Jinekolojik Kanser Hastalarında Kemoterapi Tedavisi Sürecinde Uygulanan Progresif Kas Gevşeme Egzersizleri ve Refleksolojinin Ağrı, Yorgunluk, Anksiyete, Depresyon ve Yaşam Kalitesi Üzerine Etkisi; Randomize Kontrol Çalışması

Abstract

This study was performed to determine effects of reflexology and progressive muscle relaxation exercises on pain, fatigue, anxiety, depression and quality of life during chemotherapy process in cancer patients as a randomized control study for patients having chemotherapy in Medical Oncology Day Treatment Units of Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Necmettin Erbakan University Meram Medical Faculty Oncology Clinic, Hacettepe University Department of Gynecology and Obstetrics Chemotherapy Unit and Department of Internal Diseases between dates of 21.12.2013 and 07.07.2015. Participants within the scope of sample were divided into 4 groups as 20 patient in each group, and totally 80 people were reached. Reflexology, progressive muscle relaxation exercises and both methods were co-administered in intervention groups, no treatment was carried out for control group. Interventions were applied as 2 times in form of home visits as week for 8 weeks. Data were collected in the first interview and at 3rd, 8th and 12th weeks post-interventions via Data Collection Form, Brief Pain Inventory, Brief Fatigue Inventory, Beck Anxiety Inventory, Beck Depression Inventory and Life Quality Scale/Cancer Patient. The data evaluation was based on the percentage, frequency, Chi-square, Fisher Exact Test, student t test, ANOVA, correlation and Tukey HSD test. It was detected that in the group of reflexology and progressive muscle relaxation exercises decreased pain, fatigue, anxiety, depression in patients and enhanced quality of life. It was suggested that reflexology and progressive muscle relaxation exercises should be used safely in decreasing pain, fatigue, depression and anxiety level and enhancing quality of life during chemotherapy process in gynecologic cancer patients.