, Jennifer A. "Complementary therapies for pain management in cancer patients." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1372.
Full textBachelors
Nursing
Nursing
Brooks, Lauren. "Looking for alternatives : risk, reflexivity and complementary therapies." Thesis, Durham University, 2005. http://etheses.dur.ac.uk/2790/.
Full textUsrey, Kelly Marie. "Complementary and alternativve medicine in genetic counseling." Oklahoma City : [s.n.], 2010.
Find full textBlevins, Joshua David. "West Virginians' perceptions and use of complementary medicine." Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1751.
Full textSamokhin, Y. O. "Complementary therapy: osteopathy." Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/45340.
Full textMinhas, Gurjeet S., University of Western Sydney, and School of Health and Nursing. "Complementary therapies : familiarity and use by midwives and women." THESIS_XXXX_SHN_Minhas_G.xml, 1998. http://handle.uws.edu.au:8081/1959.7/513.
Full textMaster of Nursing (Hons)
Ortiz-Cintron, Hector. "Use of Complementary and Alternative Therapies: A Pilot Survey." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1630.
Full textB.S.N.
Bachelors
Nursing
Nursing
Minhas, Gurjeet S. "Complementary therapies : familiarity and use by midwives and women." Thesis, View thesis, 1998. http://handle.uws.edu.au:8081/1959.7/513.
Full textMinhas, Gurjeet S. "Complementary therapies : familiarity and use by midwives and women /." View thesis, 1998. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030829.153322/index.html.
Full textMiwa, Marcela Jussara. "Com o poder nas mãos: um estudo sobre johrei e reiki." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-15012013-155042/.
Full textCountercultural movements, initiated mainly in the 60\'s and 70\'s, questioned the capitalist- technocratic society and encouraged greater politicization of social life, enabling the extension of the debates and tensions that affected the existing social institutions, refuting established paradigms. This fact allowed a (re)valuing and even reappropriation (or creation) of holistic perspectives regarding the body and health, and the inclusion of other explanatory dimensions, beyond the ones offered by biomedical rationality. With an increased acceptance of alternative or complementary practices, there was more space for the return of ancient healing methods through hands, among them, those that do not require direct touch between \"healer\" and patient, such as reiki and johrei, of the World Messianic Church. This study aimed to recognize and interpret the meanings of reiki and johrei, considering the technical and conceptual frameworks upon which they are based, as well as to understand how they affect the behavior of its practitioners and their social relations. In order to interpret these meanings and experiences, Clifford Geertz\'s interpretive anthropology and the ethnographic method were adopted as frameworks. The research was carried out in two sites, a Reiki Center and the World Messianic Church, both in Ribeirão Preto, state of São Paulo, Brazil, from October 2009 to January 2012. The study included 15 reiki practitioners as main subjects and 5 frequenters of the Center, as secondary subjects; 14 messianic as main subjects, and 5 frequenters of the Church, as secondary subjects. Data were collected through participant observation, semi-structured interviews and field diary. The main results indicate that belief in the healing power of these energies, reiki and johrei, is the main support of their effectiveness. Both the Messianic Church doctrine as well as the doctrine and theories associated with reiki, were able to provide new meanings to issues or problems of these subjects, modifying behaviors such as mood, aggressiveness, tolerance and sociability, allowing for the emergence of a \"holistic identity\" and the setting of new \"communities of enchantment\" regarding these two practices.
Almeida, Ana Paula. "Canto Gregoriano como redutor de ansiedade das mães de crianças hospitalizadas: estratégia para a enfermagem." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-06102010-130624/.
Full textThe Music exerts different effects on our body, such as complement therapy. When the mother have hospitalized child feel insecurity and fear of the future, causing anxiety. This research aimed to verify if the Gregorian chant changes the state of anxiety of mothers with hospitalized children. Descriptive research, exploratory, correlational with quantitative analysis, almost-experimental, done in large-sized teaching hospital in units of quaternary care pediatric specialties, with 15 active beds, whose focus of attendance are business and individual agreements. Initial sample composed of 71 mothers, but only 28 mothers completed all stages of the data collection. Mothers were invited personally to participate in the study and after agreeing to sign the Informed Consent to fill the Diagnostic Inventory Trait Anxiety. Two meetings were scheduled in the patient bedroon individual, so they listened the Gregorian chant with the use of Digital Equipment and headphones. They were also answered the identification form the subject of the investigation that contains personal data relating to child boarding and sound-musical information and the Diagnostic Inventory State Anxiety before and after each listening session. The listening session was first with at least 48 hours of hospitalization and the second listening session was scheduled 48 hours after the fisrt. The researher stay in the room at the first and the last five minutes of music listening mothers. The datas were stored in Excel spreadsheet for Windows Explorer ® and analyzed in SPSS - Statistical Package for the Social Sciences - Version 18.0. Descriptive statistical analysis were carried out through: test of normality (Kolmogorov-Smirnov), Pearson correlation between the scores of the anxiety scale, analysis of variance (ANOVA - ONE WAY) to compare the scores of the anxiety scale; test t student to compare means between the scores and socio-demographic variables. Adopted 5% level of significance in statistical analysis. At the first listening session was verified that 25 (89.2%) mothers had decreased their anxiety state and the second listening session, 25 (89.2%) continued their state of anxiety decreased. Despite not allow generalizations due to the limited number of mothers participating in this study, so it was concluded that the use of Gregorian chant decreases anxiety of mothers with children hospitalized in quaternary care pediatric hospital accommodated in rooms individualized. It is necessary to broaden the study of musical styles to applicate in nursing care com mothers of hospitalized children.
Teodoro, Guilherme Rodrigues [UNESP]. "Atividade da fração enriquecida em fenólicos de Buchenavia tomentosa e de algumas substâncias isoladas antes e após encapsulação com beta-ciclodextrina em Candida albicans." Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/136329.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
O objetivo deste estudo foi avaliar a efetividade frente a Candida albicans da fração enriquecida em fenólicos (FE) das folhas de Buchenavia tomentosa além das substâncias ácido gálico (AG), corilagina, kaempferol e vitexina, substâncias fenólicas que foram previamente detectadas no extrato aquoso de B. tomentosa livres ou encapsuladas em ciclodextrinas. Para tal, foi realizado teste de microdiluição com cepas padrão e isolados clínicos e análise química da FE por espectrometria de massa (ESI-MS). Detectou-se que o extrato acetônico foi a FE e AG foi a substância fenólica mais eficiente contra C. albicans. O efeito de FE e AG contra os fatores de virulência de C. albicans foram analisados. FE e AG foram encapsulados em 2-hidroxipropil-beta-ciclodextrina e tiveram sua análise química realizada. As CIMs e CFMs dos encapsulados foram determinadas, porém apenas o AG encapsulado teve sua ação anti-biofilme e in vivo verificadas. A citotoxicidade de AG e FE livres e encapsulados foi determinada. As CIMs variaram de 5,0 e 0,625 mg/ml para o ácido gálico e 2,5 e 0,019 mg/ml para FE. AG e as outras moléculas foram encontradas na FE. Não foram encontrados CFMs. Os fenólicos estudados também foram encontrados em FE por ESI/MS. Tanto FE quanto AG tiveram efeito direto nos fatores de virulência de C. albicans, exceto sobre a secreção de exoenzimas. Não houve diferença na CIM entre as substâncias livres e encapsuladas. AG encapsulado teve melhor ação anti-biofilme do sua forma livre. Foi verificada melhora clínica de lesões eritematosas no palato de ratos, porém não foi possível. A citotoxicidade das substâncias livres ou encapsuladas variou de moderava a leve para FE e foi moderada para AG. Após as análises, observou-se o efeito anti-C. albicans de FE e AG. AG encapsulado apresentou promissor efeito anti-biofilme e aparente melhora clínica nas lesões sugestivas de candidose eritematosa na mucosa palatar dos ratos.
The aim of this study was to evaluate the effectiveness against Candida albicans of fraction enriched in phenolic (FE) of Buchenavia leaves tomentosa beyond substances gallic acid (GA), corilagin, kaempferol and vitexin, phenolic substances previously detected in the aqueous extract of B. tomentosa, free or encapsulated in cyclodextrins. Microdilution test with standard strains and clinical isolates besides the chemical analysis of FE by mass spectrometry (ESI-MS) were carried out. The acetone extract was the FE and AG was the most efficient phenolic substance against C. albicans. The effect of FE and AG against the virulence factors of C. albicans was also analyzed. FE and AG were encapsulated into 2-hydroxypropyl-beta-cyclodextrin (HP-β-CD) and had their chemical analyses made. MICs and MFCs of encapsulated have been determined. Solely the GA encapsulated had its anti-biofilm and in vivo action verified. Cytotoxicity of free and encapsulated GA and FE were determined. The MIC ranged from 5,0 to 0,625 mg/ml for GA and 2,5 and 0,019 mg/ml for FE. MFCs values were not found. All phenolics molecules were found in FE by ESI/MS. AG and FE had a direct effect on virulence factors of C. albicans, except on the secretion of exoenzymes. There was no difference in the CIM between free and encapsulated substances. The anti-biofilm effect was better in GA encapsuladed than its free form. A clinical improvement of sugestives erythematous lesions on the palate of rats was observed, although the hyphaes were not found in the palatar mucosa. The cytotoxicity for all substances was moderated. After the analysis, we observed the anti-C. albicans effect of GA and FE. AG encapsulated showed promising anti-biofilm effect and apparent clinical improvement in lesions suggestive of erythematous candidiasis in palatar mucosa of rats.
