Progressive muscle relaxation technique effectiveness on pain and fatigue among post-mastectomy women
A quasi-experimental study
Keywords:
fatigue level, pain, post mastectomy women, progressive muscle relaxation techniqueAbstract
Background: Post-Mastectomy Pain (PPMP) and fatigue are common conditions that can follow surgeries for breast cancer, the most common cancer in women. The progressive muscle relaxation technique appears to be effective, affordable, low-risk, adaptable, and simple to use. Because of the frequency of PPMP and its potential severity, it has received increasing research attention. Aim: To evaluate the effectiveness of progressive muscle relaxation techniques on pain and fatigue among post-mastectomy women. Design: A quasi-experimental design was used to conduct this study. Setting: The study was conducted at the inpatient and outpatient clinic of Sohag Oncology institution. Subject: A purposive sampling technique was enrolled to select a sample of 50 post-mastectomy women who were randomly assigned into two equal groups, with 25 post-mastectomy women in each group (the experimental and control groups). Tools: Three tools were used (I) demographic data of Post mastectomy women sheet, (II) a Visual Analogue Scale, and (III) a fatigue assessment scale. Results: The current study revealed that the majority of post-mastectomy women in the intervention group experienced mild pain and fatigue reduction during the post-test compared to the control group.
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Abdulla A, Adams N, Bone M, Elliott AM, Gaffin J, Jones D, et al. Guidance on the management of pain in older people; 42 (Suppl 1):1-57, 2013.
Alves Nogueira Fabro E, Bergmann A, do Amaral E, Silva B, Padula Ribeiro AC, de Souza Abrahao K, da Costa Leite Ferreira MG, de Almeida Dias R, Santos Thuler LC: Post-mastectomy pain syndrome: incidence and risks. Breast 21:321–325, 2019.
Alwan M, Zakaria A, Abdul Rahim M, Abdul Hamid N, and Fuad M. Comparison between two relaxation methods on competitive state anxiety among college soccer teams during the pre-competition stage. Int J Adv Sport Sci Res; 1:90-104, 2018.
Armstrong, T. S., Vera, E., Zhou, R., Acquaye, A. A., Sullaway, C. M., Berger, A. M., Breton, G., Mahajan, A., Wefel, J. S., Gilbert, M. R., Bondy, M., & Scheurer, M. E. Association of genetic variants with fatigue in patients with malignant glioma. Neuro-Oncology Practice, 5(2), 122–128, 2018. https://doi.org/10.1093/NOP/NPX020
Berger AM, Visovsky C, Hertzog M, Holtz S, Loberiza FR Jr. Usual and worst symptom severity and interference with function in breast cancer survivors. J Support Oncol 10(3):112– 118, 2019.
Biering, K., Frydenberg, M., Pappot, H. et al. The long-term course of fatigue following a breast cancer diagnosis. J Patient Rep Outcomes 4, 37, 2020. https://doi.org/10.1186/s41687-020-00187-9
Bruce J, Thornton AJ, Powell R, Johnston M, Wells M, Heys SD, Thompson AM, Smith WC, Chambers WA, Scott NW: Psychological, surgical, and sociodemographic predictors of pain outcomes after breast cancer surgery: a population-based cohort study. Pain 155:232–243, 2014.
Cancer Registry of Norway. Trends in incidence, mortality, and survival, Norway 1965–2017. Cancer in Norway, vol 9. Cancer Registry of Norway, Oslo, pp 93–101 2, 2018.
Cheng, K.F., Ang, N., & Chan, N. The effects of Relaxation Training Program on Anxiety and Depression for Older Patients with Breast and Colorectal Cancer, 13th International Society of Geriatric Oncology Annual Conference, Copenhagen, 24, 91, 2013.
Cramp, F., & Byron-Daniel, J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev; 14(11), 2012.
Dehkordi, A., Hasanpour, K., Solati, S.S., & Tali. Effect of Progressive Muscle Relaxation with Analgesic on Anxiety Status and Pain in Surgical Patients, Br. J. Nurs. 28, 174–178. 2019.
Dehkordi, A.H., & Rastar, A.A. Effect of Progressive Muscle Relaxation on Social Performance and Quality of Life in Aging. Salmand; 11(2): 244–249, 2016.
DeSantis CE, Ma J, Sauer AG, Newman LA, Jemal A: Breast cancer statistics, 2017, racial disparity in mortality by state. CA Cancer J Clin 67:439–448, 2017.
Esther Lilly, A., & Dakshayani, B. Effect of preoperative teaching on the anxiety level of patients with neurosurgery, Indian Journal of Psychiatric Nursing, 15(2), 1, 2018. https://doi.org/10.4103/2231-1505.262432
Ferendiuk, J.M. Bieganska, P., & Kazana. Progressive Muscle Relaxation According to Jacobson in Treatment of The Patients with Temporomandibular Joint Disorders, Folia Med. Cracov. 59, 113–122, 2019.
