A Quasi Experimental Study to Evaluate the Effectiveness of Progressive Muscle Relaxation on Anxiety and Depression among Hospitalised Cancer Patients receiving Radiotherapy
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Background: Cancer is the disease with continuous progressive rise all over the globe. Diagnosis of cancer or even its treatment arouses a number of psychological reactions among patients. Among all problems, anxiety and depression are most commonly seen psychological problems in cancer patients. Though the occurrence of psychological problems in cancer patients is as high as physiological problems, but they don’t get due attention.
Objective: To evaluate the effectiveness of Progressive muscle relaxation on anxiety and depression among hospitalised cancer patients receiving radiotherapy.
Methods: The study design was quasi experimental pre-test post-test control group design. Total of 100 participants, 50 in each intervention and control group were included. Anxiety and depression was assessed using State and trait anxiety inventory and Beck depression inventory respectively at baseline and after 4 weeks. The subjects in Intervention group received training & four sessions of PMR within 4 weeks while subjects in control group received treatment as usual.
Results: There was significant decrease in Pre to Post-assessment mean depression scores (p<0.05) of study participants in intervention group, while significant increase (p<0.01) in mean anxiety and depression scores of study participants in control group.
Conclusion: Progressive muscle relaxation was found effective to significantly reduce depression in hospitalised cancer patients receiving radiotherapy. Present study, reveal the implication and importance of PMR to reduce depression among hospitalised cancer patients and also improve their quality of life. So the inclusion of Progressive muscle relaxation in the routine practise by nurses will greatly help to enhance quality of life.
Keywords
- Maguire P. Managing psychological morbidity in cancer patients. Eur J Cancer. 2000;36(5):556-8.
- Alhama JS, Extremera BG,Mesa EM,Martin AM, et al. Quality of life in oncological patients. Astudy of 105 cases. Eur J Intern Med. 1996;7:23–8.
- de Haes JCJM, van Knippenberg FCE. The quality of life of cancer patients: a review of the literature. Soc Sci Med 1985;20:809–17.
- Dolbeault S, Boistard B, Meuric J, et al. Screening for distress and supportive care needs during the initial phase of the care process: a qualitative description of a clinical pilot experiment in a French cancer center. Psychooncology. 2011;20(6):585-93.
- Sollner W, DeVries A, Steixner E, et al. How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling? Br J Cancer. 2001;84(2):179-85.
- Adler N, Page A. Cancer care for the whole patient: meeting psychosocial health needs. Washington, DC: Institute of Medicine: The National Academies Press;2008. Available at URL http://www.nap.edu/catalog.php?record_id=11993
- Holland J, Watson M, Dunn J. The IPOS New International Standard of Quality Cancer Care: integrating the psychosocial domain into routine care. Psychooncology. 2011;20:677–8.
- Artherholt SB, Fann JR. Psychosocial care in cancer. Curr Psychiatry Rep. 2012;14(1):23-9.
- Hinz A, Krauss O, Hauss JP, et al. Anxiety and depression in cancer patients compared with the general population. Eur J Cancer Care. 2010;19(4):522-9.
- Moussavi S, Chatterji S, Verdes E, et al. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007;370:51-8.
- Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12:160-74.
- Lolak S, Connors GL, Sheridan MJ, et al. Effects of progressive muscle relaxation training on anxiety and depression in patients enrolled in an outpatient pulmonary rehabilitation program. Psychother Psychosom. 2008;77(2):119-25.
- Clark PG, Rochon E, Brethwaite D, et al. Screening for psychological and physical distress in a cancer inpatient treatment setting: a pilot study. Psychooncology.2011;20(6):664-8.
- Spielberger CD, Sharma S, Singh M. Development of the Hindi edition of state-trait anxiety inventory. Indian J Psychol. 1973;48(3):11-20.
- Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation;1996.
- Hersch J, Juraskova I, Price M,et al. Psychosocial interventions and quality of life in gynaecological cancer patients: a systematic review. Psychooncology. 2009;18(8):795-810.
- Liao MN, Chen PL, Chen MF,et al. Effect of supportive care on the anxiety of women with suspected breast cancer. J Adv Nurs. 2010;66(1):49-59.
- Lee EJ, Bhattacharya J, Sohn C, et al. Monochord sounds and progressive muscle relaxation reduce anxiety and improve relaxation during chemotherapy: a pilot EEG study. Complement Ther Med. 2012 Dec;20(6):409-16.
- Lee H, Lim Y, Yoo MS, et al. Effects of a Nurse-Led Cognitive- Behavior Therapy on Fatigue and Quality of Life of Patients With Breast Cancer Undergoing Radiotherapy: An Exploratory Study. Cancer Nurs. 2011;34(6):E22-E30.
- Sloman R. Relaxation and imagery for anxiety and depression control in community patients with advanced cancer. Cancer Nurs. 2002;25(6):432-5.
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