Reducing Depression, Anxiety, and Fatigue Level in Cervical Cancer through Physical Exercise Intervention
DOI:
https://doi.org/10.3889/oamjms.2021.6335Keywords:
Cervical cancer, Depression, Anxiety, Fatigue, Minimal physical exerciseAbstract
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
Metrics
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 DOI: https://doi.org/10.1200/JOP.2014.001390
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 DOI: https://doi.org/10.2147/IJWH.S193003
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 DOI: 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 DOI: https://doi.org/10.1080/21641846.2012.741782
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 DOI: https://doi.org/10.1016/j.jpainsymman.2010.02.006
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 DOI: https://doi.org/10.1634/theoncologist.12-S1-4
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 DOI: https://doi.org/10.1038/nrn2297
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 DOI: https://doi.org/10.1016/j.jad.2007.01.020
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 DOI: 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 DOI: https://doi.org/10.1016/j.psyneuen.2014.01.019
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 DOI: https://doi.org/10.1007/s00520-005-0806-7
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 DOI: https://doi.org/10.3109/0284186X.2010.543145
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 DOI: https://doi.org/10.1111/j.1365-2354.2005.00616.x
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 DOI: 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 DOI: https://doi.org/10.1093/jncimonographs/lgh023
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 DOI: https://doi.org/10.1200/JCO.2008.18.5157
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Fatwa Imelda, Heru Santosa, Sarma Nursani L. Raja, Namora Lumongga Lubis (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0