FAPESP: 2012/16805-5
FAPESP: 2013/00037-1
CAPES - PDSE: 99999.000217/2014-00
Batista, Janir Coutinho 1984. "A angústia do adoecer : microfendas para o conhecimento de si e possibilidades de reconfigurações na vida." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311409.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O adoecimento crônico é considerado responsável por grande número de mortes e incapacidades em todo o mundo e, nos últimos anos, seu crescimento implicou enormes gastos público com tratamentos. As intervenções biomédicas mostram-se limitadas ao alívio do sofrimento, uma vez que não consideram o caráter subjetivo do processo, a saber, a experiência do adoecer. A insatisfação diante esta terapêutica é o disparate que conduz os sujeitos a procurarem outras práticas de cuidado. Neste cenário contemporâneo, emergiram algumas inquietações que balizaram esta pesquisa: O que leva um sujeito com câncer a opor-se ao cuidado biomédico e buscar formas de cuidado não convencionais para o convívio com o adoecimento? Quais são os limites da Biomedicina esposados por suas ações? Que outros olhares os modelos de práticas não biomédicas lançam sobre o processo saúde-adoecimento-cuidado e que diferencial estes apresentam? O objetivo da pesquisa foi construir, por meio de um estudo de caso, uma narrativa dialógica entre a discussão conceitual e o discurso de um sujeito com câncer de próstata que substituiu, por sua conta e risco, o tratamento biomédico por práticas de cuidado não convencionais. No esforço de dilatar e aprofundar esta problemática recorremos ao pensamento dos filósofos franceses Gilbert Simondon e Georges Canguilhem. A nosso ver, eles forneceram subsídios necessários para transgredir as bases duais do pensamento biomédico (normal e patológico, saúde e doença, alívio e dor, desarranjo e rearranjo) e da própria experiência fenomenológica, isto é, sem colocar o foco no sujeito-saúde ou sujeito doença, mas deslocando o olhar para a pluralidade do processo saúde-adoecimento-cuidado. Ao considerar o discurso do sujeito pudemos adentrar a angústia do adoecimento e descrever as mudanças que precipitam no interior desta relação
Abstract: Chronic illness is considered responsible for a large number of deaths and disabilities worldwide and, in recent years, its growth implied in enormous public spending on treatments. Living with the disease shows up difficult and painful causing profound changes in the subject's life and often becomes the main factor in their anguish. The biomedical are limited in the relief of suffering, since they do not consider the subjective aspect of the process, namely, the experience of illness. Therefore, the dissatisfaction with this therapy is the factor that leads individuals to seek other care practices. In this contemporary setting, some concerns have emerged, which had driven this research: What makes a subject with cancer to oppose the biomedical care and seek unconventional ways for living with the illness? What are the limits of Biomedicine espoused by its actions? What other takes have these no-biomedical models thrown on the health-disease-care, and what kind of differential they present? The objective of this research was to construct, through a case study, a dialogical narrative between the conceptual discussion and discourse of a subject with prostate cancer who has replaced, at his own risk, the biomedical treatment for unconventional care practices. In an effort to expand and deepen this problem we turn to the thought of Gilbert Simondon and Georges Canguilhem. In our view, they provide the needed subsidies to break the dual basis of the biomedical thought (normal and pathological, health and disease, pain and relief, derangement and rearrangement) and the phenomenological experience, i.e., without putting the focus on the subject-health or subject-disease, but shifting its gaze to the plurality of the health disease- care process. This has allowed us to enter into the experience of illness and describe the anguish of this subject with cancer, espousing his disruption with the biomedical model and experimentation with unconventional care practices. Furthermore, we show the changes in his life and the new relational within this relationship with chronic illness
Mestrado
Ciências Sociais em Saúde
Mestre em Saude Coletiva
Ericson, Jonna, and Eva Klaesson. "Komplementära behandlingsmetoder vid cytostatikarelaterat illamående och kräkning." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2272.
Full textIllamående och kräkning är förekommande biverkningar hos patienter med cancer som behandlas med cytostatika och är därmed tillstånd som sjuksköterskan kommer i kontakt med. Om patientens illamående och kräkning inte förebyggs kan det leda till konsekvenser som att patienten blir dehydrerad, tappar aptiten, blir undernärd och försvårar skadad vävnad att återhämta sig från cytostatikabehandling. Trots att de flesta patienter får antiemetika lyckas inte deras illamående och kräkning förebyggas. Syftet var att belysa komplementära behandlingsmetoder vid cytostatikarelaterat illamående och kräkning. Studien är utförd som en litteraturstudie och baserad på 14 vetenskapliga studier. Resultatet visar att komplementära behandlingsmetoder har ett visst vetenskapligt stöd och är ett bra komplement till antiemetika. Akupressur är den behandlingsmetod som är effektivast för att förebygga cytostatikarelaterat illamående och kräkning. Även akustimulation, elektroakupunktur och avslappning minskar patienternas illamående och kräkning. Mer forskning behövs för att ge mer styrka åt de olika komplementära behandlingsmetoder, eftersom sjuksköterskans arbete måste utföras utifrån vetenskap och beprövad erfarenhet. Genom att sjuksköterskan får ökad kunskap om hur cytostatikarelaterat illamående och kräkning förebyggs kan patientens lidande minska.
Oliveira, Denise de Souza [UNIFESP]. "O efeito da massagem terapêutica nos sintomas climatéricos em mulheres pós-menopausadas com insônia: um estudo clínico randomizado." Universidade Federal de São Paulo (UNIFESP), 2011. http://repositorio.unifesp.br/handle/11600/9851.
Full textFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Associação Fundo de Incentivo à Psicofarmacologia (AFIP)
No período do climatério, cerca de 80% das mulheres são acometidas pelas consequências do hipoestrogenismo: alterações fisiológicas, psicológicas, ondas de calor, nictúria, alterações de humor. Essas modificações contribuem para o aumento da prevalência de insônia nessa fase, que atinge cerca de 28% a 63% das mulheres pós-menopausadas. A presença de tais sintomas associados a condições sócio-culturais, como a aposentadoria, a valorização da juventude, o envelhecimento, refletem diretamente na qualidade de vida dessa população. Como a terapia hormonal tem sua indicação individualizada e não indicada em alguns casos, a procura por terapias coadjuvantes ou substitutivas é crescente, incluindo a massagem terapêutica, que pode aliviar os sintomas da insônia no período climatérico. O presente estudo é apresentado em dois trabalhos. O primeiro, um estudo piloto com sete voluntárias, que avaliou o efeito da massagem terapêutica em mulheres pós-menopausadas com insônia e apresentou melhora objetiva e subjetiva no sono. Os resultados deste estudo nos levaram à elaboração do segundo trabalho, randomizado e controlado. O trabalho 2 avaliou quarenta e quatro mulheres distribuídas em 3 grupos, controle, movimento passivo e massagem terapêutica. Os resultados dos questionários mostraram melhora no sono, nos sintomas climatéricos e na qualidade de vida.
In the climacteric period, approximately 80% of women are affected by consequences of hypoestrogenism: physiological and psychological alterations, hot flashes, nycturia, mood alterations. These changes contribute to the increase of insomnia prevalence in this phase, which affects approximately 28% to 63% of postmenopausal women. The presence of such symptoms associated with socio-cultural conditions, such as retirement, appreciation of youth, aging, reflect directly on quality of life of this population. As hormone therapy is indicated in certain cases and is not indicated for some patients, there has been an increase in the demand for complementary or alternative therapies, including therapeutic massage, which may relieve insomnia symptoms in the climacteric period. The present study is presented in two studies. The first one, a pilot study with seven individuals, evaluated the effects of therapeutic massage on post-menopausal insomniac women and demonstrated subjective and objective sleep improvement. The results of this study led us to conduct a second one, now a randomized and controlled trial, including 44 women, distributed into 3 groups (control, passive movement and therapeutic massage). The results of the questionnaires demonstrated improvement in sleep, climacteric symptoms and quality of life.
FAPESP: 98/143030-3
TEDE
BV UNIFESP: Teses e dissertações
Rudolph, Cindy Ann. "A study of the benefits of cancer patients engaging in complementary therapies." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002rudolphc.pdf.
Full textMcNinch, Deborah A. "Patients' Perspectives on Discussing Complementary and Alternative Medicine Therapies With Conventional Doctors." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/946.
Full textWebber, Graham Ross, and graham webber@bigpond com. "Reiki: Practitioners� Perceptions of the Effectiveness of a Complementary Therapy in the Treatment Regime of People with Dementia." Flinders University. Department of Disabilities Studies, School of Medicine, 2006. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20061009.093745.
Full textPuggina, Ana Cláudia Giesbrecht. "O uso da música e de estímulos vocais em pacientes em estado de coma: relação entre estímulo auditivo, sinais vitais, expressão facial e escalas de Glasgow e Ramsay." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-02102006-130949/.
Full textThe objectives of this work was: (1) to check the music and verbal message influence on the vital signs and face expression of the patients in physiological or induced coma; (2) connect the existence of patients responsiveness with Glasgow Coma Scale or with Ramsay Sedation Scale, considering the musical and verbal stimuli. It is a randomized controlled clinical trial. The sample consisted of 30 patients of intensive care unit, who were divided in 2 groups: control group (without auditory stimulus) and experimental group (with auditory stimulus). The relatives elaborated a voice recorded message and choose a music according to the patient preference, which were recorded in the same Compact Disc. Two identical CD\'s were made at the same recorded time; one with and another one without stimulus in order to make the random division of the groups. The patients were evaluated according to one of the Scales; they used earphones and were submitted to three sessions in consecutive days. During the sessions, the data relating to the vital signs and the face expression were recorded in a data collection instrument. We found out significant statistics alterations on the vital signs (O2 saturation - session 1; O2 saturation - session 3; respiratory frequency - session 3) during the message and at the face expression, session 1, during the music and the message. Apparently, the message was a stimulus stronger than the music in respect to the capacity to produce suggestive physiological auditory answers. In respect to the pulse, already mentioned in similar studies, we did not find significant statistic data, or tendency marks. We observed responsiveness to the auditory stimulus in all the Glasgow scores in the experimental group, at the moment when we got significant differences; therefore, we may assert that this variable poorly influenced the answers in this study. About the Ramsay Sedation Scale, just 1 of these patients was evaluated by that, which makes any analysis difficult. This study suggests the necessity and the importance of other researches in this line.
Prado, Juliana Miyuki do. "Aplicação da auriculoterapia verdadeira e sham no tratamento de estresse em enfermeiros." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-17042015-124057/.
Full textIntroduction: Occupational stress in Nursing is related to multidimensional factors, like work conditions, interpersonal relationship, work management and personal life. Excessive stress affects work productivity and performance and provokes dysfunctions and diseases. Auriculotherapy has been shown like one of effective integrative practices for stress treatment, beyond to present reduced financial cost and not to need a long time to be applicated. Therefore it can be a suggested practice to be achieved in a dynamic environment like a hospital. Obectives: To compare the therapeutic efficacy of true and sham auriculotherapy in the treatment of identified stress in nurses of Beneficência Portuguesa Hospital of São Paulo. Method: 257 nurses of different shifts and departments answered the social data demographic form and were evaluated in the stress level by List of Stress Symptoms (LSS) and Analogic Visual Scale. 168 nurses reported high and middle stress levels and were randomized in 3 groups: Control, Placebo and Auriculotherapy. 133 ended the study. The groups Placebo and Auriculotherapy received 12 sessions of auriculotherapy, twice a week. The points used for Placebo group were External Ear and Cheek area. For Auriculotherapy group were chosen the points Shen Men and Brainstem. LSS was applied in the beginning, after 8 sessions, after 12 sessions and in 15 day follow up, including for Control group. The data collection was done from October 2013 to February 2014, after approval by the Ethic Committees in Research of EEUSP and of Beneficência Portuguesa Hospital. Results: The level of stress prevalent in all the work shifts was high level with 43,58% of the participants. The nurses with administrative positions presented average of 59,43 of stress level, while assistencial position 54,59. About the evolution of stress level, there wasnt any difference among the moments of evaluation in the Control group. Auriculotherapy group performed difference among the first evaluation and the following ones (p<0,001), that is the reduction of the stress levels occurred from the second evaluation with 8 sessions. The Placebo group showed a difference only between the first and third evaluation after 12 sessions. Conclusion: The points were effective to reduce the stress in nurses with 8 sessions of auriculotherapy, 12 sessions and with 15-day follow up (p<0,001 in all the moments). Besides, the selected points like sham, External Ear and Cheek area, can be used like placebo points in stress studies.
Gatti, Maria Fernanda Zorzi. ""A música como intervenção redutora da ansiedade do profissional de serviço de emergência: utopia ou realidade?"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-31012006-105924/.
