The Effects of Regular Exercise, Arts (Origami), and Group Psychotherapy on Quality-of-life, Anxiety, Depression, Patient Satisfaction, and Hope in Cancer Patients in Remission: A Prospective Study

Keywords

Anxiety
Breast
Cancer
Depression
Exercise
EORTC QLQ-C30

How to Cite

Arslan, D., gunduz, S. ., Akkoyun, O. ., Taşkın, P. ., Lapa, T. Y. ., Ardahan, F. ., & Bozcuk, H. . (2022). The Effects of Regular Exercise, Arts (Origami), and Group Psychotherapy on Quality-of-life, Anxiety, Depression, Patient Satisfaction, and Hope in Cancer Patients in Remission: A Prospective Study. Iranian Red Crescent Medical Journal, 24(11). https://doi.org/10.32592/ircmj.2022.24.11.743

Abstract

Objectives: We determined the effects of a “Quality-of-Life Support Program (QOLSP)” for cancer patients in remission.

Methods: Twenty-six cancer patients, being monitored while in remission, were included. During our 8-week-long prospective study, a QOLSP was implemented weekly. The patients’ hope, anxiety, depression, and quality-of-life (QoL) were assessed using scales. Additionally, questionnaires assessed the “status of program satisfaction” and the “arm utilization angle” of the breast cancer patients (n=20).

Results: The total mean score on the hope scale was initially 25.6±3.9 and increased to 29.7±1.9 post-QOLSP (p˂0.001). Additionally, the total mean score on the EORTC QLQ-C30 scale was initially 68.9±4.9 and increased to 92.6±2.2 post-QOLSP (p˂0.001). Moreover, the total mean anxiety and depression scores on the Hospital Anxiety and Depression Scale (HADS) decreased (p<0.001 and p<0.001, respectively) post-QOLSP. The factors affecting the hope score differences, the hope pre-score and the sap score (Loss of Appetite) on the EORTC QLQ-C30 symptom scale, were significant (p<0.001 and p=0.01, respectively). The factors affecting the anxiety and depression score differences were the HADS anxiety (p=0.001) and depression (p<0.001) pre-scores, respectively. Moreover, the factor affecting the sql2 score, evaluating General Health Status on the EORTC QLQ-C30, was the sql2 pre-score (p<0.001). All 26 patients were “very satisfied” with the program, and the arm usage angle of the 20 operated breast cancer patients improved.

Conclusion: Facilities that can provide a multidisciplinary QOLSP throughout treatment and follow-up will favorably affect QoL, anxiety, depression, hope, and satisfaction among cancer patients.

https://doi.org/10.32592/ircmj.2022.24.11.743

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