A terapia floral no cuidado integral à população durante a pandemia de COVID-19 / Flower therapy in holistic care for the population during theCOVID-19 pandemic

O presente estudo objetivou: descrever o perfil dos usuários que buscaram a terapia floral como estratégia de cuidado integral durante a pandemia de COVID-19; e identificar as principais causas de saúde que os levaram a optar por essa prática integrativa. Estudo descritivo com abordagem qualitativa, realizado com usuários do projeto de extensão "Práticas Integrativas e Complementares em Saúde", durante o teleatendimento em terapia floral, realizado entre julho e novembro de 2020. Os dados foram tratados pela análise lexical, utilizando o recurso da Nuvem de Palavras e analisados pela Técnica de Análise de Conteúdo de Bardin. Entre as necessidades de saúde que motivaram a busca pela terapia floral, houve predominância nas enunciações de ansiedade, medo, insegurança e insônia. Constatou-se que o isolamento social afetou a saúde dos usuários, gerando desequilíbrio nos sentimentos e emoções e que o uso das essências florais emergiu como uma possibilidade terapêutica para controle das emoções.

The present study aimed to: describe the profile of users who sought flower therapy as a comprehensive care strategy during the COVID-19 pandemic and identify the main health causes that led them to opt for this integrative practice. It was a descriptive study with a qualitative approach, conducted with users of the extension project "Integrative and complementary practices in health" during the remote service in flower therapy, carried out between July and November 2020. The data were processed by lexical analysis, using the word cloud resource, and analyzed by Bardin's content analysis technique. Among the health needs that motivated the search for flower therapy, there was a predominance in the enunciations of anxiety, fear, insecurity, and insomnia. The study found that social isolation affected the health of users, generating an imbalance in feelings and emotions, and the use of flower essences emerged as a therapeutic possibility to control emotions.

Efectividad de la terapia floral en pacientes con hipertensión arterial descontrolada / Effectiveness of flower therapy in patients with uncontrolled hypertension

Se efectuó un estudio cuasiexperimental de 60 pacientes con hipertensión arterial descontrolada, atendidos en el consultorio 31, perteneciente al Policlínico Docente "30 de Noviembre" de Santiago de Cuba, desde abril de 2012 hasta igual periodo de 2013, a fin de evaluar la efectividad del sistema floral terapéutico de Bach en el tratamiento de los afectados. Se confeccionaron 2 grupos (experimental y control) de 30 integrantes cada uno. Ambos recibieron su tratamiento farmacológico hipotensor habitual, pero al primero se le adicionó la terapia floral y al segundo, captopril. Al cuarto día de ser tratados se estabilizó la tensión arterial en la mayoría de los integrantes de la serie; sin embargo, no se logró dicho control en un miembro del primer grupo (3,3 %) y en 3 del segundo (10,0 %), lo cual demostró la efectividad de la terapia floral en el tratamiento de la citada afección.

A quasi-experimental study of 60 patients with uncontrolled hypertension, assisted in the doctor's office 31, belonging to "30 de Noviembre" Teaching Polyclinic in Santiago de Cuba was carried out from April, 2012 to the same period of 2013, in order to evaluate the effectiveness of Bach's therapeutic flower system in the treatment of those affected. Two groups were made (experimental group and control group) of 30 members each. Both received their pharmacological habitual hypotensive treatment, but the flower therapy was added to the first one and captopril to the second. After four days of being treated the blood pressure was stabilized in most of the members of the series; however, this control was not achieved in a member of the first group (3,3 %) and in 3 of the second (10,0 %), demonstrating the effectiveness of the flower therapy in the treatment of the mentioned disorder.