Full textProfessionals of emergency service experience countless generating situations of anxiety and stress daily. The objective of this study was to verify if the use of predetermined classical music produces alterations in the state of the professionals' anxiety, besides knowing the perception of the same ones on that intervention type. The sample was constituted of 49 professionals (doctors, nurses, nursing technicians and assistants, administrative assistants, of drugstore and of cleaning) of the ER/adult of a medium sized private hospital of the city of São Paulo. The data were collected being used the State Trait Anxiety Inventory (STAI) and a questionnaire of evaluation of the professional's perception. It was observed that in the presence of the ambient music, the state of the professionals' anxiety decreased, as the number of patients' increased (p=0,008); 61% of the individuals liked the musical selection, 76% noticed alteration in the environment and 41% believed that the music altered their personal performance, and none of those aspects interfered in the variation of the score of anxiety state. We could conclude that the ambient classical music can offer benefits to the emergency professionals beyond the aesthetic sense.
Pilkington, Karen Elizabeth. "Reviewing the evidence on complementary therapies : with special reference to anxiety and depression." Thesis, University of Westminster, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441077.
Full textASSUNÇÃO, Marcone César Tabosa. "Análise de custos de um serviço de práticas integrativas e complementares no município de João Pessoa – Paraíba." Universidade Federal da Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/18755.
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As Práticas Integrativas e complementares (PICs) são utilizadas para prevenção, cura e reabilitação de doenças desde os primórdios da humanidade, durante muitos anos seus conhecimentos eram repassados entres gerações de maneira empírica. Atualmente a formalização de tais práticas é uma realidade, com isso faz-se necessário a utilização de instrumentos capazes de subsidiar a implantação dessas práticas no Sistema Único de saúde (SUS), que é caracterizado por escassez de recursos e demanda ilimitada. A contabilidade de custos pode proporcionar direcionamento orçamentário para essa área. O objetivo do estudo foi analisar os custos do serviço de PICs Equilíbrio do Ser, que se localiza na cidade de João Pessoa-PB e fornecer conhecimento dos custos de um serviço dessa natureza, com o intuito de subsidiar gestores e profissionais de saúde na tomada de decisão. Trata-se de um estudo de caso, sendo caracterizado como uma avaliação econômica do tipo parcial, com caráter descritivo, de natureza quantitativa. Os dados foram coletados por meio de informações secundárias e agrupados em planilhas do Excel. O método utilizado para analisar tais custos foi o de custeio por absorção. A análise dos dados mostra que houve 34.521 atendimentos em 2014 e o custo total do serviço foi estimado em R$ 1.270.015,70, desse montante, 79,69% foram classificados como custos diretos. O custo médio por paciente neste período foi R$ 34,78, considerando práticas individuais e coletivas. Conclui-se que o serviço apresenta um custo alto por paciente em detrimento de serviços biomédicos. O que pode ser considerado um risco para a plena implantação e manutenção da Política Nacional de Práticas Integrativas e Complementares. O resultado da avaliação do custo precisa considerar o modo de abordagem integral e holístico adotado no campo das práticas integrativas. Estudos sobre custoefetividade podem contribuir para ampliar e contextualizar as características do cuidado em saúde no campo das PICs.
Analysis of costs Integrative Practices and Complementary Service in the city of João Pessoa, Paraíba. Integrative and complementary practices (ICPs) are used for prevention, cure and rehabilitation of diseases since the beginnings of humanity. For many years this knowledge was passed on among generations empirically, however formalization of such practices is a reality nowadays. Thus, it is necessary to use instruments to support implementation of these practices in Sistema Único de Saúde (SUS - Brazil’s National Health System). Accounting costs can provide budgetary guidance for this area, considering SUS is characterized by scarce resources and unlimited demand. The aim of the study was to analyze costs of Equilíbrio do Ser, a ICP service located in the city of João Pessoa-PB, and provide knowledge of costs involved, in order to support managers and health professionals in decision making. This is a case study, characterized as a partial economic evaluation, with descriptive and quantitative variables. Data were collected through secondary information and grouped in Excel spread sheets. These costs were analyzed by absorption costing. Data analysis demonstrate that there were 34.521 treatments in 2014, and total cost of Equilíbrio do Ser was estimated at R$ 1,270,015.70, of that amount, 79,69% were classified as direct costs. The average cost per patient in this period was R$ 34.78, considering individual and collective practices. In conclusion, the service has a high cost per patient when compared to traditional services. This can be considered a risk for implementation and maintenance of the National Policy on Integrative and Complementary Practices in the SUS. Results of costs evaluation need to consider a comprehensive and holistic approach as it is adopted in integrative practices’ field. Studies of cost-effectiveness can contribute to widen and contextualize the health care characteristics in the field of ICPs.
Gonçalo, Camila da Silva 1975. "Habilitação e uso das práticas integrativas e complementares na odontologia = Habilitation and use of complementary and integrative practices in dentistry." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311407.
Full textTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A Resolução CFO-82/2008 divulgada em 1º de Outubro de 2008 baixou normas para habilitação de Cirurgiões-Dentistas (CD) nas Práticas Integrativas e Complementares (PIC) no Brasil. Os objetivos do trabalho foram: identificar e analisar as evidências científicas disponíveis no campo das PIC na odontologia, bem como conhecer as motivações que desencadearam a busca de CD pela habilitação em PIC. Os resultados da pesquisa encontram-se disponibilizados nesta tese em oito capítulos (artigos). Os três primeiros capítulos abordam revisões sistemáticas que contemplem dimensões além de parâmetros clínicos e as evidências do uso clínico das PIC em saúde bucal. No quarto capítulo são abordadas as percepções de estudantes do curso de odontologia sobre a incorporação do ensino das PIC durante o período de graduação. O quinto e o sexto capítulo apresentam os resultados de duas revisões sistemáticas da literatura referentes à captação de dados qualitativos por meio de entrevistas telefônicas e por meio de outros tipos de entrevistas conduzidas à distância. No sétimo capitulo, apresenta-se a distribuição geográfica dos CD habilitados em 2009 para o exercício das PIC no Brasil. O oitavo e último capítulo consiste de um estudo qualitativo sobe as motivações que desencadearam a busca dos CD pela habilitação em PIC. Com o desenvolvimento da pesquisa foi possível: a) expor à comunidade científica uma proposta de metodologia que extrapola a compilação de dados clínicos e quantitativos, que não alcançam informações além das intervenções e desfechos clínicos (capítulo 1); b) identificar que a literatura analisada revelou maior volume de publicação de estudos sobre laserterapia odontológica e que embora existam evidências positivas do uso das PIC na odontologia, os artigos avaliados apresentaram limitações referentes à qualidade e consistência de seus resultados (capítulo 2); c) identificar o predomínio de evidências positivas decorrentes do uso das PIC em diferentes contextos de saúde bucal (capítulo 3); d) identificar que os estudantes de odontologia, nas instituições pesquisadas, consideram importante a incorporação do ensino das PIC durante o curso de graduação (capítulo 4); e) verificar que os artigos analisados apresentam superficialmente o modo como as entrevistas telefônicas (ET) foram planejadas e conduzidas sendo que o baixo custo e a necessidade de pequena infra-estrutura foram às principais justificativas para a opção da utilização das ET na coleta de dados qualitativos (capítulo 5); f) verificar que o assunto mais estudado foi à comparação de ED com outras técnicas de coleta de dados seguido de estudos sobre a viabilidade das ED e de estudos avaliativos de instrumentos para captação de dados por telefone (capítulo 6); g) verificar a existência da concentração de profissionais habilitados no Estado de São Paulo, identificar que a maioria desses pertence ao sexo feminino e que possui habilitação em Laserterpia (capítulo 7); h) identificar que a principal motivação para a busca das habilitações em PIC aplicadas a saúde bucal foi à curiosidade despertada por diferentes estímulos, sobretudo aqueles compreendidos nas demandas pessoais e profissionais (capítulo 8)
Abstract: The Resolution CFO-82/2008 released on 1 October 2008 lowered standards for habilitation of Dental Surgeons (DS) in Complementary and Integrative Practices (CIP) in Brazil. The aim of this study were to identify and analyze the available scientific evidence in the field of CIP in dentistry, as well as knowing the motivations of CD that led to the search for vetting in PIC. The research results were available in this thesis in eight chapters (articles). The first three chapters cover the elaboration process of systematic reviews that include dimensions beyond of clinical parameters and of clinical evidence of the use of CIP in buccal health. The fourth chapter deals with the perceptions of students of dentistry about the incorporation of the teaching of CIP during graduation. The fifth and sixth chapter presents the results of two systematic reviews of the literature concerning the capture of qualitative data through telephone interviews and through other types of interviews conducted at a distance. The seventh chapter presents the geographical distribution of DS habilitated in 2009 to exercise the CIP in Brazil. The eighth and final chapter consists of a qualitative study about the motivations of DS to get its habilitation in CIP. With the development of research was possible: a) expose to the scientific community a proposed methodology that goes beyond the compilation of clinical data and quantitative information that does not reach beyond the interventions and clinical outcomes (Chapter 1); b) identify that literature analyzed revealed higher number of published studies on dental laser therapy furthermore there is positive evidence of the use of CIP in dentistry, but the articles evaluated showed limitations regarding the quality and consistency of their results (Chapter 2); c) identify the prevalence of positive evidence from the use of CIP in different contexts of oral health (Chapter 3); d) identify that dental students in the institutions studied, considers important the incorporation of the teaching of the CIP during the undergraduate course (Chapter 4); e) verify that the analyzed articles presents superficially how the telephone interviews (TI) were planned and conducted thus the low cost and the need for small infrastructure were the main reasons for the choice of the use of TI in qualitative data collection (Chapter 5); f) verify that the most studied subject was the comparation of distance interviews (DI) with other techniques of data collection, followed by studies on the feasibility of DI and evaluative studies of instruments for data collection by phone (Chapter 6); g) verify the existence of the concentration of professionals in the State of Sao Paulo, identify the most of DS are female and has habilitation in Dental Laser therapy (Chapter 7); h) identify that the main motivation for the pursuit of habilitations in CIP applied to buccal health was curiosity aroused by different stimuli, especially those included in the personal and professional demands (Chapter 8)
Doutorado
Ciências Sociais em Saúde
Doutora em Saúde Coletiva
Peniche, Guilherme Giani. "Efeito da aromaterapia no alívio da dor em atletas de alto rendimento: estudo piloto." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-15052017-150131/.
Full textIntroduction: The experience of pain felt by high performance athletes is very common, and it is a sign of good performance in training and in competition too. There is a growing demand for integrative and complementary therapies aiming wellness, quality of life and performance increase, without the risk of doping. The science of aromatherapy, that studies the therapeutic use of essential oils (EOs), has shown positive results empirically, however, research is necessary to validate such practices in order to safely and effectively serve those who need it and seek it. Objective: evaluate the effect of essential oils over high performance athletes pain. Methods: Quasi-experimental pilot study, blinded to the participant, with two phases: the first one with the use of placebo (15 days) called Pain A group; the second with EOs (15 days) called Pain B group; and a follow-up of seven days. Convenience sample of 26 high performance adult athletes. For intervention, a synergy of EOs (lavender, ginger and sucupira) was used, and for placebo an inert vegetable oil (OV). For data collection, the following questionnaires were used: a sociodemographic data and sports practice questionnaire; a pain and treatment recall questionnaire; the Brunel Mood Scale (BRUMS), and the Brief Pain Inventory (IBD). For data analysis, it was used the fixed-effect model, the Bonferroni test, the d Cohen test, and descriptive measures of central tendency and variability. Results: At the beginning of the treatment, the 26 athletes scored 5.2 of pain average (Pain A group) and 5.6 of pain average (Pain B group). After the treatment with OE (15 days), the pain was reduced by 79% and 81% at the end of the follow-up period (p <0.001). The tension level measured by the Brunel Mood Scale indicated improvement of 37% after the period of OE application, and 49% after the follow-up period (p <0, 05). Conclusion: The results showed that the synergy of essential oils at 10% dilution had effect on the pain of high performance athletes in three daily applications for 15 days and residual effect by seven days of follow-up (p <0.05). In addition, the results showed effect on the athletes mood, with reduced tension (tension and musculoskeletal strain).
