The Effect of Walking Exercise Program for Reducing Fatigue in Cancer Patients Undergoing Medical Treatment

  • Wahyu Dewi Sulistyarini Nursing Program, Institute of Health Technology and Science Wiyata Husada Samarinda, Kalimantan Timur
  • Yanda Savira Alvianty Nursing Program, Institute of Health Technology and Science Wiyata Husada Samarinda, Kalimantan Timur


Cancer is one of the most serious problems in the world and Indonesia because the number of sufferers continues to increase. The most common symptom felt by cancer patients undergoing treatment is fatigue. Fatigue management consists of pharmacological and non-pharmacological. Physical activity, such as walking exercise programs, is a therapeutic option for reducing cancer-related fatigue (CRF).  This study aimed to determine the effect of applying a walking exercise program on the level of fatigue in cancer patients undergoing treatment. This study used a time series method without a control group design. The respondents were 13, and the criteria were cancer patients undergoing treatment. The instrument uses the Brief Fatigue Scale- Indonesian version. The implementation of the Walking Exercise Program (WEP) in the first week of the patient's fatigue score was 39.77; the results of the second-week application score was 20.31, and the application given in the third week dropped to 14.46. The results of the Greenhouse-Geyser test have a significance value of 0.03<0.05, then Ho is rejected, and Ha is accepted. Applying the Walking Exercise Program (WEP) reduces fatigue in cancer patients undergoing treatment.


