Effectiveness of Progressive Muscle Relaxation Therapy on Physical Symptoms among Cancer Patients receiving Chemotherapy admitted in Cancer Unit of Institute of Liver and Biliary Sciences, Delhi (original) (raw)
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Background: Cancer patients face a number of problems, among those pain and fatigue are the most common. To manage pain and fatigue among cancer patients, studies now a days are even focusing on use of non-pharmacological/ non invasive methods as exercises, imagery etc. But studies on effect of progressive muscle relaxation (P.M.R) exercises on pain and fatigue among admitted patients are scarce. Objective: The study was done to evaluate effectiveness of P.M.R exercises on pain and fatigue among hospitalized cancer patients receiving radiotherapy. Methods: The study design was quasi-experimental Pre test Post test control group design. Total of 100 participants, 50 in each intervention and control group were included. The subjects in the intervention group received four P.M.R exercise sessions in 4weeks along with routine treatment while subjects in control group received treatment as usual with no added intervention. Results: There was significant difference (p<0.01) in Pain scores Pre N.P.R.S (4.42±2.35) to post N.P.R.S (3.44±2.05) scores among intervention group (P.M.R). Pre assessment mean fatigue scores (C.F.S) of subjects were 33.80±10.62 in intervention group (P.M.R) and 33.24±7.02 in controls where as post assessment C.F.S scores were 28.52±12.74 and 36.52±7.53 in intervention and control group respectively. There was significant (p<0.01) reduction in pre to post C.F.S in P.M.R group while fatigue increased significantly (p<0.01) in control group. Conclusion: P.M.R along with routine standard treatment is effective in reducing pain and fatigue among hospitalized cancer patients receiving radiotherapy.
Efficacy of an intervention for fatigue and sleep disturbance during cancer chemotherapy
2010
Context-Multiple complex symptoms from cancer treatment can interfere with functioning. Objectives-To evaluate the efficacy of an "energy and sleep enhancement" (EASE) intervention to relieve fatigue and sleep disturbance and improve health-related functional status. Methods-Individuals receiving chemotherapy were randomized to the EASE (n = 153) or a control intervention (n = 139). The EASE intervention included information and behavioral skills taught by an oncology nurse in three telephone sessions. The primary outcomes of fatigue, sleep disturbance and functional status were measured before chemotherapy, Day 4 after first treatment (baseline) and 43-46 or 57-60 days later (follow-up) depending on chemotherapy cycle length. Results-The sample was primarily female (82%) and non-Hispanic white (89%) with mean age of 53.9 years. Fatigue and patient-reported sleep disturbance were elevated in both groups at baseline and follow-up. Actigraphy revealed total sleep time was almost eight hours and sleep percent was over 85% for both groups at both time points (normal range). Physical functioning was diminished and at the same level as a sample with serious illness. Mental functioning was in normal range. A repeated measures analysis of variance revealed no statistically significant groupby-time effects for fatigue, sleep disturbance, or functional status. Unemployed individuals showed greater benefit from the EASE intervention, reporting less pain and symptom interference. Conclusion-Potential explanations include high variability and/or floor effect for fatigue; incorrect timing of measures; insufficient amount or dose of the intervention; and confounding effects of gender. Future research should consider screening for symptom severity and tailoring interventions.
Fatigue Experience among Cancer Patients Receiving Chemotherapy
A systematic review conducted between January 2003 and October 2010 to describe what is known about strategies used to prevent Cancer-related fatigue (CRF); to determine factors that have been associated with treatment of cancer and to identify the risk factors associated with methods of treatment of cancer that causes fatigue. Pub Med database and reference lists of identified articles were used. Variations in research design and methods including sample characteristics, interventions and measurements used to reduce fatigue were recorded. Ten RCTs out of 20 studies were included. Eight studies showed that cancer patients experience fatigue during and post chemotherapy besides having physical, social, and psychological problems. Two studies found that patient using steroids has a significant increase in fatigue; while, two studies reported that CRF associated with lower quality of life regardless of chemotherapy regimens. Eight of ten studies showed regular committed exercise (walking or swimming) resulted in less fatigue among patient participating in exercise programs. Evidence from reviewed studies supports the inclusion of physical and psychological support for managing CRF and they are considered important factors for predicting changes in patients' quality of life. They should be included in care plan of patients undergoing chemotherapy. Successful symptom management for patients can help maintain effective chemotherapy, physical/social wellbeing, and reduce emotional distress of patients.There is need to expanded nursing educational programmes regarding CRF assessment and possible management options to reduce severity of CRF and improve their quality of life.