Couras, Raimunda Neves de Almeida. "As cirúrgias espirituais como prática terapêutica: estudo de caso." Universidade Federal da Paraíba, 2009. http://tede.biblioteca.ufpb.br:8080/handle/tede/4254.
Full textCoordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
The spiritual cures have been used by mankind since the most remote antiquity, in all eras and by all peoples. The spiritual surgeries occur under the claim that there is intervention of Spirits, with medical knowledge, as regard both the patient s biological and energetic organization. According to explanations given by the spiritual physicians the intervention occurs in what is called the spiritual body that, as a result, reorganizes the biological body. This dissertation aimed to investigate the surgeries, their consequences concerning health and the experiences lived by people who were assisted at União Espírita Diogo de Vasconcelos, in João Pessoa, Paraiba. The research analyzed three cases of people, presenting different pathologies, who were subjected to spiritual surgeries whose clinical histories were documented by means of complementary exams. The study involved a set of sequential procedures, having as starting point the project s elaboration, then the ethical processes, thirdly the meetings in order to inform about the subject and, finally, by defining the research s collaborators. After such phases, the interviews were accomplished, the recorded material was, then, transcribed, textualized, transcreated and identified the vital tone for each of the speeches. The thematic oral history was the chosen method for analysis of the recorded interviews with the collaborators and the medium who, once in a medianimic action, rendered voice to the spiritual physician. The results show a noteworthy improvement, originated from the spiritual treatment process in which the collaborators are impelled to change their habits and behavior, and this reflected on a global betterment of their health.
As curas espirituais têm sido utilizadas pela humanidade desde a mais remota antiguidade, em todas as épocas e em todos os povos. As cirurgias espirituais acontecem sob a alegação de que há intervenção de Espíritos, com conhecimentos médicos, na organização biológica e na organização energética do paciente. Segundo explicações dadas pelos médicos espirituais a intervenção ocorre no chamado corpo espiritual que, em conseqüência, reorganiza o corpo biológico. Esta dissertação teve por objetivo investigar, as cirurgias espirituais, suas conseqüências na saúde e as experiências vividas por pessoas atendidas na União Espírita Diogo de Vasconcelos Lisboa, na cidade de João Pessoa, Paraíba. Abordam-se três casos de pessoas com diferentes patologias que foram submetidas às cirurgias espirituais cujas histórias clínicas foram documentadas por exames complementares. O estudo envolveu um conjunto de procedimentos seqüenciais, iniciando-se pela elaboração do projeto, os processos éticos, continuou com as reuniões objetivando fornecer informações sobre o assunto e com a definição dos colaboradores da pesquisa. Após estas etapas, foram realizadas as entrevistas, o material gravado foi então transcrito, textualizado, transcriado e identificado o tom vital para cada uma das falas. A história oral temática foi o método escolhido para a análise das entrevistas gravadas com os colaboradores e com o médium, que em transe deu voz ao médico espiritual. Os resultados mostram uma melhora considerável, decorrente do processo de tratamento espiritual, onde os colaboradores são incitados a uma transformação em seus hábitos e comportamentos, o que se refletiu em uma melhora global de suas saúdes.
Saraiva, Alynne Mendonça. "Histórias de mulheres cuidadas por práticas integrativas e complementares: um estudo etnográfico." Universidade Federal da Paraíba, 2015. http://tede.biblioteca.ufpb.br:8080/handle/tede/7637.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Socioeconomic and cultural changes of society engineered in recent decades a culture of individualism and exclusion. These changes mainly affect women, causing them to helplessness, low self-esteem and loneliness. Such feelings are often embodied in the form of pain or disease. As a consequence of these social aggressions, women come seeking therapeutic resources that can respond to their physical, psychological and spiritual needs. Integrative and complementary practices bring this proposal for integral care and are being increasingly sought after by women. In this sense, the aim in this work was: analyzing stories of women who sought integrative and complementary practices. The study followed the precepts of Resolution 466/12, being approved by the Research Ethics Committee under CAAE: 39806114.0.0000.5188. This research was conducted according to a benchmark according to the anthropological and ethnographic method. For collection and production of the empirical material, there was used the technique of Oral History of life with 8 women users of the Center for Integrative and Complementary Practices, in the municipality of João Pessoa/PB. The analysis and interpretation of the material were made on the basis of units of meaning (themes) more evident and constants in the narratives and the vital tone of each story. Thus, the following categories have been developed: a) sources and manifestations of female suffering, b) therapeutic itineraries and rituals of care for women and c) reconstruction of identity and otherness: paths for the female protagonism. In the stories reported, it was observed that women have sought care, because they reported sadness, low self-esteem, loneliness, fatigue, pain, helplessness, anxiety and insecurity. These complaints were associated with the sufferings experienced in respect of affective loss, workload of care, migration, interruption of life projects, and family disputes. The paths in search for care were influenced mainly by the socio-cultural context of each contributor, so that many of them resorted primarily to biomedical services. While not all employees had been through these services before resorting to integrative and complementary practices, they showed differences between the approach of allopathic medicine and the PICs, especially with regard to the applied therapy, to the professional-user relationship and the belief in the therapeutic efficacy. Care through integrative and complementary practices provided to these women greater autonomy; favored the construction of bounds; the rescue of self-esteem; promoted the empowerment and took them to reassure their lives and their stories.
As transformações socioeconômicas e culturais da sociedade engendraram, nas últimas décadas, uma cultura de individualismo e exclusão. Essas mudanças atingem, principalmente, as mulheres ao lhes provocarem desamparo, baixa autoestima e solidão. Tais sentimentos são revelados, muitas vezes, sob a forma de dor ou doença. Como consequência dessas agressões sociais, as mulheres vêm buscando recursos terapêuticos que possam dar uma resposta as suas necessidades físicas, psicológicas e espirituais. As práticas integrativas e complementares trazem essa proposta de cuidado integral e vêm sendo cada vez mais procuradas pelo público feminino. Nesse sentindo, esse trabalho teve como objetivo principal: analisar as histórias de mulheres que buscaram práticas integrativas e complementares, ressaltando os aspectos que foram significativos para a compreensão e participação delas no processo de cuidado. O estudo obedeceu os preceitos da Resolução 466/12, sendo aprovado pelo Comitê de Ética em Pesquisa sob CAA:39806114.0.0000.5188. Esta pesquisa foi conduzida segundo um referencial antropológico e de acordo com o método etnográfico. Para a produção de material empírico, utilizou-se a técnica da História Oral temática com 8 mulheres, usuárias do Centro de Práticas Integrativas e Complementares, no município de João Pessoa/PB. A análise e a interpretação do material foram feitas com base nas unidades de significado (temas) mais evidentes e constantes nas narrativas e no tom vital de cada história. Assim, foram elaboradas as seguintes categorias: a) Fontes e manifestações do sofrimento feminino, b) Itinerários terapêuticos e rituais de cuidado das mulheres e c) A reconstrução da identidade e produção de alteridade: caminhos para o protagonismo feminino. Nas histórias relatadas, observou-se que as mulheres buscaram cuidados pois referiam tristeza, baixa autoestima, solidão, cansaço, dor, desamparo, ansiedade e insegurança. Essas queixas estavam associadas aos sofrimentos vivenciados relativamente às perdas afetivas, sobrecarga de cuidados, migração, interrupção de projetos de vida, sobrecarga laboral e conflitos familiares. Os caminhos traçados na procura de cuidados foram influenciados, principalmente, pelo contexto sociocultural de cada colaboradora, de modo que muitas delas recorreram, primeiramente, aos serviços biomédicos. Embora nem todas as colaboradoras tivessem passado por esses serviços antes de recorrerem às práticas integrativas e complementares, elas evidenciaram divergências entre a abordagem da medicina alopática e as PICs, principalmente no que se refere à terapêutica empregada, à relação profissional-usuária e à crença na eficácia terapêutica. O cuidado por meio das práticas integrativas e complementares propiciaram, a essas mulheres, uma maior autonomia; favoreceram a construção de vínculos; o resgate da autoestima; promoveram o emponderamento e as levaram a ressignificarem suas vidas e suas histórias.
Borges, Anelise Miritz. "Plantas medicinais no cuidado em saúde de moradores da Ilha dos Marinheiros: contribuições à enfermagem." Universidade Federal de Pelotas, 2010. http://repositorio.ufpel.edu.br/handle/ri/1892.
Full textMedicinal plants are therapeutic resources incorporated into the plan of individuals care since the first civilization groups, which seeking strategies in nature to improve their living conditions and ensure its survival. So, many cultures, especially indigenous, African and European, influenced the building of knowledge and consumption of medicinal plants. This action contributed to the promotion of ethnic and cultural variability in Brazil and, consequently, to the emergence of various uses worldwide of plants for medical purposes. The aim of this study was to understand the use of medicinal plants in health care by residents of Ilha dos Marinheiros, southern Rio Grande do Sul state, Brazil. The research was qualitative, exploratory and descriptive and was conducted at Ilha dos Marinheiros, county of Rio Grande. This work was part of the project "Bioactive plants for human use by families of ecological farmers in southern Rio Grande do Sul state", developed by the School of Nursing, Federal University of Pelotas and Embrapa Temperate Agriculture. Twelve key informants were selected by the method of snow-ball proposed by Goodman. Data were collected from February to July 2010. The instruments used were semistructured interviews, photographic documentation of plants, eco-map, georeferencing and field observation. The theoretical approach is based on understanding the culture and health by Clifford Geertz and Madeleine Leininger. The study was approved by Ethics and Research Committee, School of Medicine, UFPel (072/2007) and received authorization by Center for Continuing Education of Rio Grande Health (42/09). A thematic analysis, structured into two themes, was: health practices and medicinal plants in the context of Ilha dos Marinheiros, discussing the interfaces with nursing. Among the results, it is emphasized that medicinal plants are part of local history and culture, and represent an important resource for the attainment of health care among the islanders. This community is composed mainly by Portuguese descents, which have a popular knowledge learned from their family generations, and use medicinal plants without any specific dosage and without taxonomic identification, both for minimize a symptom and for prevent a disease. Thus, ethnobotanical rescue and scientific knowledge needs to be connected with the process of transculturation of popular knowledge related to medicinal plants, so that nursing uses them in search of the appreciation of local culture with effective practices in health.
