Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2661 |
Resumo: | Pain during labor may be considered as an impediment for choosing a vaginal delivery. In an attempt to reduce pain during labor, several pharmacological and non-pharmacological methods are proposed. In the search for alternatives to pharmacological treatment for analgesia during labor wich are effective and to be used in both public and private institutions, this research has the objective of evaluating the effect of photobiomodulation with LED (Light Emitting Diode) in analgesia during labor. For this, a clinical trial was performed with 29 women divided into two groups: G1 (experimental group-LED) and G2 (Control group - hot bath). In the experimental group, the LED plate (red and infrared) was placed in the dorsal region of the patient from T10 to S4 level for 10 minutes, and the plate switched off automatically. The hot temperature controlled bath was performed for 30 minutes. To verify the effect of LED on analgesia during labor, the following variables were evaluated: (1) perception of pain; (2) fetal conditions using cardiotocography or intermittent fetal auscultation; (3) Apgar score in the first and fifth minutes after birth and (4) time of delivery. A statistically significant difference (p <0.05) in pain reduction was observed by means visual scale before and after application in G1 - LED (7.92 + - 1.78). Regarding the other variables, there was no statistically significant difference between the groups when comparing fetal conditions, Apgar score and delivery time. It is concluded that the LED can be considered an alternative, since it had as effect the reduction of the pain without changes in the other parameters during labor when comparing with the hot bath method used as protocol in the hospitals, demonstrating to be safe. It is suggested, however, the continuity in the clinical trials with larger samples and possible dosimetric adjustments to establish a photobiomodulation protocol for analgesia during childbirth. |
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Motta, Lara Jansiskihttp://lattes.cnpq.br/6750462252900819Motta, Lara Jansiskihttp://lattes.cnpq.br/6750462252900819Horliana, Anna Carolina Ratto Tempestinihttp://lattes.cnpq.br/0442315483134442Bussadori, Sandra Kalilhttp://lattes.cnpq.br/4110914499694913Navarro, Ricardo Scarparohttp://lattes.cnpq.br/9120674464635588Cernach, Marlene Cecilia Soares Pinhohttp://lattes.cnpq.br/7995146756619559Traverzim, Maria Aparecida dos Santos2021-11-04T15:56:52Z2019-07-26Traverzim, Maria Aparecida dos Santos. Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado. 2019. 70 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2661Pain during labor may be considered as an impediment for choosing a vaginal delivery. In an attempt to reduce pain during labor, several pharmacological and non-pharmacological methods are proposed. In the search for alternatives to pharmacological treatment for analgesia during labor wich are effective and to be used in both public and private institutions, this research has the objective of evaluating the effect of photobiomodulation with LED (Light Emitting Diode) in analgesia during labor. For this, a clinical trial was performed with 29 women divided into two groups: G1 (experimental group-LED) and G2 (Control group - hot bath). In the experimental group, the LED plate (red and infrared) was placed in the dorsal region of the patient from T10 to S4 level for 10 minutes, and the plate switched off automatically. The hot temperature controlled bath was performed for 30 minutes. To verify the effect of LED on analgesia during labor, the following variables were evaluated: (1) perception of pain; (2) fetal conditions using cardiotocography or intermittent fetal auscultation; (3) Apgar score in the first and fifth minutes after birth and (4) time of delivery. A statistically significant difference (p <0.05) in pain reduction was observed by means visual scale before and after application in G1 - LED (7.92 + - 1.78). Regarding the other variables, there was no statistically significant difference between the groups when comparing fetal conditions, Apgar score and delivery time. It is concluded that the LED can be considered an alternative, since it had as effect the reduction of the pain without changes in the other parameters during labor when comparing with the hot bath method used as protocol in the hospitals, demonstrating to be safe. It is suggested, however, the continuity in the clinical trials with larger samples and possible dosimetric adjustments to establish a photobiomodulation protocol for analgesia during childbirth.dor durante o trabalho de parto pode ser considerada um empecilho para a escolha pelo parto vaginal. Na tentativa de amenizar o quadro de dor durante o trabalho de parto vários métodos farmacológicos e não farmacológicos são propostos. Na busca de alternativas ao tratamento farmacológico para a analgesia durante o trabalho de parto e que sejam efetivas e para serem utilizadas tanto em instituições públicas quanto privadas, esta pesquisa tem o objetivo de avaliar o efeito da fotobiomodulação com LED (Light Emitting Diode) na analgesia durante o trabalho de parto. Para tanto, realizou-se um ensaio clínico com 29 mulheres divididas em dois grupos: G1 (grupo experimental-LED) e G2 (Grupo controle - banho quente). No grupo experimental a placa de LED (vermelho e infravermelho) foi colocada na região dorsal da paciente, a nível de T10 a S4, por 10 minutos, sendo que a placa se desligava automaticamente.O banho quente em temperatura controlada foi realizado durante 30 minutos. Para verificar o efeito do LED na analgesia durante o trabalho de parto, foram avaliadas as seguintes variáveis: (1) percepção da dor; (2) condições fetais utilizando cardiotocografia ou ausculta fetal intermitente; (3) índice de Apgar no primeiro e quinto minutos após o nascimento e (4) tempo de parto. Observou-se diferença estatisticamente significante (p<0,05) na redução da dor, por meio de escala visual milimetrada antes e depois da aplicação no G1 - LED (7,92+- 1,78). Em relação às outras variáveis, não houve diferença estatisticamente entre os grupos ao comparar as condições fetais, índice de Apgar e tempo de parto. Conclui-se que o LED pode ser considerado uma alternativa, uma vez que apresentou como efeito a redução da dor sem alterações nos demais parâmetros durante o trabalho de parto ao comparar com o método do banho quente utilizado como protocolo nos hospitais, demonstrando-se seguro. Sugere-se, no entanto, continuidade nos ensaios clínicos com maior amostra e possíveis ajustes dosimétricos para estabelecimento de um protocolo de fotobiomodulação para analgesia durante o parto.