Terapia floral como medio de transformación psíquica y orgánica en una paciente con síndrome de Down / Flower therapy as a mean of psychic and organic transformation in a patient with Down syndrome

Se describe el caso clínico de una paciente de 23 años de edad, con síndrome de Down, quien presentaba retraimiento, miedo, marcada tartamudez, obesidad, hipertensión arterial e hipercolesterolemia, para lo cual se le indicó terapia floral. Se le realizaron los exámenes físicos y complementarios pertinentes y fue evaluada a los 21, 45 y 90 días. Finalmente, se lograron transformaciones emocionales orgánicas y físicas, de manera que se observó un cambio significativo en su comportamiento.

The case report of a 23 year-old patient with Down syndrome who presented retraction, fear, marked stuttering, obesity, hypertension and hypercholesterolemia, for which floral therapy was indicated, is described, . The physical exams and the complementary tests were carried out and she was evaluated at 21, 45 and 90 days. Finally, organic emotional and physical transformations were achieved, so that a significant change was observed in her behavior.

Terapia floral y acupuntura en una anciana con alopecia areata / Flower therapy and acupuncture in an aged woman with alopecia areata

Se presenta el caso clínico de una anciana de 64 años de edad, quien presentaba alopecia areata desde hacía más de 25 años, para lo cual había recibido tratamiento convencional (hormonas) en varias ocasiones, pero sin resultados, de manera que en esta ocasión se le indicó terapia floral (sublingual y tópica) y acupuntura (martillo de 7 puntas); resultados que fueron evaluados a los 3 meses, a los 6 y al año. Finalmente, la combinación de estos procederes resultó efectiva.

The case report of a 64 year-old old woman who presented alopecia areata for more than 25 years, for which she had received conventional treatment (hormones) in several occasions, but without results is presented, so that in this occasion she was indicated flower therapy (sublingually and topically) and acupuncture (hammer of 7 tips); these results were evaluated after 3 and 6 months, and after a year. Finally, the combination of these procedures was effective.

Terapia floral como modalidad terapéutica en el trastorno por déficit de atención con hiperactividad / Flower therapy as therapeutic modality in attention deficit disorder with hyperactivity

Se realizó un estudio experimental, del tipo ensayo comunitario, no enmascarado y no aleatorizado, de 60 niños y adolescentes entre 5 y 19 años de edad, de ambos sexos, con trastorno por déficit de atención con hiperactividad, pertenecientes a los policlínicos "Camilo Torres Restrepo" y "Carlos J. Finlay", atendidos en el Centro Comunitario de Salud Mental del Distrito "26 de Julio" de Santiago de Cuba, desde septiembre de 2010 hasta abril de 2011, a fin de evaluar la eficacia de la terapia floral de Bach en el tratamiento de estos pacientes. Se conformaron 2 grupos de tratamiento: uno de estudio y otro de control, con 30 integrantes en cada caso. En los que componían el primero, tratados con terapia floral asociada al tratamiento farmacológico, se logró una mayor disminución de las alteraciones conductuales y emocionales.

An unblinded nonrandomized experimental study of community trial was conducted in 60 children and adolescents between 5 and 19 years of age, of both sexes, with attention deficit disorder and hyperactivity, belonging to "Camilo Torres Restrepo" and "Carlos J. Finlay" Polyclinics, attended at the Community Center of Mental Health of "26 of Julio" District in Santiago de Cuba, from September 2010 to April 2011, in order to evaluate the effectiveness of Bach's flower therapy in these patients. Two treatment groups were formed: study group and control group with 30 members each. In the first group treated with flower therapy associated with medical treatment a greater reduction of behavioral and emotional disorders was obtained.

Efectividad de la terapia floral de Bach en pacientes con alcoholismo crónico / Effectiveness of Bach flower therapy in patients with chronic alcoholism

Se realizó una intervención terapéutica en 15 pacientes con alcoholismo crónico, pertenecientes al Grupo Básico de Trabajo No. 3 del Policlínico Docente "Armando García Aspurú", de Santiago de Cuba, desde junio de 2008 hasta febrero de 2009, a fin de evaluar la efectividad de la terapia floral de Bach en el tratamiento de dichos pacientes, para lo cual se aplicó primero un esquema terapéutico general y luego individual. Se emplearon la media aritmética para cuantificar los datos, la desviación estándar para estimar la variabilidad y el porcentaje como medida de resumen, con un intervalo de confianza de 95 %. La favorable evolución observada en la mayoría de ellos puso de manifiesto la utilidad de esta terapia para disminuir manifestaciones psicosomáticas de ansiedad, depresión e insomnio y mejorar así la calidad de vida, tanto de los afectados como de sus familiares.