As plantas medicinais são recursos terapêuticos incorporados no plano de cuidado dos indivíduos desde a existência dos primeiros grupos civilizatórios, que buscavam na natureza estratégias para aprimorar a sua condição de vida e garantir a sua sobrevivência. Assim, várias culturas, em especial a indígena, a africana e a européia, influenciaram na edificação dos saberes e no consumo das plantas medicinais. Esta ação colaborou para o fomento da variabilidade étnica e cultural do Brasil e, por conseqüência, o surgimento de várias formas de utilização das plantas com fins terapêuticos no mundo todo. O objetivo do estudo foi compreender a utilização das plantas medicinais no cuidado a saúde dos moradores da Ilha dos Marinheiros, sul do Rio Grande do Sul. A pesquisa foi qualitativa, exploratória e descritiva conduzida na Ilha dos Marinheiros, município de Rio Grande. Este trabalho fez parte do projeto Plantas bioativas de uso humano por famílias de agricultores de base ecológica na região Sul do Rio Grande do Sul , desenvolvido pela Faculdade de Enfermagem da Universidade Federal de Pelotas e Embrapa Clima Temperado. Foram abordados 12 informantes-chaves, selecionados a partir do método de bola-de-neve proposto por Goodman. A coleta de dados ocorreu de fevereiro a julho de 2010. Os instrumentos utilizados foram: entrevista semiestruturada gravada, registro fotográfico das plantas, ecomapa, georreferenciamento e observação de campo. O referencial teórico adotado se fundamenta na compreensão da cultura e saúde por Clifford Geertz e Madeleine Leininger. O trabalho foi aprovado pelo Comitê de Ética e Pesquisa da Faculdade de Medicina UFPel (072/2007) e recebeu autorização do Núcleo de Educação Permanente da Saúde de Rio Grande (42/09). Foi utilizada a análise temática, estruturada em dois temas: as práticas de saúde e as plantas medicinais no contexto da Ilha dos Marinheiros, discutindo-se nesta as interfaces com a enfermagem. Dentre os resultados, destaca-se que as plantas medicinais fazem parte da história e cultura locais e representam um recurso importante para a realização do cuidado em saúde entre os ilhéus. Composta predominantemente por descendentes de imigrantes portugueses, esta comunidade é munida de um saber popular aprendido entre as suas gerações familiares, e utiliza as plantas medicinais tanto para minimizar um sintoma que interfira na saúde, como para prevenir uma situação de mal-estar ou doença. Esta ação é realizada sem dosagem e identificação taxonômica específicas. Deste modo, o resgate etnobotânico e o conhecimento científico necessitam estar conectados com o processo de transculturação dos saberes populares sobre as plantas medicinais, de forma que a enfermagem as utilize em busca da valorização da cultura local com práticas eficazes em saúde.
Croke, Sarah Louise. "Comparing complementary health centres in the UK and Europe that use a combination of therapies." Thesis, University of Leeds, 2015. http://etheses.whiterose.ac.uk/13176/.
Full textChristensen, Marisa Correa. "O ensino de medicinas alternativas e complementares em escolas medicas : revisão sistematica da literatura." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311416.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Devido ao aumento crescente da utilização das Medicinas Alternativas e Complementares (MAC) há a necessidade de que os profissionais de saúde estejam aptos a informar e atender seus pacientes, reconhecer efeitos colaterais, interações medicamentosas e praticar as medicinas complementares isoladas ou associadas às medicinas convencionais com segurança. Neste trabalho foi feita uma Revisão Sistemática da Literatura (RSL) sobre o ensino das MAC em escolas médicas, com a finalidade de refletir sobre as evidências publicadas. Foram analisados 33 artigos indexados no banco eletrônico de dados Pubmed utilizando o descritor: ¿complementary and alternative medicine teaching¿. Identificou-se vários exemplos de inserção das MAC no ensino e, de modo geral, os estudantes de medicina têm atitudes positivas frente às MAC, desejam aprendê-las tendo com o objetivo tratar e orientar seus futuros pacientes com essas medicinas. O ensino das MAC nas escolas de medicina tem, como fundamento, adicionar à prática médica ferramentas diagnósticas e terapêuticas a serem utilizadas em atenção, prevenção e promoção a saúde nos diversos níveis de complexidade do sistema de saúde
Abstract: Due to the continuous increase in the use of Complementary and Alternative Medicines (CAM) there is the need to health professionals to be able to inform and attend their patients, recognize adverse effects, drugs interactions and to practice complementary medicines isolated or associated with conventional medicine safely. In this study, a Literature Systematic Review was made concerning the teaching of CAM in medical schools with the interest of reflecting upon the published evidences. 33 articles indexed in the electronic database Pubmed using the key-words ¿complementary and alternative medicine teaching¿ were analyzed several examples of CAM teaching, in section were identified and in general, medical students have positive attitudes toward CAM, want to learn them, having as aim treat and orient their future patients with this medicines. CAM teaching in medical school have, as basis, add to medical practices therapeutic and diagnosis tools to be used in health care, prevention and health promotion in the diverse complexity levels of the health system
Mestrado
Saude Coletiva
Mestre em Saude Coletiva
Carlsson, Tommy, and Klara Naji. "Icke- farmakologiska behandlingsmetoder för kvinnor med primär dysmenorré : Evidensbaserad omvårdnad." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-112463.
Full textBakgrund: Primär dysmenorré, svår menstruationssmärta utan sjukdomsrelaterad bakomliggande orsak, är det vanligaste gynekologiska besväret för unga kvinnor. Idag fokuseras behandlingen av menstruationssmärta på läkemedel. Det har dock visats att kvinnor även använder sig av ickefarmakologiska metoder för att lindra sin smärta. Syftet med denna litteraturöversikt var att undersöka om det finns evidens för att följande ickefarmakologiska behandlingsmetoder kan lindra primär dysmenorré: akupunktur, akupressur, kostvanor och kostterapi, massage, transkutan elektrisk nervstimulering (TENS), värme samt örtterapi.
Metod: Sökningar genomfördes i databaserna AMED, CINAHL, Cochrane Library samt Pubmed. På grund av få artikelträffar och låg kvalitet hos artiklarna exkluderades massage och värme. Totalt inkluderades 18 engelskspråkiga artiklar, publicerade mellan år 1999-2009, vilka redovisade resultat från sammanlagt 92 studier. Sammanlagt 23 studier undersökte akupunktur, 11 undersökte akupressur, 46 undersökte örtterapi, 3 undersökte kostterapi och kostvanor samt 9 undersökte TENS. Kvalitetsgranskning genomfördes enligt en mall från Forsberg & Wengström (2008).
Resultat: Det finns evidens för att akupressur, TENS och örtterapi lindrar primär dysmenorré. Vilka specifika akupunkter och örter som har en smärtlindande effekt är dock oklart. Sjuksköterskan kan ge råd till patienter med primär dysmenorré att prova TENS för att lindra sina menstruationssmärtor.
Background: Primary dysmenorrhea, menstrual pain without disease-related underlying reason, is the most common gynaecological discomfort for young women. Today the treatment regime for menstrual pain is focused on pharmacologic treatments. However, it has been observed that women also use non-pharmacologic methods to ease their pain. The objective for this literature review was to determine if there is evidence for the following non- pharmacologic treatment-methods to ease primary dysmenorrhea: acupuncture, acupressure, dietary habits and dietary therapies, massage, transcutaneous electrical nerve stimulation (TENS), heat and herbal therapy.
Method: Searches were performed in databases AMED, CINAHL, Cochrane Library and PubMed. Because of a small number of search-results and low quality of the articles massage and heat was excluded. A total of 18 English-speaking articles published between 1999-2009 were identified. They reviewed results from 92 studies. Altogether 23 studies reviewed acupuncture, 11 acupressure, 46 herbal therapy, 3 dietary therapies and dietary habits and 9 TENS. Quality assessment was performed according to a template from Forsberg & Wengström (2008).
Results: There is evidence that acupressure, TENS and herbal therapy ease primary dysmenorrhea. Which specific acupoints and herbs that are pain relieving could not be concluded. The nurse can give advice to patients with primary dysmenorrhea to test TENS to ease their menstrual pain.
Tondatti, Paula Chadi [UNESP]. "A música enquanto instrumento terapêutico na resposta clínica da criança em unidade de terapia intensiva pediátrica." Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/96464.
Full textO ambiente hospitalar gera ansiedade, pela possibilidade de surpresa, do desconhecido, da dor, da perda da autonomia e da percepção da própria fragilidade ao enfrentamento da hospitalização e da doença. Tratando-se de criança, qualquer alteração nas necessidades de saúde torna as circunstâncias ainda mais delicadas e exige um posicionamento do profissional sobre a sua atuação no processo de saúde e doença. A música é considerada uma importante estratégia de comunicação e entretenimento para o cuidado da criança em diversos aspectos, tais como: alívio da dor, aceitação da hospitalização, formação de vínculo, redução da ansiedade, diminuição de trauma e tempo de internação, favorecimento da interdisciplinaridade, do desenvolvimento e da socialização. Nesta perspectiva, o presente estudo busca estas melhoras em um ambiente crítico como a UTI, verificando se há benefício desta terapêutica neste local. Trata-se de um estudo clínico randomizado longitudinal que avaliou o desfecho clínico, antes, durante e após a intervenção de música em crianças na fase de lactência, hospitalizadas em uma Unidade de Terapia Intensiva Pediátrica (UTIP) do Hospital Regional de Assis/HRA-SP. O estudo teve como objetivo avaliar os efeitos de uma intervenção musical sobre parâmetros clínicos em crianças hospitalizadas em UTIP, tendo como hipótese que esta intervenção musical provoque mudanças clínicas positivas em crianças nesta fase de desenvolvimento, hospitalizadas neste ambiente. Verificou-se que a música sugere alguns sinais como melhora da gravidade do caso, redução da dor, percepções emocionais positivas identificadas após cada sessão e ao longo da mesma. Recomenda-se que a música deve ser utilizada em ambientes hospitalares, inclusive em unidades de terapia intensiva pediátrica, como um facilitador de comunicação...
A child’s stay in hospital arouses anxiety due to the possibility of surprise, the unknown, pain, loss of autonomy, and the perception of one’s very frailty in face of hospitalization and disease. Concerning the child, any change in health needs makes cirumstances more difficult and demands a professional attitude towards his/her role in the process of health and disease. Music is viewed as an important communication strategy and entertainment to provide care for the child in various features such as pain relief, acceptance of hospitalization, link development, anxiety reduction, trauma recovering and reduction of stay in hospital, favoring interdisciplinarity, growth, and socialization. Getting into this perspective, this study aims at improving such a critical environment as the ICU, trying to find out any benefit deriving from such a therapy within that context. It is a longitudinal randomized clinical study which assessed the clinical outcome before, during, and after the intervention of music in lactentes admitted to pediatric ICU of Hospital Regional de Assis/HRA-SP. The study at issue aimed at assessing the effects of musical intervention in the clinical parameters of children in pediatric ICU putting forward the hypothesis that such a musical intervention brings about positive clinical changes in such lactentes staying in that environment. One found out that music brings about some signs such as improvement in the severness of the disease, pain relief, positive emotional perception identified after and during each therapy session. Music is recommended to be used in hospitals, including pediatric ICU, as a communication facilitator among the clinical staff, the family and the child, as a resource to provide relaxation, pain relief, clinical condition improvement and as a factor capable of eliciting positive emotional response. However, some gaps still have to be filled... (Complete abstract click electronic access below)
Russell, Raymond Thomas. "The role of complementary therapies in the self-management of chronic bronchial asthma : a controlled study." Thesis, University of Ulster, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261038.
Full textHills, Dione. "The patient, the practitioner and the organisation : a cultural analysis of complementary therapies in primary care." Thesis, University of Exeter, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.413901.
