Autor(es):
Ribeiro, Núbia Franca Passos ; Ribeiro, Caíque Jordan Nunes ; Oliveira, Aline Láyra Carvalho ; Dias, Emilly Mayara Feitoza ; Santos, Moniery da Silva ; Santos, Allan Dantas dos ; Santos, Eduesley Santana ; Morais, Fábio Barreto ; Melo, Gustavo Barreto ; Ribeiro, Maria do Carmo de Oliveira
Data: 2021
Origem: Oasisbr
Assunto(s): Diabetes Mellitus; Fotocoagulação; Manejo da dor; Música; Retina.; Diabetes Mellitus; Photocoagulation; Pain management; Music; Retina.; Diabetes Mellitus; Photocoagulation; Pain management; Music; Retina.
Descrição
Objective: To prospectively evaluate the analgesic effect of self-selected music for patients with diabetic retinopathy who underwent laser retinal photocoagulation (LRP). Methodology: This is a controlled, randomized, blinded, two-period crossover clinical trial. Twenty patients (40 eyes) with proliferative diabetic retinopathy who underwent LRP was enrolled. Listening to the patient's favorite music before and during the LRP was the non-pharmacological intervention. The control group (CG) was composed of patients who received only standard pharmacological treatment and the experimental group (EG) of those who received the intervention associated with standard pharmacological treatment. Pain was measured using the Numerical Verbal Scale. Differences in pain scores were tested using Aligned Rank Transformed ANOVA, Mann-Whitney U and Wilcoxon tests. The effect size of the differences was assessed using Rank Bisserial and Partial Square Effect Sizes. Results: Participants were predominantly male (60%), adults (57.4±9.1 years), with comorbidities (65%), with visual impairment ≥ 1 year (65%). Participants who heard music had lower pain scores (EG: 4.80±2.46) compared to those who did not (CG: 6.75±1.59; p=0.013). The application of self-selected music showed a large size of the analgesic effect (η²=0.189). Conclusion: Listening to the patient's favorite music, associated with standard analgesia, is effective in relieving acute LRP-related pain and should be incorporated into clinical practice for the multimodal treatment of pain in this procedure.
Objective: To prospectively evaluate the analgesic effect of self-selected music for patients with diabetic retinopathy who underwent laser retinal photocoagulation (LRP). Methodology: This is a controlled, randomized, blinded, two-period crossover clinical trial. Twenty patients (40 eyes) with proliferative diabetic retinopathy who underwent LRP was enrolled. Listening to the patient's favorite music before and during the LRP was the non-pharmacological intervention. The control group (CG) was composed of patients who received only standard pharmacological treatment and the experimental group (EG) of those who received the intervention associated with standard pharmacological treatment. Pain was measured using the Numerical Verbal Scale. Differences in pain scores were tested using Aligned Rank Transformed ANOVA, Mann-Whitney U and Wilcoxon tests. The effect size of the differences was assessed using Rank Bisserial and Partial Square Effect Sizes. Results: Participants were predominantly male (60%), adults (57,4±9,1 years), with comorbidities (65%), with visual impairment ≥ 1 year (65%). Participants who heard music had lower pain scores (EG: 4,80±2,46) compared to those who did not (CG: 6,75±1,59; p=0,013). The application of self-selected music showed a large size of the analgesic effect (η²=0.189). Conclusion: Listening to the patient's favorite music, associated with standard analgesia, is effective in relieving acute LRP-related pain and should be incorporated into clinical practice for the multimodal treatment of pain in this procedure.
Objetivo: Avaliar prospectivamente o efeito analgésico da música de preferência do paciente com retinopatia diabética que foram submetidos à fotocoagaluação retiniana a laser (FRL). Metodologia: Trata-se de um ensaio clínico controlado, randomizado, cego e crossover de dois períodos. Participaram vinte pacientes (40 olhos) com retinopatia diabética proliferativa que foram submetidos à FRL. A escuta musical de preferência do paciente antes e durante a FRL foi a intervenção não farmacológica testada. O grupo controle (GC) foi composto por pacientes que receberam apenas o tratamento farmacológico padrão e o grupo experimental (GE) por aqueles que receberam a intervenção associada ao tratamento farmacológico padrão. A dor foi mensurada pela Escala Numérica Verbal. As diferenças dos escores de dor foram examinadas por meio dos testes Aligned Rank Transformed ANOVA, Mann-Whitney U e de Wilcoxon. O tamanho do efeito das diferenças foi avaliado usando Tamanhos de Efeito Rank Bisserial e Parcial Square. Resultados: Os participantes eram predominantemente do sexo masculino (60%), adultos (57,4±9,1 anos), com comorbidades (65%), com deficiência visual ≥ 1 ano (65%). Os participantes que ouviram música apresentaram menores escores de dor (GE: 4,80±2,46) comparados aos que não ouviram (GC:6,75±1,59; p=0,013). A aplicação de música de preferência do paciente mostrou um grande tamanho do efeito analgésico (η²=0,189). Conclusão: Ouvir música de preferência do paciente, associada à analgesia padrão, é eficaz no alívio da dor aguda relacionada à FRL e deve ser incorporada à prática clínica para o tratamento multimodal da dor nesse procedimento.
