@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(1):50-57
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(1):50-57
Effect of Exercise Counseling on Functional Scales Quality of Life in Women with Breast Cancer
ARTICLE INFO
Article Type
Original ResearchAuthors
Shobeyri F. (1)Nikravesh A. (2*)
Masoumi S.Z. (1)
HeydariMoghadam R. (3)
Karami M. (4)
Badafreh M. (5)
(1) Mother & Child Care Research Center and Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
(2*) Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Research Center for Health Sciences and Department of Ergonomics, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran, Hamadan, Iran
(4) Social Determinants of Health Research Center and Department of Epidemiology, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(5) Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Article History
Received: May 14, 2015Accepted: September 12, 2015
ePublished: September 17, 2015
ABSTRACT
Aims
Breast cancer is the most prevalent cancer and the most lethal malignancy among women in the world. Diagnosis, treatment, and treatment complications incur physical, mental and social complications, and consequently reduce the quality of life in these patients. The aim of this study was to investigate the effect of exercise counseling on functional scales in women with breast cancer.
Materials & Methods This quasi-experimental study was conducted on 60 women with breast cancer selected in cancer treatment centers in Hamadan city. Participants were randomly allocated to exercise counseling group (n=30) and control group (n=30). The intervention included two weeks of exercise counseling in the gym and eight weeks of training at home. The data were collected using a demographic questionnaire, QLQ-C30 and QLQ BR-23. Data were analyzed in SPSS.20, using χ2 Fisher’s exact test, t-test, ANCOVA at a confidence level of P<0.05.
Findings The results showed that the total score of the functional scale before the intervention was 27.19 ± 81.61 and reached 25.9 ± 91.86 after the intervention, with a statistically significant difference (P<0.05). Most changes occurred in physical functioning, emotional functioning, and body image scales. No significant difference was observed between the two groups in the following scales: cognitive function, social function, sexual function, sexual pleasure and future prospects (P>0.05).
Conclusion The functional scales of exercise counseling had a positive effect on the quality of life of women with breast cancer, and led to a significant improvement in patients. This method can be used as a part of the routine therapeutic measures for these patients.
Materials & Methods This quasi-experimental study was conducted on 60 women with breast cancer selected in cancer treatment centers in Hamadan city. Participants were randomly allocated to exercise counseling group (n=30) and control group (n=30). The intervention included two weeks of exercise counseling in the gym and eight weeks of training at home. The data were collected using a demographic questionnaire, QLQ-C30 and QLQ BR-23. Data were analyzed in SPSS.20, using χ2 Fisher’s exact test, t-test, ANCOVA at a confidence level of P<0.05.
Findings The results showed that the total score of the functional scale before the intervention was 27.19 ± 81.61 and reached 25.9 ± 91.86 after the intervention, with a statistically significant difference (P<0.05). Most changes occurred in physical functioning, emotional functioning, and body image scales. No significant difference was observed between the two groups in the following scales: cognitive function, social function, sexual function, sexual pleasure and future prospects (P>0.05).
Conclusion The functional scales of exercise counseling had a positive effect on the quality of life of women with breast cancer, and led to a significant improvement in patients. This method can be used as a part of the routine therapeutic measures for these patients.
CITATION LINKS
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[12]Sharif F, Abshorshori N, Hazrati M, Tahmasebi S, Zare N. [The Effect of peer-lead education on quality of life of mastectomy patients]. Payesh Journal.2011; 11(5):703-10. (Persian)
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[14]Yazdani F, Babazade S. [The Effects of Yoga on Life Quality of Patients with Breast Cancer Undergoing Chemotherapy]. Complementary Medicine Journal of faculty of Nursing & Midwifery.2014; 3(4):624-38. (Persian)
[15]Taleghani F, Karimain J, Babazadeh S, Mokarian F, Tabatabaiyan M, Samimi MA, and et al. The effect of combined aerobic and resistance exercises on quality of life of women surviving breast cancer. Iran J Nurs Midwifery Res.2012; 17(1):47-51.
[16]Wong P, Muanza T, Hijal T, Mass L, Pillary S, Chasen M, and et al. Effect of exercise reducing breast and chest – Wall pain in patients with breast cancer: Apilot study. Curr Oncol.2012; 19(3):e129-35.
[17]Gajbhiye PP, Deshpande L. To compare the effects of Pilates exercises and conventional therapy on upper extremity function and quality of life in women with breast cancer. Indian J Physiother Occup Ther.2013; 45(1):3-9.
