Essências florais: efeitos no alívio da dor, ansiedade, parâmetros clínicos e neuroendócrinos do estresse no trabalho de parto
Arquivos
Data
2020-07-30
Autores
Lara, Sonia Regina Godinho de 
Orientadores
Barbieri, Marcia
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A dor no trabalho de parto é singular, envolvendo aspectos fisiológicos, sociais e psicológicos. A ansiedade, o estresse, o medo e a sensação de perda do controle contribuem efetivamente para a sua presença neste período. A utilização de recursos não farmacológicos para alívio da dor durante o trabalho de parto busca resgatar o caráter fisiológico no processo de parturição. O presente estudo teve como objetivo analisar os efeitos das essências florais como terapia não farmacológica durante o trabalho de parto sobre a percepção da dor, ansiedade, respostas clínicas e neuroendócrinas do estresse. Trata-se de ensaio clínico experimental, randomizado, triplo cego e controlado no qual foi utilizado desenho pré e pós-intervenção com medidas repetidas entre 164 parturientes de risco obstétrico habitual, subdivididas entre dois grupos para as quais foram ministradas essências florais e placebo, respectivamente. Os resultados revelam que a essência floral Five Flower teve função importante diante os fatores que potencializam o trabalho de parto, isto é, rotura das membranas amnióticas, fase ativa e indução do parto. Proporcionou homogeneidade no aumento da frequência das contrações, ou seja, não houve aumento diferenciado das contrações frente aos referidos fatores. Observou-se aumento da β Endorfina juntamente com a diminuição de uma (01) contração em mulheres com rotura das membranas ovulares e com indução, fatores estes, que potencializam a dor do parto. Em relação ao estresse, houve constância do aumento dos valores do Cortisol para o Grupo Experimental, não alterando seu valor perante a fase ativa, rotura das membranas ovulares ou indução. A Essência Five Flower mostrou-se eficaz na redução do tempo do trabalho de parto, uma vez que o Grupo Experimental reduziu uma hora e trinta minutos (1:30h) do início da intervenção ao nascimento, quando comparado ao Grupo Controle. Em relação aos parâmetros clínicos, pressão arterial, pulso e respiração observou-se homogeneidade em ambos os grupos, experimental e controle. Conclui-se que a essência floral Five Flower, que tem como principal função, o regate do equilíbrio físico e emocional, mostrou-se eficaz no controle da dor, estresse e ansiedade durante o trabalho de parto, refletindo positivamente na sua brevidade e qualificando seu desfecho.
Pain in labor is singular, involving physiological, social, and psychological aspects. Anxiety, stress, fear, and feeling of losing control effectively contribute to its occurrence during this process. The use of non-pharmacological resources for pain relief during labor seeks to rescue the physiological character of the parturition process. This study aims at analyzing the effects of flower essences as non-pharmacological therapy on the perception of pain, on anxiety, and on clinical and neuroendocrine responses to stress during labor. This is an experimental, randomized, triple-blind, controlled clinical trial in which a pre- and post-intervention design was used with repeated measures among 164 parturients at usual obstetric risk, subdivided into two groups for which flower essences and placebo were administered, respectively. The results of this study reveal that the floral essence Five Flowers played an important function in labor enhancing factors like the amniotic membranes rupture, the active phase, and the labor induction itself. It provided a homogenous increase in the frequency of contractions, that is, there was no differentiated increase of contractions concerning these factors. There was an increase in β Endorphin, along with the reduction of one (01) contraction in women presenting amniotic membranes rupture and on labor induction, factors that increase labor pain. Regarding stress, there was a constant increase in Cortisol values on the experimental group, without value changes during the active phase, rupture of ovular membranes, or induction. The Five Flower Essence demonstrated to be effective in reducing labor time since the Experimental Group presented a reduction of one hour and thirty minutes (1:30h) from the beginning of the intervention to birth when compared to the Control Group. Regarding clinical parameters, blood pressure, pulse, and breathing remained homogeneous in both groups, experimental and control ones. The study concludes Five Flower floral essence, whose main function is to regain physical and emotional balance, proved to be effective in controlling pain, stress, and anxiety during labor, reflecting positively on its brevity and improving its outcome.
Pain in labor is singular, involving physiological, social, and psychological aspects. Anxiety, stress, fear, and feeling of losing control effectively contribute to its occurrence during this process. The use of non-pharmacological resources for pain relief during labor seeks to rescue the physiological character of the parturition process. This study aims at analyzing the effects of flower essences as non-pharmacological therapy on the perception of pain, on anxiety, and on clinical and neuroendocrine responses to stress during labor. This is an experimental, randomized, triple-blind, controlled clinical trial in which a pre- and post-intervention design was used with repeated measures among 164 parturients at usual obstetric risk, subdivided into two groups for which flower essences and placebo were administered, respectively. The results of this study reveal that the floral essence Five Flowers played an important function in labor enhancing factors like the amniotic membranes rupture, the active phase, and the labor induction itself. It provided a homogenous increase in the frequency of contractions, that is, there was no differentiated increase of contractions concerning these factors. There was an increase in β Endorphin, along with the reduction of one (01) contraction in women presenting amniotic membranes rupture and on labor induction, factors that increase labor pain. Regarding stress, there was a constant increase in Cortisol values on the experimental group, without value changes during the active phase, rupture of ovular membranes, or induction. The Five Flower Essence demonstrated to be effective in reducing labor time since the Experimental Group presented a reduction of one hour and thirty minutes (1:30h) from the beginning of the intervention to birth when compared to the Control Group. Regarding clinical parameters, blood pressure, pulse, and breathing remained homogeneous in both groups, experimental and control ones. The study concludes Five Flower floral essence, whose main function is to regain physical and emotional balance, proved to be effective in controlling pain, stress, and anxiety during labor, reflecting positively on its brevity and improving its outcome.
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Citação
LARA, Sonia Regina Godinho de. Essências florais: efeitos no alívio da dor, ansiedade, parâmetros clínicos e neuroendócrinos do estresse no trabalho de parto. 2020. [86] p. Tese (Doutorado em Enfermagem) - Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2020.