Cheng, Z., Johar, A., Nilsson, M., Lagergren, P., 2022. Cancer-Related Fatigue After Esophageal Cancer Surgery: Impact of Postoperative Complications. Ann Surg Oncol 29, 2842–2851.
Damayanti, D., Nopitaa, M., Setiyowati, E., 2020. Penerapan Walking Exercise Program pada Pasien Kanker Payudara dengan Cancer Related Fatigue di Ruang Raflesia RSUD Abdoel Moeloek Provinsi Lampung. Madago Nursing Journal 1, 16–23.
Darma, G.S.P., Setiawan, I.G.B., Widiana, I.G.R., 2020. Pengaruh Aktifitas Fisik Walking Exercise Program (WEP) Terhadap Cancer Related Fatigue (CRF) pada Pasien Kanker Payudara di RSUP Sanglah. JBN (Jurnal Bedah Nasional) 5, 9.
Dennett, A.M., Peiris, C.L., Shields, N., Prendergast, L.A., Taylor, N.F., 2016. Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression. J Physiother 62, 68–82.
Effendy, C., Vissers, K., Osse, B.H.P., Tejawinata, S., Vernooij‐Dassen, M., Engels, Y., 2014. Comparison of Problems and Unmet Needs of Patients with Advanced Cancer in a European Country and an Asian Country. Pain Practice 15, 433–440.
Ferrell, B.R., Paice, J.A., 2010. Oxford Textbook of Palliative Nursing . Oxford University Press., New York.
Fitriatuz zakiyyah, N., Sinuraya, R.K., Puspitasari, I.M., 2017. Cancer Therapy with Radiation: The Basic Concept of Radiotherapy and Its Development in Indonesia. Indonesian Journal of Clinical Pharmacy 6, 311–320.
Gheyasi, F., Baraz, S., Malehi, A., Ahmadzadeh, A., Salehi, R., Vaismoradi, M., 2019. Effect of the Walking Exercise Program on Cancer-Related Fatigue in Patients with Acute Myeloid Leukemia Undergoing Chemotherapy. Asian Pac J Cancer Prev 20, 1661–1666.
Grimsbø, G.H., Ruland, C.M., Finset, A., 2012. Cancer patients’ expressions of emotional cues and concerns and oncology nurses’ responses, in an online patient–nurse communication service. Patient Educ Couns 88, 36–43.
Hayuningrum, C.F., Salim, A.T., Suminarti, 2022. Jenis Latihan Fisik Untuk Menurunkan Cancer Related Fatigue (CRF) Pada Pasien Penderita Kanker. Indonesian Journal of Health Science 2, 33–43.
Herranz-Gómez, A., Cuenca-Martínez, F., Suso-Martí, L., Varangot-Reille, C., Prades-Monfort, M., Calatayud, J., Casaña, J., 2023. Effectiveness of Therapeutic Exercise Models on Cancer-Related Fatigue in Patients With Cancer Undergoing Chemotherapy: A Systematic Review and Network Meta-analysis. Arch Phys Med Rehabil 104, 1331–1342.
Huang, H.-P., Wen, F.-H., Yang, T.-Y., Lin, Y.-C., Tsai, J.-C., Shun, S.-C., Jane, S.-W., Chen, M.-L., 2019. The effect of a 12-week home-based walking program on reducing fatigue in women with breast cancer undergoing chemotherapy: A randomized controlled study. Int J Nurs Stud 99, 103376.
Jurwita, L., Suza, D.E., Tarigan, M., 2021. Latihan Fisik Terhadap Penurunan Cancer Related Fatigue Pada Pasien Kanker Payudara. Journal of Telenursing (JOTING) 3, 744–758.
Juvet, L.K., Thune, I., Elvsaas, I.K.Ø., Fors, E.A., Lundgren, S., Bertheussen, G., Leivseth, G., Oldervoll, L.M., 2017. The effect of exercise on fatigue and physical functioning in breast cancer patients during and after treatment and at 6 months follow-up: A meta-analysis. The Breast 33, 166–177.
Kemenkes RI, 2018. Laporan Nasional RISKESDAS 2018. Jakarta Pusat.
May, A.M., Hiensch, A.E., Witlox, L., Velthuis, M., Van Der Wall, E., Peeters, P.H.M., 2018. Four-year effects of physical exercise during adjuvant treatment on fatigue and physical activity in breast and colon cancer patients. Journal of Clinical Oncology 36, 99–99.
Meneses-Echávez, J.F., González-Jiménez, E., Ramírez-Vélez, R., 2015. Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis. BMC Cancer 15, 77.
Menga, M.K., Lilianty, E., Irwan, A.M., 2021. ANALISIS FAKTOR YANG MEMPENGARUHI FATIGUE PADA PASIEN KANKER DENGAN KEMOTERAPI : LITERATUR REVIEW. Jurnal Ilmiah Perawat Manado (Juiperdo) 8, 47–64.
Paramita, N., Nusdwinuringtyas, N., Nuhonni, S.A., Atmakusuma, T.D., Ismail, R.I., Mendoza, T.R., Cleeland, C.S., 2016. Validity and Reliability of the Indonesian Version of the Brief Fatigue Inventory in Cancer Patients. J Pain Symptom Manage 52, 744–751.
Rosliana Dewi, 2021. Teknik Relaksasi Lima Jari Terhadap Kualitas Tidur, Fatigue dan Nyeri pada Pasien Kanker Payudara. Deeppublish, Yogyakarta.
Rufaida, A., Yunitasari, E., Krisnana, I., 2020a. PENGARUH KOMBINASI TERAPI WALKING EXERCISE DAN TERAPI MUSIK KLASIK TERHADAP FATIGUE PADA PASIEN KANKER PAYUDARA. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) 6, 51–56.
Rufaida, A., Yunitasari, E., Krisnana, I., 2020b. Pengaruh Kombinasi Terapi Walking Exercise Dan Terapi Musik Klasik Terhadap Fatigue Pada Pasien Kanker Payudara. Jurnal Ilmiah Keperawatan 6.
Siegel, R.L., Miller, K.D., Fuchs, H.E., Jemal, A., 2022. Cancer statistics, 2022. CA Cancer J Clin 72, 7–33.
Sulistini, R., 2020. Fatigue Pasien yang Menjalani Hemodialisis Pendekatan Asuhan Keperawatan, 1st ed. Chakra Brahmanda Lentera, Kediri.
Tsianakas, V., Harris, J., Ream, E., Van Hemelrijck, M., Purushotham, A., Mucci, L., Green, J.S.A., Fewster, J., Armes, J., 2017. CanWalk: a feasibility study with embedded randomised controlled trial pilot of a walking intervention for people with recurrent or metastatic cancer. BMJ Open 7, e013719–e013719.
Twomey, R., Martin, T., Temesi, J., Culos-Reed, S.N., Millet, G.Y., 2018. Tailored exercise interventions to reduce fatigue in cancer survivors: study protocol of a randomized controlled trial. BMC Cancer 18, 757.
Vallurupalli, M., Lauderdale, K., Balboni, M.J., Phelps, A.C., Block, S.D., Ng, A.K., Kachnic, L.A., Vanderweele, T.J., Balboni, T.A., 2012. The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol 10, 81–87.
Wang, P., Wang, D., Meng, A., Zhi, X., Zhu, P., Lu, L., Tang, L., Pu, Y., Li, X., 2020. Effects of Walking on Fatigue in Cancer Patients. Cancer Nurs 45, E270–E278.
How to Cite
SULISTYARINI, Wahyu Dewi; ALVIANTY, Yanda Savira. The Effect of Walking Exercise Program for Reducing Fatigue in Cancer Patients Undergoing Medical Treatment. NurseLine Journal, [S.l.], v. 9, n. 1, p. 77-83, may 2024. ISSN 2541-464X. Available at: <>. Date accessed: 21 july 2024. doi:

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