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[19]Wanchai A, Armer JM, Stewart BR. Nonpharmacologic supportive strategies to promote quality of life in patients experiencing cancer-related fatigue: a systematic review. Clin J Oncol Nurs.2011; 15(2):203-14.
[20]Gaeini A, Samdi A, Khalesi M. ACSM Guidelines for Exercise Testing and Prescription. 4th ed. Tehran: Hatmi publisher; 2014, pp:459. (Persian)
[21]Safaee A, Dehkordi-Moghimi B, Tabatabaie SHR. [Reliability and Validity of the QLQ-C30 Questionnaire in Cancer Patients]. Armaghane-Danesh.2007; 12(2):79-88. (Persian)
[22]Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A. EORTC QLQ-C30 Scoring Manual. 3rd ed. Brussels: European Organization for Research and Treatment of Cancer, 2001.
[23]Meriwether RA, Lee JA, Lafleur AS, Wiseman P. Physical activity counseling. Am Fam Physician.2008; 77(8):1129-36.
[24]MardaniHamule M, Shahrky-Vahed A. [The Assessment of Relationship between Mental Health and Quality of Life in Cancer Patients]. Scientific Journal of Hamadan University of Medical Sciences.2009; 16(2):33-8. (Persian)
[25]PoorKiani M, Hazrati M, Abbaszadeh A, Jafari P, Sadeghi M, Dejbakhsh T, and et al. [Does a rehabilitation program improve quality of life in breast cancer patients?]. Payesh Journal.2009; 9(1):61-8.
[26]Charkazi A, Ghourchaei A, RazzaqNejad A. [Knowledge, practice and perceived threat toward breast cancer in the women living in Gorgan, Iran]. Journal of Gorgan Bouyeh, Faculty of Nursing & Midwifery.2013; 10(1):25-32. (Persian)
[27]Murtezani A, Ibraimi Z, Bakalli A, Krasniqi S, Disha ED, Kurtishi I. The effect of aerobic exercise on quality of life among breast cancer survivors: A randomized controlled trial. J Cancer Res Ther.2014; 10(3):658-64.
[28]Chen X, Zheng Y, Zheng W, Gu K, Chen Zh, Lu W, and et al. The effect of regular exercise on quality of life among breast cancer survivors. Am J Epidemiol.2009; 170(7):854-62.
[2]Khan F, Amatya B. Multidisciplinary rehabilitation in women with breast cancer: a systematic review. Int J Phys Med Rehabil.2013; S1:1-10.
[3]American Cancer Society. Cancer Treatment and Survivorship Facts & Figures 2012-2013. Atlanta: American Cancer Society; 2012. [cited 25 September, 2015]; Available from: file:///C:/Documents%20and%20Settings/user/My%20Documents/2012+Cancer+Treatment+%2526+Survivorship+Facts+%2526+Figures.pdf
[4]Khazaee-pool M, Majlessi F, Foroushani AR, Montazeri A, Nedjat S, Shojaeizadeh D and et al. Perception of breast cancer screening among iranian women without experience of mammography: a qualitative study. Asian Pac J Cancer Prev.2013; 15(9):3965-71.
[5]Donnelly TT, Khater AH, Al-Bader SB, Al Kuwari MG, Al-Meer N, Malik M, and et al. Arab women’s breast cancer screening practices: a literature review. Asian Pac J Cancer Prev.2013; 14(8): 4519-28.
[6]Hashemian M, Ghardashi F, Asadi Z, Khosroabadi AA, Pejhan A, Javan R, and et al. Incidence and screening of breast cancer in Iranian women. Life Science Journal.2013; 10(9):361-6.
