Have a personal or library account? Click to login

Effects of relaxation breathing exercise on fatigue and cortisol level among Indonesian gynecological cancer patients undergoing chemotherapy: a pilot study†

Open Access
|Jun 2024

References

  1. Ginsburg O, Bray F, Coleman MP, et al. The global burden of women’s cancers: a grand challenge in global health. Lancet (London, England). 2017;389:847–860.
  2. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71:209–249.
  3. World Health Organization (WHO). Cancer today 2022. https://gco.iarc.fr/today/online-analysis-pie. Accessed July 20, 2022.
  4. World Health Organization (WHO). Cervical cancer Indonesia 2021 country profile 2021. https://www.who.int/publications/m/item/cervical-cancer-idn-country-profile-2021. Accessed August 6, 2022.
  5. Dewi M. Sebaran kanker di Indonesia, Riset Kesehatan Dasar 2007. Indonesian J Cancer. 2017;11:1–8.
  6. Putri AR, Khaerunnisa S, Yuliati I. Cervical cancer risk factors association in patients at the gynecologic-oncology clinic of Dr. Soetomo Hospital Surabaya. Indonesian J Cancer. 2019;13: 104–109.
  7. Rasjidi I, Irwanto Y, Nurseta T. Panduan penatalaksanaan kanker ginekologi berdasarkan evidence based. Jakarta: EGC; 2007.
  8. American Cancer Society. Chemotherapy side effects 2020. https://www.cancer.org/treatment/treatments-and-side-effects/treatment-types/chemotherapy/chemotherapy-side-effects.html. Accessed February 9, 2021.
  9. American Cancer Society. Managing advanced cancer 2021. https://www.cancer.org/treatment/understanding-your-diagnosis/advanced-cancer/managing-symptoms.html. Accessed February 9, 2021.
  10. Gungor I, Oskay U, Dizzi M, et al. Factors affecting quality of life and fatigue in gynaecologic cancer patients. Int J Med Res Health Sci. 2017;6:109–117.
  11. Jorge LLR, da Silva SR. Evaluation of the quality of life of gynecological cancer patients submitted to antineoplastic chemotherapy. Rev Latino-Am Enfermagem. 2010;18:849–855.
  12. Koevoets EW, Schagen SB, de Ruiter MB, et al. Effect of physical exercise on cognitive function after chemotherapy in patients with breast cancer: a randomized controlled trial (PAM study). Breast Cancer Res. 2022;24:36.
  13. Sekse RJT, Hufthammer K, Vika M. Fatigue and quality of life in women treated for various types of gynaecological cancers: a cross-sectional study. J Clin Nurs. 2015;24:546–555.
  14. Bower JE. Cancer-related fatigue: mechanisms, risk factors, and treatments. Nat Rev Clin Oncol. 2014;11:597–609.
  15. Yarbro CH, Wujcik D, Gobel BHE. Cancer Nursing Principles and Practice. 7th ed. Massachusetts, MA: Jones and Bartlett; 2011.
  16. Armes J, Krishnasamy M, Higginson IJ. Fatigue in Cancer. New York, NY: Oxford University Press; 2004.
  17. Ryan JL, Carroll JK, Ryan EP, Mustian KM, Fiscella K, Morrow GR. Mechanisms of cancer-related fatigue. Oncologist. 2007;12(Suppl 1):22–34.
  18. Thong MSY, van Noorden CJF, Steindorf K, Arndt V. Cancer-related fatigue: causes and current treatment options. Curr Treat Options Oncol. 2020;21:17.
  19. Morrow G, Hickok J, Andrews PLR, Stern R. Reduction in serum cortisol after platinum based chemotherapy for cancer: a role for the HPA axis in treatment-related nausea? Psychophysiology. 2002;39:491–495.
  20. Limberaki E, Eleftheriou P, Karalekos GGE, Kostoglou V, Petrou C. Cortisol levels and serum antioxidant status following chemotherapy. Health. 2011;3:512–517.
  21. Herzog T, Wright J. The impact of cervical cancer on quality of life – the components and means for management. Gynecol Oncol. 2007;107:572–577.
  22. Khalil J, Bellefqih S, Sahli N, et al. Impact of cervical cancer on quality of life: beyond the short term (Results from a single institution). Gynecol Oncol Res Pract. 2015;2:7.
