Relaxation therapies differ in philosophy and method. In any case, the goal is to use the power of the mind and body to achieve a sense of relaxation and lowered metabolism. Relaxation therapy interventions may incorporate breathing exercises and involve relaxing the body. These interventions may involve techniques such as diversion or visualization. Relaxation therapy differs from progressive muscle relaxation in that the specific technique of sequential muscle relaxation is not necessarily used. Simple visualization may involve imagining a relaxing setting and differs from guided imagery. In guided imagery, specific types of mental images are elicited to affect specific aspects of the experience. The effectiveness of simple relaxation therapy has been examined in the treatment of anxiety, depression, fatigue, sleep-wake disturbances, and hot flashes.
Hayama, Y., & Inoue, T. (2012). The effects of deep breathing on 'tension-anxiety' and fatigue in cancer patients undergoing adjuvant chemotherapy. Complementary Therapies in Clinical Practice, 18, 94–98.
To investigate the effect of a deep breathing intervention, incorporated within conventional nursing care, on tension-anxiety and fatigue experienced by Japanese women with gynecologic cancer undergoing adjuvant chemotherapy for the first time.
To reduce tension-anxiety and fatigue through deep breathing that incorporated elements of exercise.
The deep breathing intervention was initiated for patients in the intervention group. Each patient received 15 minutes of guidance from the researcher using a DVD and pamphlets. The intervention was performed with nursing assistance pre- and postchemotherapy, with the latter given on the second, fourth, and sixth days. The control group received treatment with the usual chemotherapy and nursing care.
The study used a randomized, controlled trial design.
There were no statistically significant differences between groups in terms of age, diagnosis, or cancer clinical stage or treatment type (p > 0.05). Prechemotherapy data showed no significant differences between the intervention and control groups in the previously mentioned measurement tools. The postchemotherapy tension-anxiety scores were lower in the intervention group (p = 0.01). Both groups showed significant reductions in tension-anxiety scores (both p = 0.00). The postchemotherapy physical and total fatigue scores of the intervention group were significantly lower than those of the control group (physical, p = 0.04; total, p = 0.04).
The study demonstrated that the tension-anxiety and fatigue scores of patients undergoing chemotherapy for gynecologic cancers were lowered when the nurses assisted them with deep breathing for a short period in addition to providing conventional nursing care provided pre- and postchemotherapy. The prominent features of the study were that it used a program that combined three deep breathing techniques and was of short duration (10 minutes).
These are very simple exercises that can be taught to patients and be performed even while they are receiving chemotherapy. In addition to usual nursing care, nurses can contribute to reducing patients’ tension-anxiety and fatigue by assisting them in performing deep breathing.
Kim, S. D., & Kim, H. S. (2005). Effects of a relaxation breathing exercise on fatigue in hematopoietic stem cell transplantation patients. Journal of Clinical Nursing, 14, 51–55.
The aim of the relaxation breathing exercise (RBE) intervention was to improve the function of immune cells.
Before the intervention, a 30-minute recorded audiotape of RBE was given to the patients. RBE consisted of a three-step sequence, which combined relaxation breath and yoga-like positioning exercises:
The RBE intervention was provided to patients by one of the researchers at 4:00 pm every day for six weeks in the hospital. RBE was to be practiced in a supine position on a bed. For the control group, routine care (granulocyte-colony stimulating factor [G-CSF] injection and aseptic care) were given. Fatigue was measured at baseline and as posttest data in both groups.
Patients were recruited from an inpatient hematopoietic stem cell transplant unit (single site).
Patients were undergoing the active treatment phase of care.
The study was a randomized, pre-/posttest control group clinical trial:
Revised Piper Fatigue Scale (PFS)
The RBE intervention resulted in a significant decline in mean fatigue scores for the RBE group (mean change = –3.2) compared to the control group (mean change = +0.3) (p = 0.0001). The RBE group had greater decreases in the behavioral/severity, affective meaning, sensory, and cognitive mood dimension compared to the control group. In pretest scores, fatigue scores were highest in the sensory dimension, followed by cognitive/mood and behavioral/severity in the RBE group. Sensory dimension was also the highest in the control group. At pretest, there were no significant differences in fatigue scores between groups.