Fatıgue Management and Qualıty of Lıfe

This study was planned to determine the effect of integrative therapies on fatigue management and quality of life in cancer patients undergoing immunotherapy. It was designed as a randomised controlled experimental type study determined by simple random sampling method.

Hypotheses of the Study H1: There is a significant difference in terms of fatigue level between the intervention group and the control group in which music recital and yoga practice were performed in cancer patients receiving immunotherapy.

H2: There is a significant difference between the intervention group and the control group in terms of quality of life level in cancer patients receiving immunotherapy.

Variables of the Study Independent Variables: Age, occupation, marital status, education level, chronic diseases, medications, smoking, alcohol consumption status.

Dependent Variables: Fatigue, quality of life. Controlled Variables: Yoga practices, music recital

Place and Time of the Research The study was conducted in the medical oncology outpatient clinic of the internal medicine department of a state university hospital in Istanbul.

Inclusion criteria

• Receiving immunotherapy treatment for cancer diagnosis,
• Reads and writes,
• Over 18 years old,
• Able to communicate, no language problems,
• Those who volunteered to participate in the study and whose consent was obtained,
• Not diagnosed with a mental or psychiatric illness,
• Patients without hearing impairment were included in the study. Exclusion Criteria
• Unable to adapt to planned interventions,
• Hearing impaired,
• Not volunteering to participate in the study,
• Patients with mental disability or perception problems were not included in the study.

ENSURING RANDOMISATION IN THE STUDY Before the data collection phase, simple random sampling method was used to ensure that the participants to be included in the study had equal rights.

With the computer-based randomisation method, the participants were numbered according to the order of arrival and divided into group 1 intervention group and group 2 control group.

Collection of Pranayama Group Data Patient Information Form, FACT-G Quality of Life Scale and Hirai Cancer Fatigue Scale were filled in the first interview. Pranayama breathing exercise was performed by the practitioner for 20 minutes before the immunotherapy application. For the application, a quiet room with limited entrance and exit, which was reserved for injection applications within the unit, was preferred. After the application, the patient was taken to the treatment department for immunotherapy treatment and was allowed to listen to music with headphones during immunotherapy treatment. The patient was contacted by phone to listen to music and do pranayama exercise at least 3 days a week for 8 weeks following the treatment. The application was repeated before each immunotherapy and the application was continued for a total of 8 weeks. The FACT-G Quality of Life Scale and Hirai Cancer Fatigue Scale ed by face-to-face interviews with the patient in the fourth and eighth weeks.

Collection of Control Group Data Patient Information Form, FACT-G Quality of Life Scale and Hirai Cancer Fatigue Scale were filled in the first interview. Patients in the control group were not treated before immunotherapy, standard immunotherapy treatment was applied. The FACT-G Quality of Life Scale and Hirai Cancer Fatigue Scale were filled in the fourth and eighth week following the treatment and the patients were followed up for eight weeks

Inclusion criteria

• Receiving immunotherapy treatment for cancer diagnosis,
• Reads and writes,
• Over 18 years old,
• Able to communicate, no language problems,
• Those who volunteered to participate in the study and whose consent was obtained,
• Not diagnosed with a mental or psychiatric illness,
• Patients without hearing impairment were included in the study.

Exclusion criteria

• Unable to adapt to planned interventions,
• Hearing impaired,
• Not volunteering to participate in the study,
• Patients with mental disability or perception problems were not included in the study.

Patients who wanted to leave the study voluntarily were excluded from the study.

In our study, there were no participants who wanted to leave the study voluntarily.

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