[7]Rezagholi T, Yavari P, Abolhasani F, Etemad K, Khosravi A, Hashemi-Nazari SS, et al. [Estimating the burden of breast cancer in Iranian women in 2009]. Iranian Journal of Epidemiology.2015; 10(4):32-40. (Persian)
[8]Tahergorabi Z, Moodi M, Mesbahzadeh B. [Breast Cancer: A preventable disease]. Journal of Birjand University of Medical Sciences.2014; 21(2):126-41. (Persian)
[9]Baghaei R, Sharifi M, Mohammadpour Y, Sheykhi N. [Evaluation of the effects of educational package on controlling the complications of chemotheraputic agents on undergoing on symptom scales of quality of life in patients with breast cancer undergoing chemotherapy]. Journal of Nursing and Midwifery Faculty.2013; 11(9):667-79. (Persian)
[10]Entezar-Mahdi R, Shamshiri AR, Ramezani R, Eaatemad K. National breast cancer control program in I.R.IRAN, operational planning & guideline for breast cancer screening with CBE & Mammography. Ministry Health, Treatment & Education Medicines Center for Disease Control & Prevention Non-communicable Diseases Unit Cancer Office, 2011:127. (Persian)
[11]Samiei-Sibani F, Anoosheh M, Alhani F. [The study of the effects of group counseling on symptom scales of QOL of patients with breast cancer undergoing chemotherapy]. Iranian Journal of Breast Disease.2010; 3(1&2):28-39. (Persian)
[12]Sharif F, Abshorshori N, Hazrati M, Tahmasebi S, Zare N. [The Effect of peer-lead education on quality of life of mastectomy patients]. Payesh Journal.2011; 11(5):703-10. (Persian)
[13]Safarzade A, Roshan R, Shams J. [Effectiveness of stress management and relaxation training in reducing the negative affect and in improving the life quality of women with breast cancer]. Research in Psychological Health.2012; 6(4):21-35. (Persian)
[14]Yazdani F, Babazade S. [The Effects of Yoga on Life Quality of Patients with Breast Cancer Undergoing Chemotherapy]. Complementary Medicine Journal of faculty of Nursing & Midwifery.2014; 3(4):624-38. (Persian)
[15]Taleghani F, Karimain J, Babazadeh S, Mokarian F, Tabatabaiyan M, Samimi MA, and et al. The effect of combined aerobic and resistance exercises on quality of life of women surviving breast cancer. Iran J Nurs Midwifery Res.2012; 17(1):47-51.
[16]Wong P, Muanza T, Hijal T, Mass L, Pillary S, Chasen M, and et al. Effect of exercise reducing breast and chest – Wall pain in patients with breast cancer: Apilot study. Curr Oncol.2012; 19(3):e129-35.
[17]Gajbhiye PP, Deshpande L. To compare the effects of Pilates exercises and conventional therapy on upper extremity function and quality of life in women with breast cancer. Indian J Physiother Occup Ther.2013; 45(1):3-9.
[18]Irwin ML, George SM, Matthews CE. Physical activity and breast cancer: prevention, survival, and mechanisms. Pres Counc Phys Fit Sports Res Dig.2010; 11(3):1-9.
[19]Wanchai A, Armer JM, Stewart BR. Nonpharmacologic supportive strategies to promote quality of life in patients experiencing cancer-related fatigue: a systematic review. Clin J Oncol Nurs.2011; 15(2):203-14.
[20]Gaeini A, Samdi A, Khalesi M. ACSM Guidelines for Exercise Testing and Prescription. 4th ed. Tehran: Hatmi publisher; 2014, pp:459. (Persian)
[21]Safaee A, Dehkordi-Moghimi B, Tabatabaie SHR. [Reliability and Validity of the QLQ-C30 Questionnaire in Cancer Patients]. Armaghane-Danesh.2007; 12(2):79-88. (Persian)
[22]Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A. EORTC QLQ-C30 Scoring Manual. 3rd ed. Brussels: European Organization for Research and Treatment of Cancer, 2001.
[23]Meriwether RA, Lee JA, Lafleur AS, Wiseman P. Physical activity counseling. Am Fam Physician.2008; 77(8):1129-36.
[24]MardaniHamule M, Shahrky-Vahed A. [The Assessment of Relationship between Mental Health and Quality of Life in Cancer Patients]. Scientific Journal of Hamadan University of Medical Sciences.2009; 16(2):33-8. (Persian)
[25]PoorKiani M, Hazrati M, Abbaszadeh A, Jafari P, Sadeghi M, Dejbakhsh T, and et al. [Does a rehabilitation program improve quality of life in breast cancer patients?]. Payesh Journal.2009; 9(1):61-8.
[26]Charkazi A, Ghourchaei A, RazzaqNejad A. [Knowledge, practice and perceived threat toward breast cancer in the women living in Gorgan, Iran]. Journal of Gorgan Bouyeh, Faculty of Nursing & Midwifery.2013; 10(1):25-32. (Persian)
[27]Murtezani A, Ibraimi Z, Bakalli A, Krasniqi S, Disha ED, Kurtishi I. The effect of aerobic exercise on quality of life among breast cancer survivors: A randomized controlled trial. J Cancer Res Ther.2014; 10(3):658-64.
[28]Chen X, Zheng Y, Zheng W, Gu K, Chen Zh, Lu W, and et al. The effect of regular exercise on quality of life among breast cancer survivors. Am J Epidemiol.2009; 170(7):854-62.