Effect of Progressive Muscle Relaxation Technique on Fatigue and Sleep Quality among Colorectal Cancer Patients Undergoing Chemotherapy

Wagih Labib Esmail, Walaa; Ibrahim Abd Elkader Habiba, Azza; Gaber Ahmed Gewily, Ahmed; Ali Abd Elaziz Sherief, Abd Elaziz; Elsayed Mohamed Rady, Saada

doi:10.21608/ejhc.2025.438190

Effect of Progressive Muscle Relaxation Technique on Fatigue and Sleep Quality among Colorectal Cancer Patients Undergoing Chemotherapy

Document Type : Original Article

Authors

¹ Clinical instructor of Medical & Surgical Nursing, Damanhour University

² Assistant Professor of Medical & Surgical Nursing, Damanhour University

³ Professor of Oncology Faculty of Medicine, Alexandria University

⁴ Professor of Physical Therapy, Faculty of Physical Therapy, Kafrelsheikh University

10.21608/ejhc.2025.438190

Abstract

Background: Fatigue and poor sleep quality are considered ones of the most prevalent side effects among colorectal cancer patients undergoing chemotherapy. Progressive muscle relaxation technique is a cognitive-behavioral therapy that can help to decrease these effects. Aim of the study: Determine the effect of progressive muscle relaxation technique on fatigue and sleep quality among colorectal cancer patients undergoing chemotherapy. Research design: A quasi experimental research design was utilized in this study. Setting: The inpatient medical oncology department at Damanhour Oncology Center, affiliated to the Specialized Medical Centers, Ministry of Health, El-Beheira Governorate, Egypt. Subjects: A purposive sample of 130 adult patients of both sex with colorectal cancer undergoing chemotherapy. Tools of data collection: Three tools were used: Tool (I): Demographic and Clinical Data Structured Interview Schedule, Tool (II): Fatigue Assessment Scale, Tool (III): The Groningen Sleep Quality Scale. Results: The study showed that there was a highly statistically significant difference between both control and study groups concerning their total fatigue level and total sleep quality score in 1^stand 2^nd evaluations (p < 0.001*). Conclusion: Progressive Muscle Relaxation Technique significantly decreases fatigue level and improves sleep quality among colorectal cancer patients undergoing chemotherapy. Recommendations: Incorporate progressive muscle relaxation technique into the routine nursing care for colorectal cancer patients undergoing chemotherapy. In-service training programs for all nurses in oncology departments about the benefits, demonstration, and utilization of progressive muscle relaxation technique for patients undergoing chemotherapy.

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