  23. Pfaendler K, Wenzel L, Mechanic M, Penner K. Cervical cancer survivorship: long-term quality of life and social support. Clin Ther. 2015;37: 39–48.
  24. Alcântara-Silva TR, Freitas-Junior R, Freitas NM, Machado GD. Fatigue related to radiotherapy for breast and/or gynaecological cancer: a systematic review. J Clin Nurs. 2013;22:2679–2686.
  25. Hathiramani S, Pettengell R, Moir H, Younis A. Relaxation versus exercise for improved quality of life in lymphoma survivors–a randomised controlled trial. J Cancer Surviv. 2021;15:470–480.
  26. Berman A, Langtree T, Frandsen G, et al. Kozier and Erb’s Fundamentals of Nursing Concepts, Processes and Practice. 5th Australian ed. Melbourne, VIC: Pearson Australia; 2021.
  27. Kim SD, Kim HS. Effects of a relaxation breathing exercise on fatigue in haemopoietic stem cell transplantation patients. J Clin Nurs. 2005;14:51–55.
  28. Mulhaeriah, Afiyanti Y, Achmad EK, Sangkala MS. Effectiveness of relaxation breathing exercise on fatigue in gynecological cancer patients undergoing chemotherapy. Int J Nurs Sci. 2018;5: 331–335.
  29. El-Feshawy NI, Mohamed HAB, El-Sayed HEM, Aboraiah MIH. Effect of relaxation breathing exercise on fatigue for women with gynecological cancer receiving chemotherapy. Egyptian J Health Care. 2020;11:821–833.
  30. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
  31. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–191.
  32. Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum [Internet]. 1998;25:677–684.
  33. Danismaya I. Effect of yoga relaxation technique on fatigue with cancer patients post chemotherapy in Hasan Sadikin Hospital. Gaster. 2009;5:366–375.
  34. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–370.
  35. Stern AF. The hospital anxiety and depression scale. Occup Med. 2014;64:393–394.
  36. Rudy M, Widyadharma EIP, Adnyana IMO. Reliability Indonesian version of the hospital anxiety and depression scale (HADS) of stroke patients in Sanglah General Hospital Denpasar. Research Gate. 2015;2:1–23. (in Indonisian). DOI:10.13140/ RG.2.1.3604.5928.
  37. Salimetrics. Expanded range high sensitivity salivary cortisol enzyme immunoassay kit. 2016. https://salimetrics.com/wp-content/uploads/2018/03/salivary-cortisol-elisa-kit.pdf. Accessed August 20, 2018.
  38. Yi TC, Moochhala S. Mini-review article – current opinion on salivary biomarkers as a measurement for stress and fatigue. Open Biomarkers J. 2013;6:9–14.
  39. Pallant J. SPSS Survival Manual. 5th ed. England: Open University Press; 2013.
  40. Schmidt ME, Semik J, Habermann N, Wiskemann J, Ulrich CM, Steindorf K. Cancer-related fatigue shows a stable association with diurnal cortisol dysregulation in breast cancer patients. Brain Behav Immun. 2016;52:98–105.
  41. Cirulli F, Capoccia S, Berry A, et al. Increased cortisol secretion, immune activation and mood changes in breast cancer patients following surgery and adjuvant chemotherapy. Eur Psychiatry. 2015;30:1510.
  42. Nozaki S, Tanaka M, Mizuno K, et al. Mental and physical fatigue-related biochemical alterations. Nutrition (Burbank, Los Angeles County, Calif). 2009;25:51–57.
  43. Spiga F, Walker JJ, Terry JR, Lightman SL. HPA axis-rhythms. Compr Physiol. 2014;4:1273–1298.
  44. Ma X, Yue ZQ, Gong ZQ, et al. The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Front Psychol. 2017;8:874.
  45. Jones D, Owens M, Kumar M, Cook R, Weiss SM. The effect of relaxation interventions on cortisol levels in HIV-seropositive women. J Int Assoc Provid AIDS Care. 2014;13:318–323.
DOI: https://doi.org/10.2478/fon-2024-0022 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 201 - 208
Submitted on: Jan 20, 2024
Accepted on: Mar 23, 2024
Published on: Jun 26, 2024
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Mulhaeriah Mulhaeriah, Mohammad Syafar Sangkala, Syahrul Syahrul, Rezki Wahyuni, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.