title: Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy.
abstract: OBJECTIVE
  The purpose of this study was to investigate the effect of progressive muscle relaxation training on sleep quality and fatigue in Turkish women with breast cancer undergoing adjuvant chemotherapy.
  
  
  BACKGROUND
  Sleep problems and fatigue are highly prevalent in patients with breast cancer. Progressive muscle relaxation training is a promising approach in ameliorating the sleep quality and reducing the fatigue associated with cancer and its treatment.
  
  
  METHODS
  A prospective, repeated measures, quasi-experimental design with control group.
  
  
  METHODS
  The study sampling consisted of 27 individuals (14 individuals formed the progressive muscle relaxation group, 13 individuals formed the control group) who met the criteria for inclusion in the study. Progressive muscle relaxation training was given to the progressive muscle relaxation group, but not to the control group. The effect of the progressive muscle relaxation training was measured at different stages of the treatment. A data collection form, Pittsburgh Sleep Quality Index and Piper Fatigue Scale were used to collect the data for this study.
  
  
  RESULTS
  The progressive muscle relaxation group experienced a greater increase in improved sleep quality and a greater decrease in fatigue than the control group.
  
  
  CONCLUSIONS
  The findings indicated that progressive muscle relaxation training would improve sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy.
  
  
  CONCLUSIONS
  Progressive muscle relaxation training given by a nurse can improve sleep quality and fatigue in patients with breast cancer. It is important to start relaxation training just before chemotherapy to decrease the frequency and severity of sleep problems and symptoms such as fatigue during chemotherapy.
authors.affiliation: Psychiatric Nursing Department, Gulhane Military Medical Academy, School of Nursing, Gulhane Military Medical Academy, Etlik 06018, Ankara, Turkey. meral_demiralp@yahoo.com
authors.forename: Meral
authors.initials: M
authors.lastname: Demiralp
authors.forename: Fahriye
authors.initials: F
authors.lastname: Oflaz
authors.forename: Seref
authors.initials: S
authors.lastname: Komurcu
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000150:complications* / Q000188:drug therapy; D017024:Chemotherapy, Adjuvant / Q000009:adverse effects; D005221:Fatigue / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009126:Muscle Relaxation; D011446:Prospective Studies; D012064:Relaxation Therapy; D012893:Sleep Wake Disorders / Q000209:etiology / Q000517:prevention & control*; D014421:Turkey