Influence of self-management exercise intervention on the cancer related fatigue severity and self-management efficacy of patients with non-small cell lung cancer after operation

J Pak Med Assoc. 2020 Sep;70 [Special Issue](9):88-93.

Abstract

Objective: To investigate the influence of self-management exercise intervention on postoperative cancer-related fatigue severity and self-management efficacy of patients with non-small cell lung cancer.

Methods: Seventy patients with non-small cell lung cancer were selected in Pidu district people's hospital from January 2018 to January 2019 and randomised into 2 groups with the random number table, including control group (35 cases) and experimental group (35 cases). The control group received conventional intervention, while the experimental group was intervened by self-management exercise based on the conventional intervention. The baseline clinical characteristics, simple fatigue scale scores, self-efficacy indicators, and physical and mental health scores of 2 groups were compared.

Results: The simple fatigue scale score of both groups were measured six weeks after surgery. The experimental group was significantly lower than that of control group (P<0.05). The self-efficacy scores of continuous walking for 30 minutes six weeks after the operation in both groups continuously increased with time and the result of the experimental group was significantly higher than that of control group (P<0.05). Similarly the postoperative balance ability self-efficacy scores of both groups were on the rise with time but the score of experimental group was significantly higher than that of control group after 6 weeks of surgical treatment (P<0.05). The postoperative health scores of both groups improved with time and the physical and mental health scores of experimental group were significantly higher than those of control group after 6 weeks of surgical treatment (P<0.05).

Conclusions: Self-management exercise intervention can effectively alleviate postoperative cancer-related fatigue of patients with non-small cell lung cancer, enhance self-management efficiency and contribute to improving the status of body functions.

Keywords: Exercise intervention, Non-small cell lung cancer, Surgery, Cancer-related fatigue, Self-management efficacy..

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / complications
  • Carcinoma, Non-Small-Cell Lung* / therapy
  • Exercise Therapy
  • Fatigue / etiology
  • Fatigue / therapy
  • Humans
  • Lung Neoplasms* / complications
  • Lung Neoplasms* / therapy
  • Quality of Life
  • Self Efficacy
  • Self-Management*