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20 - A MÚSICA COMO INSTRUMENTO DE CUIDADO NA ASSISTÊNCIA AO PACIENTE GRANDE QUEIMADO

Doi: 10.47094/978-65-284-0427-8/20

PALAVRAS CHAVE: Musicoterapia. Queimaduras. Dor. Cuidados de Enfermagem.

KEYWORDS: Music therapy. Burns. Pain. Nursing care.

ABSTRACT:
INTRODUCTION: Caring for severely burned patients presents a challenge for the multidisciplinary team, especially during wound dressings, a painful and traumatic procedure. Intense pain and emotional suffering require strategies that go beyond drug therapy. In this context, music stands out as an effective resource, contributing to pain relief and promoting well-being. Even if not institutionalized, music therapy can be integrated into routine care as a sensitive and patient-centered practice, especially in situations involving significant suffering, such as the care of extensive burns. OBJECTIVE: To report the experience of using music as a complementary strategy in nursing care for a severely burned patient, highlighting its effects on pain relief, psychological distress, and the promotion of comfort. METHOD: This is a qualitative and descriptive experience report based on the experiences of Nursing residents participating in the Multiprofessional Residency Program in Adult Intensive Care, in an intensive care unit of a hospital in Porto Velho, Rondônia, in 2025. The experience described refers to the care provided to a patient suffering from burns covering approximately 85% of their body surface. Data were collected through direct observation of the patient's reactions during dressing changes, before and after the introduction of a playlist of their preferred music. The responses were analyzed based on the team's perception and the observed behavioral manifestations. RESULTS AND DISCUSSION: Before the introduction of music, the patient experienced intense pain during dressing changes, even with the use of opioids, exhibiting agitation, screams, and signs of suffering. The inclusion of a playlist of their preferred music resulted in noticeable changes, such as singing during the procedure, demonstrating greater pain tolerance, less agitation, and less verbalization of discomfort. Music served as a distraction, promoting emotional support. A lighter atmosphere and a stronger bond with the patient were observed, favoring person-centered care. These findings reinforce the potential of music therapy as an effective strategy in reducing perceived pain and coping with suffering. CONCLUSION: The experience demonstrated that the use of music as a strategy during dressing changes in a severely burned patient contributed to pain reduction, relief of psychological suffering, and promotion of comfort. The intervention, aligned with the patient's preferences, proved to be simple, effective, and welcoming, strengthening the therapeutic bond and highlighting the importance of integrative practices in nursing care for critically ill patients.

Autores

  • Denise Taquini

  • Mayanne Pereira de Moura

  • Sandra Maria Schulz

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