RESUMO Existem muitas intervenções terapêuticas à mulher em fase de climatério. As Práticas Integrativas e Complementares em Saúde (Pics), embora não sejam amplamente utilizadas, apresentam um bom custo- -benefício e são coerentes com os conceitos de autocuidado e de saúde integrativa, sendo relevante avaliar suas beneficências. Objetivou-se descrever e sintetizar as evidências científicas disponíveis na literatura sobre os benefícios dessas práticas para a assistência à mulher em fase de climatério. Fez-se uma revisão sistemática construída a partir da busca de ensaios clínicos que respondessem à seguinte pergunta de pesquisa: quais os benefícios das Pics na melhoria da qualidade de vida e dos sintomas de mulheres no climatério? Realizou-se uma busca nas bases de dados Cumulative Index to Nursing and Allied Health, Latin American and Caribbean Health Sciences Literature, Embase e Medical Literature Analysis and Retrieval System Online. Como resultado, identificaram-se 24 estudos que atenderam aos critérios de inclusão e ao protocolo PRISMA. Todos os ensaios clínicos da amostra final investigaram apenas 3 entre as 29 Pics - acupuntura, yoga e fitoterapia - ofertadas pelo Sistema Único de Saúde. A revisão realizada sugere que a yoga, a acupuntura e a fitoterapia, com diferentes extratos de ervas, têm lugar na assistência integrativa das mulheres no climatério.

ABSTRACT There are many therapeutic interventions for women in the climacteric phase. Integrative and Complementary Health Practices (PICS), although not widely used, are cost-effective and consistent with the concepts of self-care and integrative health, and it is important to evaluate their benefits. The aim was to describe and synthesize the scientific evidence available in the literature on the benefits of these practices for assisting women in the climacteric phase. A systematic review was carried out based on the search for clinical trials that answered the following research question: what are the benefits of PICS in improving the quality of life and symptoms of women in the climacteric? A search was carried out in the Cumulative Index to Nursing and Allied Health, Latin American and Caribbean Health Sciences Literature, EMBASE and Medical Literature Analysis and Retrieval System Online databases. As a result, 24 studies were identified that met the inclusion criteria and the PRISMA protocol. All clinical trials in the final sample investigated only 3 of the 29 PICS - acupuncture, yoga and phytotherapy - offered by the Unified Health System. The review suggests that yoga, acupuncture and phytotherapy, with different herbal extracts, have a place in the integrative care of climacteric women.

RESUMO Existem muitas intervenções terapêuticas à mulher em fase de climatério. As Práticas Integrativas e Complementares em Saúde (Pics), embora não sejam amplamente utilizadas, apresentam um bom custo- -benefício e são coerentes com os conceitos de autocuidado e de saúde integrativa, sendo relevante avaliar suas beneficências. Objetivou-se descrever e sintetizar as evidências científicas disponíveis na literatura sobre os benefícios dessas práticas para a assistência à mulher em fase de climatério. Fez-se uma revisão sistemática construída a partir da busca de ensaios clínicos que respondessem à seguinte pergunta de pesquisa: quais os benefícios das Pics na melhoria da qualidade de vida e dos sintomas de mulheres no climatério? Realizou-se uma busca nas bases de dados Cumulative Index to Nursing and Allied Health, Latin American and Caribbean Health Sciences Literature, Embase e Medical Literature Analysis and Retrieval System Online. Como resultado, identificaram-se 24 estudos que atenderam aos critérios de inclusão e ao protocolo PRISMA. Todos os ensaios clínicos da amostra final investigaram apenas 3 entre as 29 Pics - acupuntura, yoga e fitoterapia - ofertadas pelo Sistema Único de Saúde. A revisão realizada sugere que a yoga, a acupuntura e a fitoterapia, com diferentes extratos de ervas, têm lugar na assistência integrativa das mulheres no climatério. climatério Pics, , (Pics) utilizadas custo benefício beneficências Objetivouse Objetivou se Fezse Fez pesquisa Realizouse Realizou Online resultado identificaramse identificaram 2 PRISMA ervas (Pics

ABSTRACT There are many therapeutic interventions for women in the climacteric phase. Integrative and Complementary Health Practices (PICS), although not widely used, are cost-effective and consistent with the concepts of self-care and integrative health, and it is important to evaluate their benefits. The aim was to describe and synthesize the scientific evidence available in the literature on the benefits of these practices for assisting women in the climacteric phase. A systematic review was carried out based on the search for clinical trials that answered the following research question: what are the benefits of PICS in improving the quality of life and symptoms of women in the climacteric? A search was carried out in the Cumulative Index to Nursing and Allied Health, Latin American and Caribbean Health Sciences Literature, EMBASE and Medical Literature Analysis and Retrieval System Online databases. As a result, 24 studies were identified that met the inclusion criteria and the PRISMA protocol. All clinical trials in the final sample investigated only 3 of the 29 PICS - acupuncture, yoga and phytotherapy - offered by the Unified Health System. The review suggests that yoga, acupuncture and phytotherapy, with different herbal extracts, have a place in the integrative care of climacteric women. phase PICS, , (PICS) used costeffective cost effective selfcare self health question databases result 2 protocol extracts (PICS