A therapeutic intervention was performed in 15 patients with chronic alcoholism, belonging to the Working Basic Group No. 3 of "Armando García Aspurú" Teaching Polyclinic in Santiago de Cuba, from June 2008 to February 2009, in order to evaluate the effectiveness of Bach flower therapy in the treatment of these patients, thus applying a therapeutic regimen generally first and then individually. The arithmetic mean to quantify the data, the standard deviation to estimate the variability and the percentage as summary measure were used, with a 95% confidence interval. The favorable course observed in most of them demonstrated the usefulness of this therapy to reduce psychosomatic manifestations of anxiety, depression and insomnia and improve the life quality of both patients and their families.

Complementary and integrative practices in oral health: A Systematic Review / Práticas integrativas e complementares em saúde bucal: uma revisão sistemática

Objective: To present a systematic literature review on the use of Complementary and Integrative Practices (CIP) in the field of dentistry. Methods: Randomized, controlled clinical trials (RCT) were selected from the PubMed-MEDLINE database (2000 - 2010). The articles were classified according to type of therapy, level of significance of results, impact factor, and area of knowledge of the periodicals. Results: Ninety-one RCTs were included: 43 (47%) on Laser therapy, 31 (34%) on Phytotherapy, 14 (16%) on Acupuncture, 2 (2%) on Homeopathy, and 1(1%) on Hypnosis. The results showed negative evidences, particularly for Laser therapy (n = 27;30%), whereas Phytotherapy (n=20;22%), Acupuncture (n = 12;13%) and Homeopathy (n = 2;2%) presented higher frequency of positive results. The RCTs researched were published in journals related to dentistry (n = 59;64%), medicine (n = 21;23.5%), other areas (n = 7;8%) and CIP (n = 4;4.5%). Conclusions: It was concluded that there are positive evidences for the use of some types of CIP in oral health. However, they are limited as regards their quality and consistency, with little difference between the positive and negative results, characterizing little strength of evidence, and consequently low potential for clinical application in accordance with the principles of evidence-based dentistry.

Objetivo: Apresentar uma revisão sistemática da literatura sobre a utilização de Práticas Integrativas e Complementares (PIC) na área da Odontologia. Métodos: Estudos Clínicos Controlados Randomizados (ECCR) foram selecionados na base de dados PUBMED (2000-2010). Os artigos foram classificados de acordo com o tipo de terapia, nível de significância dos resultados, fator de impacto e área de conhecimento dos periódicos. Resultados: Noventa e um ECCRs foram incluídos: 43 (47%) sobre laserterapia; 31 (34%) sobre fitoterapia; 14 (16%) sobre acupuntura; 2 (2%) sobre homeopatia e 1 (1%) sobre hipnose. Os resultados mostraram evidências negativas especialmente para a laserterapia (n = 27; 30%); enquanto que maiores frequências de resultados positivos foram detectadas para a fitoterapia (n = 20; 22%), acupuntura (n=12; 13%) e homeopatia (n = 2; 2%). Os ECCRs foram publicados em periódicos de Odontologia (n = 59; 64%), Medicina (n = 21; 23,5%), outras áreas (n=7; 8%) e PIC (n = 4; 4,5%). Conclusões: Conclui-se que há evidências positivas sobre a utilização de PIC em saúde bucal. Entretanto, as mesmas são limitadas em relação à qualidade e consistência, com pequena diferença entre resultados positivos e negativos. Este fato caracteriza pouca força de evidência e consequentemente baixo potencial para indicação clínica de acordo com os princípios da Odontologia baseada em evidências.