Abstract
ABSTRACTIntroduction:The sources of stress involved in chronic kidney disease (CKD) can lead to depressive states, directly affecting the hemodialysis patient's quality of life (QOL). There are few reports and studies on therapeutic interventions that aim to minimize depressive symptoms in these patients and an even greater shortage of studies using music therapy.Objective:This study evaluated the effect of music therapy on QOL and depressive symptoms in hemodialysis patients.Method:This was a music therapy intervention study in which 23 patients were evaluated regarding QOL and depression symptoms at two distinct stages - before and after the intervention. Eight sessions of music therapy were conducted, with two weekly sessions and an average duration of 75 minutes. The intervention was conducted by the music therapist herself, using specific music therapy techniques, besides voice and guitar to conduct harmonic and rhythmic support for the groups' sound-music production.Results:The patients showed a significant reduction in depression symptoms (p < 0.001) and better QOL results, with significant differences in the following dimensions: functional capacity (p = 0.011), pain (p = 0.036), general health (p = 0.01), vitality (p = 0.004), mental health (p = 0.012), symptom and problem list (p = 0.01), and overall health (p = 0.01).Conclusions:Intervention with music therapy constitutes an effective option in the treatment and prevention of depressive symptoms and improved QOL of HD patients.
Highlights
The sources of stress involved in chronic kidney disease (CKD) can lead to depressive states, directly affecting the hemodialysis patient’s quality of life (QOL)
This study evaluated the effect of music therapy on QOL and depressive symptoms in hemodialysis patients
The results of this study indicate that music therapy has a beneficial effect in reducing depressive symptoms and improving the QOL of the studied population
Summary
The sources of stress involved in chronic kidney disease (CKD) can lead to depressive states, directly affecting the hemodialysis patient’s quality of life (QOL). Objective: This study evaluated the effect of music therapy on QOL and depressive symptoms in hemodialysis patients. Method: This was a music therapy intervention study in which 23 patients were evaluated regarding QOL and depression symptoms at two distinct stages – before and after the intervention. Conclusions: Intervention with music therapy constitutes an effective option in the treatment and prevention of depressive symptoms and improved QOL of HD patients. Despite the quantitative increase in CKD patient survival due to the technological and therapeutic advances in recent decades,[4] frequently this progress is not accompanied by a significant recovery of physical, emotional, and social conditions.[5] The diagnosis and treatment of CKD can result in a significant impact and numerous losses and limitations in the patient’s daily life, leading to various biopsychosocial changes.[4,6] All of these changes, together with the limitations of CKD itself, can have a significant effect on the patient’s quality of life (QOL). For the dialytic CKD patient, QOL can be understood as the individual’s perception of well-being, ranging from satisfaction to dissatisfaction, in relation to areas of life that are important to him.[7]
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