https://ijshr.com/IJSHR\_Vol.2\_Issue.3\_July2017/IJSHR\_Abstract.008.html, 2017
Sleep disorders such as difficulty falling asleep. Problems maintaining sleep, poor sleep efficiency, early awakening and excessive day time sleepiness are prevalent in patients with cancer. Sleep disturbance in cancer is common and challenging condition that significantly adds to the burden of suffering experienced by patients with advanced stage disease. Progressive Muscle Relaxation is a mind-body technique that involves slowly tensing and then relaxing each muscle group in the body. Typically used to tame stress, PMRT is said to increase your awareness of the sensations associated with tension. To assess the sleep problems in Cancer patients, to assess the effectiveness of Progressive Muscle Relaxation Technique on inducing sleep among cancer patients and to associate the effect of Progressive Muscle Relaxation Technique with the selected demographic variables. Quantitative approach and Quasi Experimental one group Pre-test and Post-test research design was employed. Non-probability convenient sampling technique was employed to select 40 samples. Instrument used: Progressive Muscle Relaxation Technique. Sleep Assessment Scale. Sleep problem assessment tool. all the 40 subjects of the study majority of them were falling in Dissatisfied Sleep 31(77.5%), 9[22.5%] subjects were falling under Disturbed sleep and no were falling under Sound Sleep category. Section C reveals that there is a significant decrease in the post-test score (mean 30.7) of subjects after administration of Progressive Muscle Relaxation Technique compared to pre- test score (mean 55.62). Hence the Hypothesis H1 is accepted that is Progressive Muscle Relaxation Technique is effective to induce sound sleep. There is no significant association between the Effect of Progressive Muscle Relaxation Technique and the demographic variables. Hence regular muscle relaxation exercise can help the patient induce sleep and maintain in their healthy sleep pattern. Keywords: Cancer, sleep pattern, progressive muscle relaxation, stress, insomnia, dissatisfied sleep.
Open Access Macedonian Journal of Medical Sciences, 2021
BACKGROUND: Sleep disturbance affects quality of life in children receiving chemotherapy. AIM: The aim of this study was to identify the effect of progressive muscle relaxation on the sleep quality and side effects of chemotherapy in children with cancer. METHODS: This study used randomized clinical trial with single blind method, where 30 children were allocated randomly to the control group and intervention group. The intervention group received progressive muscle relaxation twice a day, in the morning and evening, 15 minutes each session for 7 days. Control group received routine nursing care. RESULTS: The study concluded there was no significant difference in the two groups on fatigue and pain. However, progressive muscle relaxation had significant relation to decreased sleep quality score. CONCLUSION: Relaxation therapy, particularly progressive muscle relaxation, may be one of the nursing cares to improve sleep quality and reduce the side effects of chemotherapy in children wi...
The Experience of Fatigue in Turkish Patients Receiving Chemotherapy
Oncology Nursing Forum, 2007
To determine the experience of fatigue in Turkish patients receiving chemotherapy. Design: Descriptive. Setting: Outpatient unit in a large university hospital in Ankara, Turkey. Sample: 100 patients randomly chosen from those who were undergoing chemotherapy at the outpatient unit. Methods: Data were collected using a personal information form developed by the investigator and a visual analog scale for fatigue. Main Research Variables: Measures taken by patients to cope with fatigue, fatigue experienced by individuals affecting their daily activities, age and gender, disease and treatment factors, and symptoms related to the chemotherapy. Findings: The majority of patients (86%) experienced fatigue, and 73% stated that they coped with fatigue by decreasing their activities and resting more. Age was not a statistically signifi cant factor affecting the level of fatigue, but gender was found to have an effect. Length of illness, number of chemotherapy courses, and the patients' symptoms affected level of fatigue. Conclusions: The majority of patients experienced fatigue, and most of the measures used to cope with fatigue were not effective. Fatigue affected patients' daily activities. Implications for Nursing: A need exists for more and better interventions to help patients cope with chemotherapy-related fatigue.