Gan TJ: Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res 10:2287–2298, 2017.
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for pain (VAS pain), Numeric Rating Scale for pain (NRS pain), McGill Pain Questionnaire (MPQ), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Chronic Pain Grade Scale (CPGS), Short Form‐36 Bodily Pain Scale (SF‐36 BPS), and Measure Of Intermittent And Constant Osteoarthritis Pain (ICOAP). Arthritis Care & Research, Nov 1; 63(S11):S240-52, 2011.
Kant, E., & Akpinar, R. B. The Effect of Music and the Pressure Applied on Pain Induced by Intramuscular Injection, International Journal of Caring Sciences, 10(3), 1313–1318, 2017. http://libezproxy.open.ac.uk/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=127731922&site=ehost-live&scope=site
Kleijn, W., De, V. J., Wijnen, P., & Drent, M. Minimal (clinically) important differences for the Fatigue Assessment Scale in sarcoidosis. Respir Med; 105: 1388-95, 2011.
Kotani N, Hashimoto H, Sato Y, Sessler DI, Yoshioka H, Kitayama M, et al. Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses. Anesthesiology; 95(2):349-356, 2001.
Krupinska, K., & Kulmatycki, L. Effectiveness of Progressive Muscle Re- ´ Laxation (Pmr) in Alleviating Psychophysical Disorders-A Systematic Review (1982-2012). GJRA- Global Journal for Research Analysis; 3(10): 113-115, 2014.
Langford DJ, Schmidt B, Levine JD, Abrams G, Elboim C, Esserman L, Hamolsky D, Mastick J, Paul SM, Cooper B, Kober K, Dodd M, Dunn L, Aouizerat B, Miaskowski C: Preoperative breast pain predicts persistent breast pain and disability after breast cancer surgery. J Pain Sympt Manag 49:981–994, 2015
Li, M.F., Ji, H.J., & Liang, H.J. Effects of progressive muscle relaxation training on sleep in patients without convulsion. Chin Gen Pract Nurs; 16:1607–9, 2018.
Mao, H., Bao, T., Shen, X., Li, Q., Seluzicki, C., Im, E., et al. Prevalence and risk factors for fatigue among breast cancer survivors on aromatase inhibitors. Eur J Cancer, 101, 47–54, 2018.
Miaskowski C, Barsevick A, Berger A, Casagrande R, Grady PA, Jacobsen P, et al. Advancing symptom science through symptom cluster research: expert panel proceedings and recommendations. J Natl Cancer Inst. 2017. https://doi.org/10.1093/jnci/ djw253.
Mohamed, H. Establishing and implementing nursing management protocol for radiotherapy side effects for cancer patients. Doctorate Thesis, Faculty of Nursing, Mansoura University, 2012.
Park, E.S., Yim, H.W., & Lee, K.S. Progressive muscle relaxation therapy to relieve dental anxiety: a randomized controlled trial. Eur J Oral Sci; 127:45–51, 2019.
Peuckmann V, Ekholm O, Rasmussen NK, Groenvold M, Christiansen P, Moller S, Eriksen J, Sjogren P: Chronic pain and other sequelae in long-term breast cancer survivors: a nationwide survey in Denmark. Eur J Pain 13:478–485, 2019.
Polite BN, Adams-Campbell LL, Brawley OW, Bickell N, Carethers JM, Flowers CR, Foti M, Gomez SL, Griggs JJ, Lathan CS, Li CI, Lichtenfeld JL, McCaskill-Stevens W, Paskett ED: Charting the future of cancer health disparities research: a position statement from the American Association for Cancer Research, the American Cancer Society, The American Society of Clinical Oncology, and the National Cancer Institute. Cancer Res 77:4548–4555, 2017
Reinertsen KV, Cvancarova M, Loge JH, Edvardsen H, Wist E, Fossa SD . Predictors and course of chronic fatigue in long-term breast cancer survivors. J Cancer Surviv 4(4):405–414, 2020. https ://doi.org/10.1007/s11764-010-0145-7.
Schou Bredal I, Smeby NA, Ottesen S, Warncke T, Schlichting E. Chronic pain in breast cancer survivors: comparison of psychosocial, surgical, and medical characteristics between survivors with and without pain. J Pain Symptom Manage 48(5):852– 862, 2018.
Song, Q., Xu, R., & Hai, Q. Relaxation Training During Chemotherapy for Breast Cancer Improves Mental Health and Lessens Adverse Events, Int J Clin Exp Med, 6, 979-4, 2013.
Vilholm OJ, Cold S, Rasmussen L, Sindrup SH: The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer. Br J Cancer 99:604–610, 2018.
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