Full textAucamp, Charle M. "The use of complementary and alternative therapies among adult HIV positive patients in an outpatient setting." Thesis, Link to the online version, 2008. http://hdl.handle.net/10019/758.
Full textLeão, Eliseth Ribeiro. "A música como terapia complementar no cuidado de mulheres com fibromialgia." Universidade de São Paulo, 1998. http://www.teses.usp.br/teses/disponiveis/7/7138/tde-06072011-091258/.
Full textThe selected erudite music starting from a predetermined repertory was investigated in this study as alternative therapy in the women care with fibromyalgia. Forty women were submitted for two musical sessions, we observed the interval of one week between the sessions. The pain as well as the physiological parameteres indicative of slackness: heart rate, respiratory rate, trapezius and frontalis muscle, systolic and diastolic blood pressure and cutaneous temperature and all of this parameters were completed by patients perception about musical experience and were appraised before and after each musical session for verification of produce alterations in their results. The enquired women have presented a musical preference that reached to the orchestral songs with reference to the camara music and solo. Among observed physiological signs, the respiratory rate, the electromyographic, the cutaneous temperature and the sistolic blood pressure presented alterations statistically significative on two sessions. The diastolic blood pressure presented significative alterations in the second only. The pain valued by Visual Analogic Scale presented significative reduction after musical session for most of patients, ratified by McGill Pain Questionnaire in all pain extensions that the instrument proposes to analyse (sensitive, affective, and cognitive). The perception of musical experience related by investigated women have evidenced the powerful from this Nursing intevention (95% from those women refered that they have liked very much this therapeutic approach) besides pain relief, many subjective aspects have emerged such as alterations of mood state, facility of introspection, visualization of images and esthetics sensations, among others aspects have demonstrated that their utilization and comprehension to must be amplified.
Abrahão, Camila Aparecida. "Estratégias de redução do estresse e seu impacto no sistema imune de mulheres com câncer de mama: evidências para a prática clínica." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-10072014-151834/.
Full textBreast cancer is the second most common type of cancer worldwide and the most common cancer among women. Stressors significantly affect the genesis of the disease. Chronic stress suppresses facets of the immune response such as the activity of natural killer cells (NK) and T-cell proliferation. These cells play an important role in the immune response against cancer because they lyse tumor cells and monitor and combat their disordered growth. It is conceivable that the management of stress may reduce the progression of cancer and improve the quality of life of patients with the disease. Several methods of stress reduction have shown promise in treating cancer, including complementary and alternative medicine. This study aimed to identify and analyze the evidence in the literature on the use of complementary and alternative medicine as a strategy for reducing stress and its influence on the immune system of women with breast cancer. We performed an integrative literature review, using the evidence-based practice as the theoretical framework. We used five databases: LILACS, EMBASE, CINAHL, PubMed and the Cochrane Library. Inclusion criteria were full-text articles available in English, Spanish or Portuguese and published in the last 20 years (1981-2011). Controlled and uncontrolled descriptors selected from Mesh and DeCS were crossed for location of the articles, and 2612 articles were found in the databases. After reading the title and abstract, duplicate articles were excluded and 29 studies were selected. After reading the entire articles, the final sample of this review consisted of 12 articles. Concerning the period of publication, 2 articles (16%) were published in 1997 and 1998 and 10 articles (84%) were published from 2001. Regarding the databases where the studies were found, five studies (65%) were found in PUBMED, 6 (35%) in EMBASE. Another study (8.3%) was found in CINAHL and was repeated in EMBASE and PUBMED databases. Yoga, therapeutic touch, meditation, reflexology, massage and relaxation sessions are the main complementary and alternative medicine used by women with breast cancer. The main reasons for choosing this new type of treatment are the relief of symptoms and decrease of toxicity of the conventional treatment, prevention of disease recurrence and significant improvement of the immune system. Significant improvement in depression, fatigue, anxiety, quality of life, decreased levels of cortisol, increased cytotoxicity of NK cells and T lymphocyte proliferation were detected after the use of complementary and alternative medicine, and therapeutic massage therapy was used by most patients. These results highlight the use of complementary and alternative medicine as a potent strategy for health promotion and treatment of breast cancer.
Sundberg, Tobias. "Exploring integrative medicine for back and neck pain on the integration of manual and complementary therapies in Swedish primary care /." Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-535-7/.
Full textWorley, Heather. "Treatment by the law and society of parents of minors who have died in circumstances where they were denied medical intervention a dissertation [thesis] submitted to the Auckland University of Technology in partial fulfilment of the degree of Master of Health Science, November 2003." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/WorleyH.pdf.
Full textTondatti, Paula Chadi. "A música enquanto instrumento terapêutico na resposta clínica da criança em unidade de terapia intensiva pediátrica /." Botucatu : [s.n.], 2011. http://hdl.handle.net/11449/96464.
Full textBanca: Heloisa Wey Berti
Banca: Ana Paula Vilcimski Oliva
Resumo: O ambiente hospitalar gera ansiedade, pela possibilidade de surpresa, do desconhecido, da dor, da perda da autonomia e da percepção da própria fragilidade ao enfrentamento da hospitalização e da doença. Tratando-se de criança, qualquer alteração nas necessidades de saúde torna as circunstâncias ainda mais delicadas e exige um posicionamento do profissional sobre a sua atuação no processo de saúde e doença. A música é considerada uma importante estratégia de comunicação e entretenimento para o cuidado da criança em diversos aspectos, tais como: alívio da dor, aceitação da hospitalização, formação de vínculo, redução da ansiedade, diminuição de trauma e tempo de internação, favorecimento da interdisciplinaridade, do desenvolvimento e da socialização. Nesta perspectiva, o presente estudo busca estas melhoras em um ambiente crítico como a UTI, verificando se há benefício desta terapêutica neste local. Trata-se de um estudo clínico randomizado longitudinal que avaliou o desfecho clínico, antes, durante e após a intervenção de música em crianças na fase de lactência, hospitalizadas em uma Unidade de Terapia Intensiva Pediátrica (UTIP) do Hospital Regional de Assis/HRA-SP. O estudo teve como objetivo avaliar os efeitos de uma intervenção musical sobre parâmetros clínicos em crianças hospitalizadas em UTIP, tendo como hipótese que esta intervenção musical provoque mudanças clínicas positivas em crianças nesta fase de desenvolvimento, hospitalizadas neste ambiente. Verificou-se que a música sugere alguns sinais como melhora da gravidade do caso, redução da dor, percepções emocionais positivas identificadas após cada sessão e ao longo da mesma. Recomenda-se que a música deve ser utilizada em ambientes hospitalares, inclusive em unidades de terapia intensiva pediátrica, como um facilitador de comunicação... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: A child's stay in hospital arouses anxiety due to the possibility of surprise, the unknown, pain, loss of autonomy, and the perception of one's very frailty in face of hospitalization and disease. Concerning the child, any change in health needs makes cirumstances more difficult and demands a professional attitude towards his/her role in the process of health and disease. Music is viewed as an important communication strategy and entertainment to provide care for the child in various features such as pain relief, acceptance of hospitalization, link development, anxiety reduction, trauma recovering and reduction of stay in hospital, favoring interdisciplinarity, growth, and socialization. Getting into this perspective, this study aims at improving such a critical environment as the ICU, trying to find out any benefit deriving from such a therapy within that context. It is a longitudinal randomized clinical study which assessed the clinical outcome before, during, and after the intervention of music in lactentes admitted to pediatric ICU of Hospital Regional de Assis/HRA-SP. The study at issue aimed at assessing the effects of musical intervention in the clinical parameters of children in pediatric ICU putting forward the hypothesis that such a musical intervention brings about positive clinical changes in such lactentes staying in that environment. One found out that music brings about some signs such as improvement in the severness of the disease, pain relief, positive emotional perception identified after and during each therapy session. Music is recommended to be used in hospitals, including pediatric ICU, as a communication facilitator among the clinical staff, the family and the child, as a resource to provide relaxation, pain relief, clinical condition improvement and as a factor capable of eliciting positive emotional response. However, some gaps still have to be filled... (Complete abstract click electronic access below)
Mestre
Hansen, Christine A. "A Pilot Study on Bowenwork® for Symptom Management of Women Breast Cancer Survivors with Lymphedema." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/222852.
Full textRitenbaugh, Cheryl, Mimi Nichter, Mark Nichter, Kimberly Kelly, Colette Sims, Iris Bell, Heide Castaneda, et al. "Developing a patient-centered outcome measure for complementary and alternative medicine therapies I: defining content and format." BioMed Central, 2011. http://hdl.handle.net/10150/610358.