Factors Associated to Cancer Related Fatigue: A Literature Review
Journal of A Sustainable Global South
Cancer related fatigue is one of the common problems that occur in patients with cancer. This condition is also experienced by cancer patients who receive chemotherapy, radiation therapy, bone marrow transplantation, or other cancer treatments. Continued of cancer related fatigue can disturb the quality of life of patients so that a good assessment and management of this condition is needed. The purpose of this study is for factors related to fatigue in cancer patients. These factors can be new scientific evidence for the treatment of fatigue in cancer patients. This was literature review study. Research data is collected from books, research results, journals, magazines and articles related to the research objectives. The results show that various factors associated to cancer related fatigue discussed in patients are hemoglobin level, type and amount of therapy, sleep quality, nutritional status, level of physical activity, psychological pressure, stress, infection status and comor...
Indian Journal of Palliative Care, 2017
IntroductIon Constant fatigue is documented as one of the most frequent, ongoing symptom description by the patients following cancer treatment. Cancer-related fatigue (CRF) is a distressing, continual, and the personal sense of physical, emotional, and/or cognitive fatigue or tiredness related to cancer or cancer therapy that is hindered with normal performance. [1] Fatigue linked with cancer or its treatment is dissimilar from the characteristic fatigue that most people experience as a result of usual daily life. Distinct to classic fatigue in normal persons, CRF is inconsistent with physical exertion level and is not releived by rest or sleep. [2] Objective: The objective of this cross-sectional, noninterventional 3-month observational study was to analyze the prevalence of the cancer-related fatigue (CRF) in cancer patient populations with correlation of CRF with different treatment modalities. Materials and Methods: A descriptive study was carried out jointly by the pharmacology and oncology departments of a tertiary care center in the Malwa region of Punjab. The data collection was performed by administering the validated Brief Fatigue Inventory (BFI) after obtaining the informed consent. Results: One hundred and twenty-six cancer patients were recruited with the mean age of 49.13 years ± 14.35 (standard deviation). There are statistical correlations found between fatigue and chemotherapy agents such as vinblastine, dacarbazine, and cyclophosphamide. Conclusion: We observed that CRF is a symptom that is experienced by majority of cancer patients, irrespective of the diagnosis, or type of treatment received. In addition, assessing CRF before and after treatment will facilitate health-care practitioner to treat this symptom.
Fatigue Level and Contributing Factors Among Cancer Patients Receiving Chemotherapy
Journal of Pioneering Medical Sciences ,iARCON International LLP, 2023
Background: cancer disease and its treatment are leading cause to fatigue, fatigue is subjective data experienced by cancer patients measured in various method in order to assisting patient to regain daily activity, restore strength, and to improve quality of life. Aim of the study: the current study aimed to assess fatigue level and contributing factors among cancer patients receiving chemotherapy. Methods and materials: A quantitative design cross-sectional study conducted to assess level of fatigue and contributing factors among cancer patients receiving chemotherapy at oncology and hematology center in Kirkuk city from period of July to December 2023, sampling method was purposive sampling consist of 184 patients diagnosed with cancer and prescribed chemotherapy as a treatment. A constructed questionnaire was adopted to achieve the objective of the study consist of four parts; part one demographic data (7 items), part two health status (7 items), fatigue level scale (11 items) which scaled with (always, sometime, and never), and part four contributing factors (9 items). Data collected by interview techniques with the patients after obtaining consent to participate in the current study. Results: The study concluded that the highest age group were 61 years and more, female, the majority having chronic diseases such as diabetes mellitus and heart disease, smokers, most of samples were diagnosed with breast cancer, almost all of cancer patients receiving chemotherapy three times per month intravenously. Regarding fatigue level, the majority of cancer patients in the current study were moderate and sever fatigue level. Concerning the most contributing factors that rises the fatigue among cancer patients were depression, lack of appetite, insomnia, anxiety, sexual dysfunction, and pain respectively. Conclusions: the majority of cancer patients in the current study were moderate and sever fatigue level. the most contributing factors that rises the fatigue among cancer patients were depression, lack of appetite, insomnia, anxiety, sexual dysfunction, and pain respectively.