The effect of progressive muscle relaxation training on chemotherapy-induced nausea, vomiting and anxiety in Egyptian breast cancer women: A randomized controlled trial (original) (raw)
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https://ijshr.com/IJSHR\_Vol.5\_Issue.4\_Oct2020/IJSHR\_Abstract.0027.html, 2020
Introduction: According to WHO (2018), it is estimated that cancer is responsible for about 9.6 million deaths in 2018. Chemotherapy is used to treat the advanced stage of cancer but is associated with most common side effects which are Pain, Insomnia, Fatigue, Anorexia, Nausea and vomiting. Aim: This study aimed to evaluate the effectiveness of Progressive Muscle Relaxation Therapy (PMRT) on Physical Symptoms among Cancer Patients receiving Chemotherapy admitted in Cancer Unit of Institute of Liver and Biliary Sciences, Delhi. Material and Method: Quasi experimental with pre-test post-test control group design was used. A total of 40 GI cancer patients were enrolled with 20 patients each in experimental and comparison groups by lottery method. Tools used namely- Universal Pain Assessment Tool to assess Pain; Insomnia Severity Index Scale to assess Insomnia; Common Toxicity Criteria for Adverse Events Version-5 to assess Fatigue, Nausea/Vomiting and Anorexia; and Karnofsky Performance Status Scale to assess Performance status. Results: This showed that mean pre-test insomnia score was 11 which was significantly reduced to 5.17 after the PMRT in the experimental group with p value 0.02. Similarly, there was a significant difference between mean pre-test and post-test grades of fatigue in the experimental group at 0.01 level. There was a significant difference in mean post-test scores of insomnia as well as post-test grades of fatigue in the experimental group and comparison groups at 0.05 level. There was statistically significant association of performance status with gender and educational status among patients in experimental group Conclusion: Hence, PMRT is effective in decreasing the physical symptoms of insomnia and fatigue in cancer patients receiving chemotherapy admitted in cancer of Institute of Liver and Biliary Sciences.
2012
Background: Chemotherapy is an important treatment for cancer, yet some of its side effects are serious and painful. Many patients with cancer suffer from psychiatric disorders that most likely result from therapeutic drugs or mental strategies to cope with their illness. Progressive muscle relaxation is one of the cost effective, self-help methods that promotes mental health in healthy participants. This study aims to determine the effect of progressive muscle relaxation training on anxiety and depression in cancer patients undergoing chemotherapy. Methods: This was a randomized, clinical study that enrolled 60 patients who received inpatient chemotherapy in the Tabriz Hematology and Oncology Research Center in 2010. We divided patients into two groups, intervention and control. All participants signed written formal consents and completed the Hospital Anxiety & Depression Scale questionnaires. Intervention group participants were trained in progressive muscle relaxation in groups ...
PROGRESSIVE MUSCLE RELAXATION EFFECT ON THE LEVEL ANXIETY of CANCER PATIENTS UNDERGOING CHEMOTHERAPY
The physical effects of cancer and its therapy can lead to an unpleasant emotional experience. Long-term treatment of chemotherapy and the presence of perceived side effects can cause anxiety. One of the nonpharmacological measures to overcome this anxiety is the relaxation of Progressive Muscle Relaxation therapy. To know the effect of relaxation Progressive Muscle Relaxation on the level of anxiety in cancer patients who underwent chemotherapy. Independent Variables are Progressive Muscle Relaxation and Dependent Variables of Anxiety Level. This research design uses Pre-Experiment with Pretest-Posttest approach design. Sample amounted to 30 people. Sampling technique Purposive Sampling. The tool used in the HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The research was conducted from March to April 2017 at Leprosy Hospital SumberGlagahPacet, Mojokerto. Progressive Muscle Relaxation performed one up to two times for three weeks with a duration of 15 minutes per session. The test statistic used is to use the Wilcoxon Rank Test test. ρ = 0.046 and α = 0.05, so that means H0 rejected and H1 accepted which means there is influence progressive muscle relaxation to the level anxiety cancer patients who underwent chemotherapy at Leprosy Hospital Pacet, Mojokerto. Progressive Muscle Relaxation is recommended as one of the non-pharmacological complementary therapies because this relaxation technique is easy to do and does not cost.