Full textSpadacio, Cristiane 1983. "Os sentidos das praticas terapeuticas convencionais e não convencionais no tratamento do cancer." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311417.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Tem havido um crescimento exponencial no uso das Medicinas Alternativas e Complementares (MAC), principalmente em países ocidentais desenvolvidos. A literatura corrente indica que também em países em desenvolvimento e pobres, a medicina não biomédica permanece como um elemento significativo no tratamento. O crescimento do uso das MAC é, também, perceptível no caso de pacientes oncológicos. Este trabalho pretende-se parte de um programa sociológico das MAC no campo da saúde no Brasil, tendo como foco o uso de MAC por pacientes em tratamento do câncer. Dessa forma, esta pesquisa busca compreender os sentidos do uso de MAC por pacientes em tratamento do câncer no Serviço de Oncologia do HC/Unicamp. Para tanto, foi preciso: 1) analisar como os pacientes lidam com o binômio saúde/doença na situação de doença oncológica; 2) identificar as motivações para o uso das MAC no tratamento do câncer e os processos subjacentes à decisão do uso das MAC: sua seleção, interpretação, aquisição da informação sobre essas técnicas, que delimitam os sentidos; e, 3) mapear as redes de sociabilidades que influenciam na decisão pelo tratamento convencional e o não convencional do câncer. Teoricamente, essa pesquisa ancora-se na teoria praxiológica de Pierre Bourdieu, articulando principalmente o conceito habitus com a noção de modernidade reflexiva de Anthony Giddens. Esse estudo recorre a duas técnicas de coleta de dados: a entrevista em profundidade e o diário de campo. O Diário de Campo possibilitou apreender a trajetória e as modificações que foram ocorrendo principalmente no discurso dos envolvidos, durante os encontros. Tomando a entrevista como ¿técnica privilegiada de comunicação¿, realizamos a modalidade de entrevista aberta ou em profundidade. Esse tipo de técnica propicia o entrevistado a falar livremente, sem que esteja preso a questões já pré-estabelecidas pelo investigador. Os produtos da pesquisa, a partir das entrevistas e do Diário de Campo foram, a construção de categorias analíticas e a produção de narrativas. Os resultados foram, então, organizados a partir das seguintes categorias de análise: a) Itinerários pelos serviços de saúde; b) Saúde-doença: construções e percepções; c) O tratamento; d) Serviço de Saúde Unicamp ¿ significados; e) Outros tratamentos; f) Redes de Sociabilidade. Verifica-se, dessa forma, a importância de estudos qualitativos na área da saúde para entender a construção de sentidos sobre uma determinada situação de saúde e doença a partir da perspectiva dos pacientes, levando-se em conta seus discursos, falas imersas em condicionantes sociais e pessoais que delineiam seus habitus e determinam suas escolhas terapêuticas
Abstract: There has been an exponential growth in the use of Complementary and Alternative Medicine (CAM), especially in developed western countries. Current literature shows that non-biomedical medicine continues to be a significant treatment element in poor and developing countries as well. Moreover, substantial growth in CAM use is also noticeable among oncology patients. This study is part of a sociological program on Complementary and Alternative Medicine in the Brazilian health field, which focuses on the use of CAM by cancer patients under treatment. As a result, it seeks to understand the meanings of CAM use by patients under treatment in the Serviço de Oncologia do HC/Unicamp (Oncology Service at the Clinical Hospital of the State University of Campinas). Thus, it was necessary to: 1) analyze how patients deal with the health-disease relation in the case of cancer; 2) identify the motivations to use CAM in the treatment of cancer and the processes underlying the decision to use complementary and alternative therapies: their selection, interpretation, and gathering of information on these therapies, which restrict the meanings; and 3) map the sociability nets that influence the decision about conventional and non-conventional cancer treatments. On a theoretical level, this research is based on Pierre Bourdieu¿s Praxeological Theory, which particularly articulates the concept of habitus with Anthony Giddens¿ notion of reflexive modernity. In addition, this study makes use of two data collection techniques: the in-depth interview and the Field Journal. The Field Journal enabled us to understand the direction and changes that took place during the meetings, especially in the dialogue of those involved. Considering the interview as a ¿privileged technique of communication¿, the open or in-depth interview was performed. This type of technique enables the respondent to speak freely, not hindered by the investigator¿s pre-established questions. The research products originating from the interviews and the Field Journal were the construction of analytical categories and the production of narratives. The results were subsequently organized, based on the following analysis categories: a) Itinerary through the health services; b) Health-disease: constructions and perceptions; c) The Treatment; d) Serviço de Saúde Unicamp (State University of Campinas¿ Health Service) ¿ meanings; e) Other treatments; f) Sociability Nets. Thus, it can be observed the importance of qualitative studies in the health field to understand the construction of meanings about a certain health and disease situation, from the perspective of the patients. This takes into consideration their dialogues that are immersed in personal and social conditioning which, in its turn, shapes their habitus and determines their therapeutic choices
Mestrado
Saude Coletiva
Mestre em Saude Coletiva
Castro, Cecília Muzetti de 1981. "Yoga e doenças crônicas : inovações no cuidado do câncer e diabetes." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311413.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: As doenças crônicas apresentam longa duração, lenta progressão e estão entre as principais causas de mortalidade atualmente. As bases terapêuticas medicamentosas para o tratamento destas doenças não tem sido exitosa e, por isso, a Organização Mundial de Saúde propôs a introdução de inovações no cuidado, que extrapolam o modelo biomédico. No Brasil, o Yoga e outras práticas corporais foram introduzidas no Sistema Único de Saúde por meio da Portaria 719, de 7 de abril de 2011, com a criação do Programa da Academia de Saúde, pelo Ministério da Saúde. A expansão do uso do Yoga como prática terapêutica motivou o crescimento do número de pesquisas sobre o tema. O objetivo do presente trabalho foi analisar sistematicamente a literatura científica sobre a aplicação do yoga no cuidados de pessoas portadoras de câncer e diabetes. As buscas foram conduzidas nas bases de dados "PubMed", "Embase", "Web of Science" e "Ebsco Host" para o período de vinte anos (1991 a 2011), utilizando as descritores "yoga and cancer" e "yoga and diabetes". Foram analisados 36 e 22 artigos respectivamente referentes ao câncer e diabetes segundo o país de desenvolvimento das pesquisas, os periódicos de publicação, as tradições e técnicas de yoga empregadas, objetos dos estudos e os resultados e conclusões obtidas pelos mesmos. Os artigos analisados indicaram que o yoga é um recurso terapêutico viável e favorável ao cuidado de pessoas com câncer e diabetes. É possível verificar avanço das investigações na área, embora haja carência de trabalhos que aprofundem de forma conceitual e filosófica a relação do Yoga com o cuidado de pacientes oncológicos e diabéticos. Desse modo, torna se evidente que, em futuros estudos, é importante considerar metodologias mais adequadas que explorem tal relação
Abstract: Chronic diseases have long-lasting, slow progression and are among the main causes of mortality. Therapies based exclusively on drugs for the treatment of these diseases have not been successful and, therefore, the World Health Organization proposed the introduction of innovations in care that go beyond the biomedical model. In Brazil, yoga and other body practices were introduced in the public health system through the 719 Ordinance of April 7, 2011, with the creation of the "academy of health program", by the ministry of health. The expansion of the use of yoga as therapeutic practice led to the growth of researches on the topic. The aim of this study was to systematically review the scientific literature on the application of yoga in the care of people with cancer and diabetes. The searches were conducted in the databases "PubMed", "Embase", "Web of Science" and "Ebsco Host" for the period of twenty years (1991 to 2011), using the keywords "yoga and cancer" and "yoga and diabetes ". Were analyzed 36 and 22 articles respectively regarding cancer and diabetes by country of research development, periodicals publishing, traditions and yoga techniques employed, objects of studies, results and conclusions obtained by them. Papers analyzed indicated that yoga is a therapeutic resource feasible and favorable to the care of people with cancer and diabetes. It is possible check advance of research in the area, although there are few studies that deepen the conceptual and philosophical form on the relationship of yoga in the cancer and diabetics patients care. Thus, it becomes apparent that, in future studies, it is important to consider the most appropriate methodologies that exploit this relationship
Mestrado
Ciências Sociais em Saúde
Mestra em Saúde Coletiva
Spadacio, Cristiane 1983. "Medicinas tradicionais, alternativas e complementares como marcadores de diferenciação social." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311410.
Full textTese (Doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Apesar dos notáveis avanços alcançados pela Medicina Ortodoxa - Biomedicina, tem havido um crescimento exponencial no interesse e no uso de Medicinas Tradicionais (MT), Alternativas e Complementares (MAC). O tema deste estudo ancora-se nas discussões sobre as MT e MAC e sua utilização por diferentes grupos sociais em situação de adoecimento crônico, especificamente o Diabetes Mellitus tipo 2. A pesquisa tem como objetivo compreender em que medida o uso de MT e MAC por pacientes com diabetes tipo 2 está relacionado com diferenças entre grupos sociais no Brasil. Foram entrevistados 80 pacientes de serviços público e privado de saúde. Sendo 40 pacientes em tratamento do diabetes tipo 2 no Ambulatório de Diabetes Mellitus, Hipertensão e Obesidade, da Disciplina de Medicina Interna e Semiologia Médica, do Departamento de Clínica Médica da Unicamp, e 40 pacientes em uma clínica particular na Cidade de Campinas, no período de abril de 2009 a maio de 2010. Nesta pesquisa serão utilizadas as informações socioeconômicas e demográficas dos pacientes, que possibilitam inferir a "posição social" dos entrevistados, assim como aspectos relacionados às percepções dos pacientes, principalmente no que diz respeito ao acesso e à escolha por tratamentos heterodoxos. Teoricamente, a sociologia de Pierre Bourdieu será utilizada e debatida de forma crítica nesta pesquisa, principalmente com os conceitos de habitus e Capital, este último em seus diferentes aspectos, econômico, social, cultural e simbólico. Tal perspectiva fornece um referencial teórico adequado para a análise das MT e das MAC enquanto práticas culturais utilizadas por diferentes grupos sociais na sociedade brasileira. Dentre os achados empíricos, percebem-se diferenças na utilização de MT e MAC por diferentes perfis de pacientes, uma vez que, há pacientes que utilizam exclusivamente MT, geralmente com baixo nível de escolaridade, baixa renda familiar e com tendência a utilizar o serviço público de saúde. Ao passo que, pacientes que se utilizam exclusivamente de MAC tem alto nível de escolaridade, alta renda familiar e tendem a utilizar o serviço privado de saúde com plano de saúde. Há também pacientes que utilizam MT e MAC ao mesmo tempo, representado por um perfil intermediário entre os dois anteriores. Nesse sentido, sugere-se que a diferença na utilização das terapias não convencionais pode referir-se a um processo de diferenciação social, na medida em que os valores de diferentes grupos, no interior de uma sociedade cada vez mais fragmentada como a brasileira, estão relacionados com um poder classificatório definido por sua localização na estrutura de classes
Abstract: Despite the remarkable progress made by orthodox medicine - biomedicine, there has been an exponential growth in interest in and use of Traditional Medicine (TM), Complementary and Alternative (CAM). The theme of this study is anchored in discussions about MT and MAC and their use by different social groups in situations of chronic illness, specifically diabetes mellitus type 2. The research aims to understand to what extent the use of MT and MAC for patients with type 2 diabetes is related to differences between social classes in Brazil. We interviewed 80 patients of public services and private health. 40 patients being treated for type 2 diabetes in Outpatient Diabetes Mellitus, Hypertension and Obesity in the Department of Internal Medicine and Medical Semiology, Department of Internal Medicine at Unicamp, and 40 patients at a private clinic in the city of Campinas, in the period April 2009 to May 2010. This research will be used socioeconomic and demographic information of patients, which allow inferring the "status" of respondents, as well as aspects related to the perceptions of patients, especially with regard to access and choice for unorthodox treatments. In theory, the sociology of Pierre Bourdieu will be used and discussed critically in this research, mainly with the concepts of habitus and capital, the latter in its different aspects, economic, social and symbolic. This perspective provides a theoretical framework suitable for the analysis of MT and MAC while cultural practices used by different social groups in Brazilian society. Among findings, are perceived differences in the use of MT and MAC for different patient profiles, since there are patients who exclusively use MT, generally have low levels of education, low family income and tend to use public service health. Whereas, patients who exclusively use MAC has highly educated, high income and tend to use the service with private health insurance. There are also patients who use MT and MAC at the same time represented by a different profile of patients. Accordingly, it is suggested that the difference in the use of unconventional therapies may refer to a process of social differentiation, in that the values of different groups within a society increasingly fragmented as Brazil are related to a relevant classificatory power defined by its location in the class structure
