ABSTRACT
ABSTRACT: Women with ovarian cancer are reported to fatigue over time. Moderate to severe levels of cancer-related fatigue is fluent in Han Chinese patients with cancer. Comprehensive Cancer Network guidelines are recommending exercise and cognitive behavioral therapy to reduce cancer-related fatigue. Exercise is an easy, cost-effective, and non-pharmacological approach. The objective of the study was to evaluate the effectiveness of nurse-led exercise and cognitive-behavioral care against nurse-led usual care in Han Chinese women of ovarian cancer regarding cancer-related fatigue, depressive symptoms, and sleep quality.Han Chinese women with moderate to severe levels of cancer-related fatigue have received 30âminutes, 5âtimes/week nurse-led exercise and 60âmin/week cognitive-behavioral care (EC cohort, nâ=â118) or nurse-led usual care regarding educations and recommendations only (UC cohort, nâ=â126) or have not received nurse-led exercise, cognitive-behavioral care, educations, and recommendations (NC cohort, nâ=â145) between and after chemotherapy cycles. The Piper Fatigue Scale, the Zung Self-rating Depression Scale, and Pittsburgh Sleep Quality Index questionnaires were evaluated at the start and the end of non-pharmacological treatment.At the end of treatment as compared to the start of treatment, only women of EC cohort had decrease Piper Fatigue Scale (5.40â±â1.49/woman vs 6.06â±â1.49/woman, Pâ<â.0001, qâ=â4.973) and Zung Self-rating Depression Scale score (48.67â±â4.24/woman vs 49.93â±â4.29/woman, Pâ=â.001, qâ=â3.449). Also, at the end of treatment, as compared to the start of treatment, only women of EC cohort have increased Pittsburgh Sleep Quality Index score (14.76â±â2.18/woman vs 13.94â±â2.90/woman, Pâ=â.045, qâ=â3.523). Only exercise and cognitive-behavioral care were successful in a decrease in the numbers of women with depression (the Mandarin Chinese version of the Zung Self-rating Depression Scale score >53, 32 vs 16, Pâ=â.015).Nurse-led exercise and cognitive-behavioral care can help Han Chinese women with ovarian cancer to decrease cancer-related fatigue and depression. Also, it can improve the quality of sleep.Evidence Level: 4.Technical Efficacy: Stage 5.
