Reducing Depression, Anxiety, and Fatigue Level in Cervical Cancer through Physical Exercise Intervention

Authors

  • Fatwa Imelda Department of Maternity and Child, Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia
  • Heru Santosa Department of Demography and Biostatistics, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia
  • Sarma Nursani L. Raja Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Namora Lumongga Lubis Department of Demography and Biostatistics, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6335

Keywords:

Cervical cancer, Depression, Anxiety, Fatigue, Minimal physical exercise

Abstract

Background: To identify the effect of physical exercise on depression, anxiety, and fatigue in cervical cancer patients.

Methods: A quasi-experimental study ith a pretest-posttest with control group design was used. 30 respondents were selected using purposive sampling. The data were gathered by a focus group discussion. The Piper Fatigue Scale (PFS) was used to measure fatigue levels. Hospital Anxiety and Depression Scale (HADS) were used to measure anxiety and depression level. Paired t-test was used for data analysis.

Results: There was a significant difference between depression level after physical exercise with t=3.552 (p<0.05). There was a significant difference between anxiety level after physical exercise with t=11.297 (p<0.05). There was a significant difference between fatigue level after physical exercise with t=17.457 (p<0.05).

Conclusion: Physical exercise reduces anxiety, depression, and fatigue in patients with cervical cancer that will improve the quality of life of patients.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

National Cancer Centre. Stereotactic Body Radiotherapy for Organ Confined Prostate Cancer. Singapore: National Cancer Centre; 2018. Available from: https://www.clinicaltrials.gov/show/NCT02313298. [Last accessed on 2021 Feb 10].

Pereira J, Green E, Molloy S, Dudgeon D, Howell D, Krzyzanowska MK, et al. Population-based standardized symptom screening: Cancer care ontario’s edmonton symptom assessment system and performance status initiatives. J Oncol Pract Am Soc Clin Oncol. 2014;10(3):212-4. https://doi.org/10.1200/jop.2014.001390 PMid:24756143

Ministry of Health. Buletin Kanker. Pusat Data dan Informasi Kementrian Kesehatan RI. Jakarta: Kemenkes RI. 2015.

Shyu I, Hu L, Chen Y, Wang P, Huang B. Risk factors fro develoving depression in women with cervical cancer: A nationwide population based study in Taiwan. Int J Womens Health. 2019;11:135-41. https://doi.org/10.2147/ijwh.s193003 PMid:30804687

Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: A systematic review and meta-analysis. BMC Cancer. 2018;15(1):1-13. https://doi.org/10.1186/s12885-015-1069-4

Liu L, Rissling M, Neikrug A, Fiorentino L, Natarajan L, Faierman M, et al. Fatigue and circadian activity rhythms in breast cancer patients before and after chemotherapy: A controlled study. Fatigue. 2013;1(1-2):12-26. https://doi.org/10.1080/21641846.2012.741782 PMid:23412418

Barsevick AM, Cleeland CS, Manning DC, O’Mara AM, Reeve BB, Scott JA, et al. ASCPRO recommendations for the assessment of fatigue as an outcome in clinical trials. J Pain Symptom Manag. 2010;39(6):1086-99. https://doi.org/10.1016/j.jpainsymman.2010.02.006 PMid:20538190

Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR. Cancer-related fatigue: The scale of the problem. Oncologist. 2007;12(1):4-10. https://doi.org/10.1634/theoncologist.12-s1-4 PMid:17573451

Dantzer R, O’Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: When the immune system subjugates the brain. Nat Rev Neurosci. 2008;9(1):46-56. https://doi.org/10.1038/nrn2297 PMid:18073775

Dombrovski AY, Mulsant BH, Houck PR, Mazumdar S, Lenze EJ, Andreescu C, et al. Residual symptoms and recurrence during maintenance treatment of late-life depression. J Affect Disord. 2007;103(1-3):77-82. https://doi.org/10.1016/j.jad.2007.01.020 PMid:17321595

Roscoe JA, Kaufman ME, Matteson-Rusby SE, Palesh OG, Ryan JL, Kohli S, et al. Cancer-related fatigue and sleep disorders. Oncologist. 2007;12(1):35-42. https://doi.org/10.1634/theoncologist.12-s1-35

Bower JE, Greendale G, Crosswell AD, Garet D, Sternlieb B, Ganz PA, et al. Yoga reduces inflammatory signalling in fatigued breast cancer survivors: A randomized controlled trial. Psychoneuroendocrinology. 2014;43:20-9. https://doi.org/10.1016/j.psyneuen.2014.01.019 PMid:24703167

Kartika TD. Tingkat Depresi pada Pasien Kanker Serviks Di RSUP H. Adam Malik Medan; 2009. Available from: http://www.repository.usu.ac.id/bitstream/andle/123456789/14264/10E00020.pdf;jsessionid=010157582C8E2C52955F063DE99F28C9?sequence=1. [Last accessed on 2021 Feb 10].

LeMone P, Burke K. Medical-Surgical Nursing: Critical Thinking in Client Care. 94th ed. New Jersey: Pearson Prentice Hall; 2008.

Yoo HJ, Ahn SH, Kim SB, Kim WK, Han OS. Efficacy of progressive muscle relaxation training and guided imagery in reducing chemotherapy side effects in patients with breast cancer and in improving their quality of life. Support Care Cancer. 2005;13(10):826-33. https://doi.org/10.1007/s00520-005-0806-7 PMid:15856335

Harvard Health Publishing. Breast Cancer. Boston, Massachusetts: Harvard Health Publishing; 2012. Available from: https://www.health.harvard.edu/topics/breast-cancer. [Last accessed on 2021 Feb 10].

Midtgaard J, Stage M, Møller T, Andersen C, Quist M, Rørth M, et al. Exercise may reduce depression but not anxiety in self-referred cancer patients undergoing chemotherapy. Post-hoc analysis of data from the “body and cancer” trial. Acta Oncol. 2011;50(5):660-9. https://doi.org/10.3109/0284186x.2010.543145 PMid:21226544

Midtgaard J, Rorth M, Stelter R, Adamsen L. The group matters: An explorative study of group cohesion and quality of life in cancer patients participating in physical exercise intervention during treatment. Eur J Cancer Care. 2006;15(1):25-33. https://doi.org/10.1111/j.1365-2354.2005.00616.x PMid:16441674

Adamsen L, Quist M, Andersen C, Møller T, Herrstedt J, Kronborg D, et al. Effect of a multimodal high-intensity exercise intervention in cancer patients undergoing chemotherapy: Randomised controlled trial. BMJ. 2009;7726:895-8. https://doi.org/10.1136/bmj.b3410

Miaskowski C, Dodd M, Lee K. Symptom clusters: The new frontier in symptom management research. J Natl Cancer Inst. 2004;610(32):17-21. https://doi.org/10.1093/jncimonographs/lgh023 PMid:15263036

Chambers SK, Lynch BM, Aitken J, Baade P. Relationship over time between psychological distress and physical activity in colorectal cancer survivors. J Clin Oncol. 2009;27(10):1600-6. https://doi.org/10.1200/jco.2008.18.5157 PMid:19255326

Downloads

Published

2021-06-23

How to Cite

1.
Imelda F, Santosa H, Raja SNL, Lubis NL. Reducing Depression, Anxiety, and Fatigue Level in Cervical Cancer through Physical Exercise Intervention. Open Access Maced J Med Sci [Internet]. 2021 Jun. 23 [cited 2026 Oct. 18];9(T3):280-4. Available from: https://oamjms.eu/index.php/mjms/article/view/6335