To assess the effect of regular excercise, involvement with art (origami) and group therapy on quality of life, anxiety, depression, patient satisfaction and hope levels in patients with remission who had a variety of cancer diagnoses ?quality of life support program (qolsp)? was developed

This study was carried out in Physical Education and Sports Faculty, Department of Recreation, Medical Faculty Medical Oncology Outpatient Clinic, Chemotherapy Unit and Department of Psychiatry, all within Akdeniz University.Informed consents and demographic information was compiled prior to the onset of study, HOPE, HADS (Hospital anxiety and depression) and EORTC QLQ-C30 (30th question assessing the quality of life) quality of life scales were used at the beginning and at the end of the study. Apart from these scales, program satisfaction and scales evaluating the arm use in breast cancer patients were also used. QoLSP consisted of excercise on Mondays, art therapy (origami) or group therapy on Wednesdays (rotating once a week) and home excercise on Fridays.A total of 26 patients took part in this study, 23 of whom were female and the remaining 3 were male patients. Twenty patients were diagnosed as breast cancer, 2 patients had cancer of the overy and the remaining four had endometrium, colon, larynx cancer and soft tissue sarcoma.When the analyses were completed, average hope scores of the patients were 25,6±3,9 and EORTC QLQ-C30 scale 30th question average score was found as 5,1±1,5 before QoLSP. After the QoLSP, average score for the HOPE scale was raised to 29,7±1,9 and EORTC QLQ-C30 scale?s 30th question score average was increased to 6,6±0,82. Before QoLSP, HADS anxiety scale score was 8,2±4,7 on the average and HADS depression scale average score was found as 6,4±4,4. After QoLSP HADS anxiety scale score average was decreased to 3,5±3,3 and HADS depression scale score average was down to 2,5±3,2. All differences in scale scores between before and after QoLSP program were considered as statistically significant (P?0,001).After QoLSP, factors which might have been involved with quality of life were also evaluated. In multivariate analysis, hope score differences were statistically significant when compared with preliminary hope scale (ß=-0,89, t=11,21, p<0,001), which is also true for anxiety score differences when compared with HADS preliminary anxiety scores; and global Qol preliminary scores (ß=-0,55, t=-3,65, p=0,001 and ß=0,33, t=2,2, p=0,038 respectively), depression score differences according to HADS depression scale preliminary results (ß=-0,74, t=-5,39, p<0,001), as well as Global Qol score differences according to Global Qol preliminary results (ß=-0,88, t=-9,22, p<0,001) were also statistically significant.In the study population 6 patients had breast sparing surgery + lymph node dissection out of 20 patients who were operated for breast cancer. When assessed arm movement of 3 patients (out of the 6) have been defined as ?much beter?, 2 patients? arm movements were `better? and 1 patient reported ?no change?. Out of 14 patients who had modified radical mastectomy 13 had rated their arm movements as ?much beter? and 1 reported arm movement as ?beter?.When program satisfaction was assessed via a questionnaire, all of the 26 participants rated themselves as ?highly satisfied?.According to the results of this study, QoLSP a multidisciplinary activity, if established in other centers, can have very positive influence on cancer patients? quality of life, anxiety, depression, hope and patient satisfaction by having an active part in diagnosis and treatment