Contemporary Clinical Trials, 2013
Background and rationale: Cancer-related fatigue is a common severe symptom in breast cancer patients, especially during chemotherapy. Exercise appears to be promising in prevention or treatment of fatigue. Resistance training as an accompanying treatment to chemotherapy has been minimally investigated, yet might counteract muscle degradation and inflammation caused by many chemotherapeutics, and thus forestall or reduce fatigue. Previous exercise trials mostly compared the intervention with 'usual care'. Therefore, it is unclear to what extent the observed effects on fatigue are based on physical adaptations by exercise itself, or rather on psycho-social factors linked to the group support or attention by the trainer. Methods and design: The BEATE study is a randomized, controlled intervention trial comparing a 12-week supervised progressive resistance training program with a supervised group-based progressive muscle relaxation training in 100 patients with breast cancer under adjuvant chemotherapy. The primary endpoint is cancer-related fatigue; secondary endpoints include quality of life, depression, and cognitive capacity. In addition, isokinetic and isometric muscle strength, cardiorespiratory fitness, and body composition are measured, and biomarkers, such as inflammatory parameters, cortisol, and oxidative stress are analyzed in blood, saliva and urine. Safety of the resistance training during chemotherapy is monitored. Discussion: Strengths of the BEATE study include the investigation of progressive resistance training parallel with chemotherapy, the choice of a control group that enables an evaluation of the physiological effects of exercise beyond potential psycho-social effects, and the comprehensive and high-quality assessment of physiological factors and biomarkers potentially related to fatigue.
2020
Background: Although the using of several anti-emetic medications, chemotherapy-induced nausea and vomiting have still considered the most prevalent problems for patients receiving chemotherapy agents. Applying a progressive muscle relaxation technique as complementary and alternative medicine may reduce chemotherapy-induced nausea and vomiting. Aim: Assess the effect of applying a progressive muscle relaxation technique on nausea and vomiting induced by chemotherapy among leukemic children. Design: A clinical trial. Setting: Oncology Center affiliated to Mansoura University, Mansoura City. Subjects: a convenience sample of 66 children who attended the previously mentioned setting were equally and randomly divided into control and study groups. Tools of data collection: A questionnaire sheet, Rhodes Index of Nausea and Vomiting Form 2 and Behavioral relaxation self-rating scale. Results: Children in the study group were less experienced acute and delayed attacks of nausea and vomiti...
2016
Background: Chemotherapy is an important treatment for cancer, yet some of its side effects are serious and painful. Many patients with cancer suffer from psychiatric disorders that most likely result from therapeutic drugs or mental strategies to cope with their illness. Progressive muscle relaxation is one of the cost effective, self-help methods that promotes mental health in healthy participants. This study aims to determine the effect of progressive muscle relaxation training on anxiety and depression in cancer patients undergoing chemotherapy. Methods: This was a randomized, clinical study that enrolled 60 patients who received inpatient chemotherapy in the Tabriz Hematology and Oncology Research Center in 2010. We divided patients into two groups, intervention and control. All participants signed written formal consents and completed the Hospital Anxiety & Depression Scale questionnaires. Intervention group participants were trained in progressive muscle relaxation in groups ...
Asian Pacific journal of cancer prevention : APJCP, 2015
Breast cancer is the second most common cancer in the world and by far the most frequent cancer among women. This study was conducted to observe the effect of progressive relaxation exercises on anxiety and comfort level of breast cancer patients receiving chemotherapy. A control group pre-test/post-test quasi-experimental model was applied with experimental (30) and control (30) groups, who agreed to participate in this study. Data collection was with the…
PROFESSIONAL HEALTH JOURNAL
Patients with cancer experience emotional distress which characterized by psychological symptoms such as anxiety or depression, psychological symptoms that arise and complex cancer processes have negative impact on their quality of life. Many cancer patients use a wide variety of techniques to improve their psychological symptoms and quality of life including relaxation therapy and specifically, Progressive Muscle Relaxation (PMR). The systematic review purpose was to review the evidence regarding the use of PMR intervention for cancer patients. Thirty four published studies and nine identified original article as potentially relevant , undertaken in the past six years until now (2013 to 2019) with data bases in Scopus, Proquest, Google Scholar, Oxford, and Science direct Searches. The information flow chart from record identification to study inclusion was conducted in accordance with the PRISMA and extracted data with PICOT. The impact of progressive muscle relaxation intervention...