Doutorado
Ciências Sociais em Saúde
Doutora em Saúde Coletiva
Mafetoni, Reginaldo Roque 1979. "Acupressão para alívio da dor no trabalho de parto = ensaio clínico randomizado = Acupressure for pain relief in women during labour: a randomized clinical trial." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/283890.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Enfermagem
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Resumo: Objetivos: Avaliar os efeitos da acupressão no ponto Sanyinjiao (BP6) sobre a dor na primeira fase do trabalho de parto, o consumo de drogas analgésicas e analgesias/anestesias, o incômodo pelo tratamento recebido, o tempo de trabalho de parto, a taxa de cesárea o índice de Apgar no 1º e 5º minuto do recém-nascido e a satisfação pessoal em utilizar o tratamento entre os grupos. Método: Trata-se de um ensaio clínico controlado e randomizado, de caráter pragmático, com características simples-cego na avaliação da dor e duplo-cego nos desfechos de tempo de trabalho de parto e taxa de cesárea. Foram selecionadas 156 gestantes, com ? 37 semanas, dilatação cervical ? 4 cm e ? 2 contrações em 10 minutos, divididas em três grupos por meio de uma lista de números aleatórios, em um hospital universitário do interior do estado de São Paulo, Brasil, para receber acupressão, placebo ou participar como controle. Todas as participantes foram orientadas e estimuladas a realizar uma técnica de exercício respiratório e relaxamento muscular. A acupressão foi aplicada no ponto BP6 e a intensidade da dor avaliada por uma Escala Analógica e Visual (EAV) antes do tratamento, imediatamente (20 minutos) e 1 hora após o tratamento. Resultados: A média do escore de dor da EAV não foi diferente nos três grupos na admissão (p=0.0929), porém, as diferenças se fizeram imediatamente (p=<0.0001) e com 1 hora após o tratamento (p=<0.0001) de forma significativa entre os grupos. O incomodo do tratamento foi pequeno, informado por três participantes do grupo BP6. A média de duração do trabalho de parto apresentou diferença significativa nos três grupos a partir do tratamento até o nascimento do neonato (p=0.0047). A taxa de cesárea não mostrou diferença entre os grupos (p=0.2526) nem a avaliação de Apgar no primeiro e quinto minuto de vida do neonato (p=0.7218). O uso de analgésicos, anestesias e a satisfação pessoal do tratamento oferecido para um provável uso no futuro foram homogêneos entre os grupos, porém, a recordação sobre o alívio da dor durante o trabalho de parto foi maior no grupo acupressão BP6 (p=0.0018). Não houve diferença no uso de ocitocina (p=0.0521) e prostaglandina (p=0.9801), embora as participantes do grupo controle recebessem no total menos indução durante o trabalho de parto (p=0.0065). Conclusões: A acupressão no ponto BP6 se mostrou uma medida útil no alívio da dor, complementar para conduzir o trabalho de parto, encurtando este período, não invasiva e uma via de melhorar a qualidade dos cuidados à parturiente, sem ocasionar efeitos adversos para mãe ou para o neonato, entretanto, não houve diferença na taxa de cesárea neste estudo
Abstract: Purposes: To evaluate the effects of applying acupressure at the Sanyinjiao point (SP6) on pain in the first stage of labor, the use of analgesic drugs and anesthetics, the discomfort from the treatment received, delivery time in women in labor, the cesarean section rate, Apgar score at 1st and 5th minute of newborn, and personal satisfaction in using the treatment offered among groups. Method: The study design was a randomized controlled clinical trial of pragmatic character using a single-blind method to the evaluation of pain and a double-blinded for delivery time and cesarean section rate. 156 pregnant women were selected, with ? 37 weeks, cervical dilatation ? 4 cm and ? 2 contractions in 10 minutes, randomly divided into three groups in a university hospital in the state of São Paulo, Brazil. The women received acupressure, placebo or received standard care (control group). All of them were guided and stimulated to perform a technique of breathing exercises and muscle relaxation. The intervention was applied at the point SP6 and pain intensity was assessed by Visual Analog Scale (VAS) before the treatment, immediately (20 minutes) and 1 hour after the treatment. Results: The average pain score of VAS was no different in the three groups at baseline (p=0.0929), but the difference was immediately made (p=<0.0001) and at 1 hour after treatment (p=<0.0001) significantly between groups. The discomfort of treatment was small, reported by three participants in the SP6 group. The average duration of labor showed significant difference among the three groups, from the treatment until the birth (p=0.0047). The cesarean section rate showed no difference between the groups (p=0.2526) or the assessment of Apgar at the first and fifth minute of the newborn's life (p=0.7218). The use of analgesics, anesthetics and personal satisfaction of treatment offered for probable future use were homogeneous between the groups, but the memory on the reduction of pain during labor was greater in the acupressure group SP6 (p =0.0018). There was no difference in the use of oxytocin (p=0.0521) and prostaglandin (p=0.9801), although the participants in the control group received total less induction during labor (p=0.0065). Conclusions: The acupressure point SP6 showed a helpful measure to relieve pain, complementary to induce labor, shortening this period, non-invasive and a way of improving the quality of care the patient received without causing adverse effects to the mother or the newborn. However, there was no difference in cesarean section rate in this study
Mestrado
Enfermagem e Trabalho
Mestre em Ciências da Saúde
Borcard, Guiomar Godinho. "Levantamento etnofarmacológico nos bairros do entorno da Reserva Biológica Municipal Poço D’anta cobertos por unidades de atenção primária à saúde." Universidade Federal de Juiz de Fora (UFJF), 2013. https://repositorio.ufjf.br/jspui/handle/ufjf/2380.
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CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
O presente trabalho teve como objetivo realizar um estudo etnofarmacológico nas comunidades localizadas no entorno da Reserva Biológica Poço D’ Anta, buscando fornecer subsídios para a implantação da Fitoterapia em Juiz de Foram, MG. Para tal, foram realizados entrevistas nas referidas comunidades entre 3 amostras: profissionais de saúde que trabalham na Unidade de Atenção Primária à Saúde (UAPS)(Agente Comunitário de Saúde, Técnico de Enfermagem, Enfermeiro, Dentista, Médico e Assistente Social), usuários das UAPS (domiciliares), e entrevistados referenciais (pessoas conhecedoras de Plantas Medicinais). Para análise estatística e confirmação bibliográfica de finalidade para ações farmacológicas preconizadas selecionou-se um total de 20 espécies botânicas ao se entrevistar os domiciliares e entrevistados referenciais (ER). Calculou-se a importância relativa de tais espécies para a população e o fator de consenso entre os informantes. Em relação aos profissionais de saúde pôde-se constatar que nenhum entrevistado soube conceituar o termo Fitoterápico segundo a ANVISA e que não conheciam suas políticas. A maior fonte de conhecimento sobre as plantas medicinais (PM) advêm do conhecimento autodidata (53,5%), sendo que 83% conhecem usuários da UAPS que utilizam PM por conta própria. Quanto ao retorno clínico do uso de PM 86,6% dos entrevistados consideram o tratamento mais barato, 75% acreditam ser um tratamento seguro e eficaz e 51% ressalta o benefício de menor reação adversa. Portanto existe a aceitabilidade da implantação de fitoterapia nas UAPS envolvidas, porém o conhecimento do tema ainda é limitado. Ao se entrevistar os domiciliares e ER levantou-se um total de 84 espécies botânicas. Constatou-se que 78,2% dos entrevistados utilizam PM e que esse conhecimento tem sido repassado a familiares e vizinhos principalmente. As espécies que apresentaram maior freqüência de citação foram: Plectrantus barbatus Andrews, Lippia alba (Mill.)N.E.Br., Foeniculum vulgare Mill. e Phyllanthus tenellus L. e as espécies consideradas mais versáteis foram: Rosmarinus officinalis L., Leonurus sibiricus L., Plantago major L. e Lippia alba (Mill.)N.E.Br.; por esta razão poderiam ser cultivadas no Horto da Prefeitura (localizado dentro da reserva) considerando a sua relevância e aplicabilidade para as comunidades do entorno desta Reserva. A partir das plantas elencadas a confirmação farmacológica possibilitou aproximar o conhecimento cultural em relação ao científico de 14 espécies. Este trabalho subsidia a aproximação da sabedoria popular do conhecimento científico o que poderá servir de base não só para manutenção deste conhecimento na comunidade, mas também como fomento para a implantação da Fitoterapia no município de Juiz de Fora.
The present study aimed to undertake an ethnopharmacological study in the communities located near the ReBio Poço D'Anta, seeking to provide grants for the deployment of Phytotherapy in the city of Juiz de Fora, MG. For such purpose, interviews were performed in these communities within three samples: health professionals of UAPS (Community Health Agents, Nursing Technichians, Nurses, Dentists, Physicians and Social workers), UAPS users (home patients), and referent respondents (with knowledge of medicinal plants - PM). To perform the statistic analysis and bibliography confirmation for the preconized pharmacological effects, a number of 20 botanical species were selected when interviewing the home patients and the referent respondents (ER). The importance of these species to the population ans the agreement factor was calculated. Regarding the health professionals it could be verified that no interviewed were able to explain the term phytotherapy and they didn't know about its policies. The largest source of knowledge about the PM come from autodidact knowledge 53.5%,of whitch 83% know UAPS users that use PM on their own. As for the clinical return of the use of MP 86.6% consider the cheaper treatment, about 75% believe to be a safe and effective treatment and 51% highlights the benefit of lower adverse reaction. Therefore there is acceptability for the implantation of phytotherapy in the UAPS involved, but knowledge of the subject is still limited. By interviewing the community and ER rose a total of 84 botanical species. It was found that 79% of the respondents use medicinal plants and that this kind of knowledge has been passed on, mostly to relatives and neighbors. The most mentioned species were: Plectrantus barbatus Andrews, Lippia alba (Mill.) N.E.Br, Foeniculum vulgare Mill., Phyllanthus tenellus L., the most versatile species considered are: Rosmarinus officinalis L., Leonurus sibiricus L., Plantago major L. and Lippia alba., therefore could be grown in the Garden of the City, considering their versatility and relevancy to the communities near this Garden City. From the listed plants the pharmacological confirmation made possible to approach the cultural and the scientific knowledge for 14 species. This study support the approach of common knowledge and scientific knowledge, which can serve as a basis not only for maintenance of this knowledge in the community, but also as an encouragement for the establishment of Phytotherapy in the city of Juiz de Fora.
Gomez, Felipe de Martino Pousada. "Capoterapia: a capoeira Angola como oficina terapêutica na reabilitação psicossocial de pessoas com diagnósticos de transtornos mentais." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-24022016-182954/.
Full textIn the context of the Psychiatric Reform, various types of therapeutic interventions are presented as important tools in order to contribute to psychosocial rehabilitation of people with mental disorders diagnostics. Associated with psychotropic drugs in the form of Therapeutic Workshops contribute effectively in maintaining control of psychiatric symptoms, enabling such rehabilitation, and between these modes is the Capoeira Angola. This research aimed to verify the contribution of Capoeira Angola in psychosocial rehabilitation of people with mental disorders diagnoses and evaluate a proposal for a brief group intervention with the use of this type of Capoeira, here called CapoTerapia in the context of psychiatric reform. Based on the framework of psychosocial rehabilitation, it was developed in an association to support people with mental disorders diagnostics. For this, seven members of this association, all diagnosed with schizophrenia, attended a workshop used the Capoeira Angola as a form of group therapy intervention soon. The workshop, CapoTerapia, offered in eight thematic meetings, was observed by the researcher and data this observation were recorded in a diary. At the end of each meeting a conversation wheel was held with participants concerning the theme worked. This conversation was recorded, transcribed verbatim and synthesized. At the end of the eight workshops, CapoTerapia, was made a separate interview with the participants, also recorded, transcribed verbatim and synthesized. The data obtained through observations, conversations and interviews were grouped into thematic categories that expressed the meaning of the manifest content and analyzed the light of descriptive qualitative analysis. The results showed that Capoeira Angola enabled the participants to experience the relative balance their emotional states, especially the integration between body and mind. Through the use movements, led participants to physically exercise, stimulating care to physical health. Promoted self-esteem and self- confidence. Motivated the development of close social relationships, combating loneliness, own of mental disorders and opened spaces for socializing. The use of own instruments of Capoeira Angola and also the musicality, created opportunities for the development of creativity, facilitated the expression of their feelings and offered alternatives to control aggression. Therefore, it can be considered that Capoeira Angola, in the form of workshop, CapoTerapia, proved to be an important tool to be used in mental health care in the pursuit of psychosocial rehabilitation of people with mental disorders diagnoses therefore its practice, facilitated the inclusion of participants in a cultural activity, sports and therapy, contributing also to prevent recurrence of these disorders