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Gestão de stress em pacientes com doença oncológica: uma intervenção baseada na realidade virtual
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Introdução: O câncer é um problema de saúde pública e tem todo um envolvimento social, cultural, genético e econômico. É a segunda causa de morte no mundo, e tem como característica um crescimento desordenado das células, invadindo os tecidos e órgãos. Tem múltiplas causas, não distingue sexo ou idade e o seu início é insidioso. Os pacientes com câncer apresentam, habitualmente, elevados níveis de Stress, ansiedade e depressão, com implicações psicossociais e biológicas. Objetivos: O presente trabalho visa elaborar, implementar e avaliar a eficácia de um programa de promoção da saúde, baseado na realidade virtual, em pacientes oncológicos, durante o tratamento de câncer. Os objetivos específicos são diminuir os níveis de
Stress, ansiedade e depressão dos pacientes submetidos ao tratamento de câncer e estudar as alterações na frequência cardíaca, na pressão arterial e na saturação de oxigénio. Metodologia: Estudo analítico, do tipo pré pós-teste, realizado num Hospital do Câncer do Maranhão, com avaliação antes e depois da intervenção. Participaram doze pacientes oncológicos (83,3% do sexo feminino) com idade média de 33,7±13,0 anos. A intervenção incluiu seis sessões personalizadas de meditação guiada, com realidade virtual e estímulos sensoriais. A avaliação consistiu na recolha de parâmetros fisiológicos (frequência cardíaca, pressão arterial e saturação de oxigénio) e na utilização da DASS-21, antes e depois da intervenção. Resultados: Quando
se compararam os parâmetros fisiológicos, antes e depois das sessões, verificou-se um aumento estatisticamente significativo (p=0,03) da saturação de oxigénio, após a primeira sessão. Relativamente aos níveis médios de ansiedade, Stress e depressão, estes diminuíram de forma significativa (p<.01) após intervenção. Conclusão: Considera-se que a intervenção implementada com base na realidade virtual, utilizando a meditação guiada por estímulos sensoriais, se mostrou eficaz na diminuição dos sintomas de Stress, depressão e ansiedade, e no aumento da saturação de oxigénio, promovendo bem-estar nos pacientes e favorecendo um melhor enfrentamento da doença.
Introduction: Cancer is a public health problem and has a social, cultural, genetic and economic involvement. It is the second leading cause of death in the world, and is characterized by a disorderly growth of cells, invading tissues and organs. It has multiple causes, does not distinguish gender or age and its onset is insidious. Cancer patients usually have high levels of stress, anxiety and depression, with psychosocial and biological implications. Objectives: The present work aims to design, implement, and evaluate the effectiveness of a health promotion program, based on virtual reality, in cancer patients, during cancer treatment. The specific objectives are to decrease the levels of stress, anxiety and depression in patients undergoing cancer treatment and to study changes in heart rate, blood pressure and oxygen saturation. Methodology: Analytic study design, pre-test type, carried out in a Hospital do Cancer do Maranhão, with evaluation before and after the intervention. Twelve cancer patients participated (83.3% female) with a mean age of 33.7 ± 13.0 years. The intervention included six personalized guided meditation sessions, with virtual reality and sensory stimuli. The assessment consisted of collecting physiological parameters (heart rate, blood pressure and oxygen saturation) and using DASS-21, before and after the intervention. Results: When comparing the physiological parameters, before and after the sessions, there was a statistically significant increase (p = 0.03) in oxygen saturation after the first session. Regarding the average levels of anxiety, stress, and depression, these decreased significantly (p <.01) after intervention. Conclusion: It is considered that the intervention implemented based on virtual reality, using meditation guided by sensory stimuli, proved to be effective in reducing the symptoms of stress, depression, and anxiety, and in increasing oxygen saturation, promoting well-being in patients and favoring a better coping of the disease.
Introduction: Cancer is a public health problem and has a social, cultural, genetic and economic involvement. It is the second leading cause of death in the world, and is characterized by a disorderly growth of cells, invading tissues and organs. It has multiple causes, does not distinguish gender or age and its onset is insidious. Cancer patients usually have high levels of stress, anxiety and depression, with psychosocial and biological implications. Objectives: The present work aims to design, implement, and evaluate the effectiveness of a health promotion program, based on virtual reality, in cancer patients, during cancer treatment. The specific objectives are to decrease the levels of stress, anxiety and depression in patients undergoing cancer treatment and to study changes in heart rate, blood pressure and oxygen saturation. Methodology: Analytic study design, pre-test type, carried out in a Hospital do Cancer do Maranhão, with evaluation before and after the intervention. Twelve cancer patients participated (83.3% female) with a mean age of 33.7 ± 13.0 years. The intervention included six personalized guided meditation sessions, with virtual reality and sensory stimuli. The assessment consisted of collecting physiological parameters (heart rate, blood pressure and oxygen saturation) and using DASS-21, before and after the intervention. Results: When comparing the physiological parameters, before and after the sessions, there was a statistically significant increase (p = 0.03) in oxygen saturation after the first session. Regarding the average levels of anxiety, stress, and depression, these decreased significantly (p <.01) after intervention. Conclusion: It is considered that the intervention implemented based on virtual reality, using meditation guided by sensory stimuli, proved to be effective in reducing the symptoms of stress, depression, and anxiety, and in increasing oxygen saturation, promoting well-being in patients and favoring a better coping of the disease.
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Realidade virtual Stress Ansiedade Depressão Neoplasias Virtual reality Physiological stress Depression Neoplasms