Objective:to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics. Method:randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables. Results:we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music. Conclusion:music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: .

Objective: Evaluating the effectiveness of a musical intervention in reducing anxiety and vital parameters in people suffering from head and neck cancer. Method: A randomized controlled clinical trial, performed in a head and neck outpatient clinic with 40 participants, subdivided into two groups (intervention and control). The classical music "Spring" from The Four Seasons by Vivaldi was used as an intervention. The State-Trait Anxiety Inventory (STAI) was used as the data collection instrument, along with an inventory of socio-demographic and clinical data. Student's t-test was used to verify intragroup and intergroup statistical significance. Results: Participants presented a statistically significant reduction in levels of perceived anxiety (t = 12.68; p<0.001), as well as blood pressure levels (t = 4.56; p<0.001); pulse (t = 6.15; p<0.001) and respiratory rate (t = 5.10; p<0.001). Conclusion: Music has proven to be an effective non-pharmacological therapeutic resource in managing anxiety in an outpatient setting for people with cancer, as well as in reducing blood pressure, pulse and respiratory rate. Brazilian Registry of Clinical Trials: RBR-7W4YJJ. descriPtOrs Music Therapy; Anxiety; Head and Neck Neoplasms; Humanization of Assistance; Oncology Nursing. Control of anxiety through music in a head and neck outpatient clinic: a randomized clinical trialUso da música no controle da ansiedade em ambulatório de cabeça e pescoço: ensaio clínico randomizado Uso de música en el control de la ansiedad en clínicas externas de cabeza y cuello: ensayo clínico aleatorizado

the final instrument presented content validity for data collection in head and neck clinic.

Aim: To investigate anxiety in cancer patients hospitalized in the mediate postoperative period, through the Trait-State Anxiety Inventory, and the correlation between anxiety and malignant neoplasms of the head and neck, stomach, and colorectal. Method: This is a descriptive, quantitative and correlational study, performed in a hospital located in the state of Ceará. We used an analysis of variance, ANOVA-F test, to assess the existence of differences in the scores of the scales. Results: The participants were 80 patients with a mean age of 50.9 years; they were mostly men (53.8%) with head and neck cancer (40.0%). The level of anxiety state and trait was moderate, and anxiety-state was slightly higher than trait anxiety in the three groups. Participants with head and neck malignant neoplasm had higher average scores of the state anxiety and trait anxiety. Conclusion: There was no statistically significant difference between anxiety and the three oncological surgical groups evaluated.

Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n = 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.

Objective: to construct and validate an educational booklet on high dose rate gynecological brachytherapy (HDR) for women with gynecologic cancer. Methods: a methodological study, with the construction and validity of a booklet based on the Doak, Doak and Root theoretical-methodological framework. Content and appearance validity was guided by the Delphi technique, by 11 judges, selected using Jasper’s criteria. Afterwards, clinical validity was carried out with the target population. Results: the booklet, built from evidence from an integrative review, validated with judges, obtained an overall CVI of 0.98. After clinical validity with 27 women, it presents 24 sheets with illustrations produced by a graphic designer, subdivided into topics: gynecological system anatomy and gynecological cancer epidemiology, gynecological brachytherapy definition, therapeutic steps, approach to side effects and management, and two pages for notes. Conclusions: the booklet has validity for use in HDR gynecological brachytherapy treatment.

RESUMO Objetivo: construir e validar uma cartilha educativa sobre braquiterapia ginecológica de alta taxa de dose (high dose radiation-HDR) para mulheres com câncer ginecológico. Métodos: estudo metodológico, com construção e validação de uma cartilha embasada no referencial teórico-metodológico de Doak, Doak e Root. A validação de conteúdo e aparência norteou-se pela técnica Delphi, por 11 juízes, selecionados através dos critérios de Jasper. Após, realizou-se a validação clínica com a população-alvo. Resultados: a cartilha, construída a partir de evidências de uma revisão integrativa, validada com juízes, obteve IVC global de 0,98. Após validação clínica com 27 mulheres, apresenta 24 folhas, com ilustrações produzidas por designer gráfico, subdividida em tópicos: anatomia do sistema ginecológico e epidemiologia dos cânceres ginecológicos, definição de braquiterapia ginecológica, etapas terapêuticas, abordagem dos efeitos colaterais e manejo, e duas páginas destinadas para anotações. Conclusões: a cartilha possui validação para uso no tratamento de braquiterapia ginecológica de HDR.