Progressive Relaxation Training in Patients with Breast Cancer Receiving
Aromatase Inhibitor Therapy-Randomized Controlled Trial
Abstract
Background Aromatase inhibitors (AI) have positive effects on
disease-free life in patients with Breast Cancer (BC); on the other
hand, their side effects especially arthralgia can be observed in many
of patients. This study aimed to evaluate the effectiveness of
Progressive Relaxation Exercises (PRE) on the common side effects of AI
in patients with BC. Methods A total of 44 patients receiving AI were
allocated to the study and control groups in this randomized controlled,
single-blind trial. The study group (n=22) performed a combined (one-day
supervised, and 3 days home-based) PRE program 4 days/week, for six
weeks. The control group (n=22) was given advice about relaxation in
daily life. Data was collected initially and after 6 weeks of the
intervention. Pain, quality of life (QoL) and emotional status (ES) were
assessed using the Brief Pain Inventory (BPI), Functional Assessment of
Chronic Illness Therapy (FACT) and Hospital Anxiety and Depression (HAD)
scales, respectively. Results Pain was significantly reduced within the
study group in Pain Severity (p=0.001) and Pain Interference (p=0.01)
sub-scores. Pain was also reduced between the groups as compared using
the Pain Severity (p=0.00) and Patient Pain Experience (p=0.003)
sub-scores; QoL and ES remained with no significant difference either
within the groups or between the groups (p>0.05).
Conclusion The results of this study showed that PRE significantly
decreased pain scores in BC patients receiving AI. Although the
reduction in pain is a valuable data even in the 6-week period in those
cases, the long-term effects of relaxation techniques need to be
followed.