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-11-04T15:56:52Z No. of bitstreams: 1 Maria Aparecida dos Santos Traverzim.pdf: 1731420 bytes, checksum: e84e14cd85ebfb2121f0b299796903d1 (MD5)Made available in DSpace on 2021-11-04T15:56:52Z (GMT). No. of bitstreams: 1 Maria Aparecida dos Santos Traverzim.pdf: 1731420 bytes, checksum: e84e14cd85ebfb2121f0b299796903d1 (MD5) Previous issue date: 2019-07-26application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Biofotônica Aplicada às Ciências da SaúdeUNINOVEBrasilSaúdeanalgesiatrabalho de partolight emitter diodedorbiofotomodulaçãoanalgesialaborlight emitter diodepainbiophotomodulationCIENCIAS DA SAUDEAnálise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controladoAnalysis of the effect of biophotomodulation on analgesia during labor: a controlled clinical testinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALMaria Aparecida dos Santos Traverzim.pdfMaria Aparecida dos Santos Traverzim.pdfapplication/pdf1731420http://localhost:8080/tede/bitstream/tede/2661/2/Maria+Aparecida+dos+Santos+Traverzim.pdfe84e14cd85ebfb2121f0b299796903d1MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2661/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/26612021-11-04 13:56:52.394oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2021-11-04T15:56:52Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
dc.title.alternative.eng.fl_str_mv |
Analysis of the effect of biophotomodulation on analgesia during labor: a controlled clinical test |
title |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
spellingShingle |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado Traverzim, Maria Aparecida dos Santos analgesia trabalho de parto light emitter diode dor biofotomodulação analgesia labor light emitter diode pain biophotomodulation CIENCIAS DA SAUDE |
title_short |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
title_full |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
title_fullStr |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
title_full_unstemmed |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
title_sort |
Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado |
author |
Traverzim, Maria Aparecida dos Santos |
author_facet |
Traverzim, Maria Aparecida dos Santos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Motta, Lara Jansiski |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6750462252900819 |
dc.contributor.referee1.fl_str_mv |
Motta, Lara Jansiski |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6750462252900819 |
dc.contributor.referee2.fl_str_mv |
Horliana, Anna Carolina Ratto Tempestini |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0442315483134442 |
dc.contributor.referee3.fl_str_mv |
Bussadori, Sandra Kalil |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/4110914499694913 |
dc.contributor.referee4.fl_str_mv |
Navarro, Ricardo Scarparo |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/9120674464635588 |
dc.contributor.referee5.fl_str_mv |
Cernach, Marlene Cecilia Soares Pinho |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7995146756619559 |
dc.contributor.author.fl_str_mv |
Traverzim, Maria Aparecida dos Santos |
contributor_str_mv |
Motta, Lara Jansiski Motta, Lara Jansiski Horliana, Anna Carolina Ratto Tempestini Bussadori, Sandra Kalil Navarro, Ricardo Scarparo Cernach, Marlene Cecilia Soares Pinho |
dc.subject.por.fl_str_mv |
analgesia trabalho de parto light emitter diode dor biofotomodulação |
topic |
analgesia trabalho de parto light emitter diode dor biofotomodulação analgesia labor light emitter diode pain biophotomodulation CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
analgesia labor light emitter diode pain biophotomodulation |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Pain during labor may be considered as an impediment for choosing a vaginal delivery. In an attempt to reduce pain during labor, several pharmacological and non-pharmacological methods are proposed. In the search for alternatives to pharmacological treatment for analgesia during labor wich are effective and to be used in both public and private institutions, this research has the objective of evaluating the effect of photobiomodulation with LED (Light Emitting Diode) in analgesia during labor. For this, a clinical trial was performed with 29 women divided into two groups: G1 (experimental group-LED) and G2 (Control group - hot bath). In the experimental group, the LED plate (red and infrared) was placed in the dorsal region of the patient from T10 to S4 level for 10 minutes, and the plate switched off automatically. The hot temperature controlled bath was performed for 30 minutes. To verify the effect of LED on analgesia during labor, the following variables were evaluated: (1) perception of pain; (2) fetal conditions using cardiotocography or intermittent fetal auscultation; (3) Apgar score in the first and fifth minutes after birth and (4) time of delivery. A statistically significant difference (p <0.05) in pain reduction was observed by means visual scale before and after application in G1 - LED (7.92 + - 1.78). Regarding the other variables, there was no statistically significant difference between the groups when comparing fetal conditions, Apgar score and delivery time. It is concluded that the LED can be considered an alternative, since it had as effect the reduction of the pain without changes in the other parameters during labor when comparing with the hot bath method used as protocol in the hospitals, demonstrating to be safe. It is suggested, however, the continuity in the clinical trials with larger samples and possible dosimetric adjustments to establish a photobiomodulation protocol for analgesia during childbirth. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-07-26 |
dc.date.accessioned.fl_str_mv |
2021-11-04T15:56:52Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Traverzim, Maria Aparecida dos Santos. Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado. 2019. 70 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2661 |
identifier_str_mv |
Traverzim, Maria Aparecida dos Santos. Análise do efeito da biofotomodulação na analgesia durante o trabalho de parto: ensaio clínico controlado. 2019. 70 f. Tese( Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2661 |
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Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde |
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Universidade Nove de Julho |
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