Abstract

ABSTRACTObjective:To investigate the effect of therapeutic listening on state anxiety and surgical fears in preoperative colorectal cancer patients. Method:A randomized controlled trial with 50 patients randomly allocated in the intervention group (therapeutic listening) (n = 25) or in the control group (n = 25). The study evaluated the changes in the variables state anxiety, surgical fears and physiological variables (salivary alpha-amylase, salivary cortisol, heart rate, respiratory rate and blood pressure). Results:In the comparison of the variables in the control and intervention groups in pre- and post-intervention, differences between the two periods for the variables cortisol (p=0.043), heart rate (p=0.034) and surgical fears (p=0.030) were found in the control group, which presented reduction in the values ​​of these variables. Conclusion:There was no reduction in the levels of the variables state anxiety and surgical fears resulting from the therapeutic listening intervention, either through the physiological or psychological indicators. However, the contact with the researcher during data collection, without stimulus to reflect on the situation, may have generated the results of the control group. Clinical Trial Registration: NCT02455128.

Highlights

  • Global cancer deaths increased 57% between 1990 and 2013(1)

  • We investigated the efficacy of therapeutic listening on state anxiety and surgical fears in preoperative colorectal cancer patients

  • The objective of this study was to evaluate the effect of therapeutic listening on state anxiety and surgical fears preoperative colorectal cancer patients

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Summary

Introduction

Global cancer deaths increased 57% between 1990 and 2013(1). Hospitalization for surgery can generate anxiety and fear in patients, after all, the surgical procedures and the hospitalization represent a threat to the patients and their families due to physical changes, and psychological and social reactions to this situation[3,4]. The situation is aggravated when it comes to patients who will undergo oncologic surgery, since cancer is a cause of clinically significant suffering[5]. Preoperative anxiety is a prevalent concern with deleterious effects on patient recovery, which can have repercussions such as increase in the use of anesthetic agents, heightened postoperative pain, and prolonged hospitalization[6]. The presence of preoperative fear was associated with increased pain rates, poor global recovery, lower levels of quality of life and vitality after surgery[7,8]

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