The Effects of Muscle Relaxation and Therapeutic Walking on Depression, Suicidal Ideation, and Quality of Life in Breast Cancer Patients Receiving Chemotherapy

Cancer Nurs. 2017 Nov/Dec;40(6):E39-E48. doi: 10.1097/NCC.0000000000000458.

Abstract

Background: The suicide rate of cancer patients is high in Taiwan. Breast cancer has a high incidence rate and is the leading cause of cancer in women. There is a lack of research examining breast cancer-related depression, suicidal ideation, and quality of life.

Objectives: This study evaluated the effects of muscle relaxation and therapeutic walking on depression, suicidal ideation, and quality of life in breast cancer patients receiving chemotherapy.

Methods: An experimental approach was adopted. A group of 87 breast cancer patients receiving chemotherapy were randomly assigned into an experimental group (n = 44) or a control group (n = 43). The subjects in the experimental group received 2 interventions for 3 months. This study used 3 instruments, including (1) the Center for Epidemiological Studies Depression Scale, (2) the Beck Scale for Suicidal Ideation, and (3) the World Health Organization Questionnaire on Quality of Life.

Results: The results showed no significant difference in any outcome variable in the pretest. The results of the posttest indicated that the 2 groups scored significantly differently only on the Center for Epidemiological Studies Depression Scale (U = 638.00, P < .05). The breast cancer patients who participated in the 3 month muscle relaxation and therapeutic walking interventions had a lower level of depression (RE¯ = 37.00) than those who did not (RC¯ = 51.16).

Conclusion: The muscle relaxation and therapeutic walking program was effective in the reduction of breast cancer patients' depression.

Implications for practice: Nursing staff could teach muscle relaxation and therapeutic walking to breast cancer patients to reduce their depression.

MeSH terms

  • Adult
  • Breast Neoplasms / complications
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / psychology*
  • Depression / etiology
  • Depression / psychology*
  • Drug Therapy / psychology
  • Female
  • Humans
  • Middle Aged
  • Muscle Relaxation*
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Psychometrics / statistics & numerical data
  • Quality of Life / psychology*
  • Suicidal Ideation*
  • Surveys and Questionnaires
  • Taiwan
  • Walking / psychology
  • Walking / statistics & numerical data