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[CERVICAL CANCER REHABILITATION: A PROSPECTIVE STUDY].

Idrisova, L; Solopova, A; Savchenko, A; Makacarya, A; Chukanova, E; Alipov, V; Kapanadze, D.
Georgian Med News; (280-281): 17-23, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30204088
Aim - to evaluate the rehabilitation program impact on the quality of life of оncogynecological patients and to introduce this approach in clinical practice. The study included93 reproductive-aged women, who underwent the cervical cancer treatment. Patients were divided into two groups the experimental group, which received rehabilitation, and the control group. The thrombotic complications risk, lymphatic system condition, cognitive functions and anxiety level were assessed in all patients using special questionnaires, physical examination, and laboratory assessment. The lower limbs lymphedema was observed in 19.1% of cases in the control group and in 2.1% in the experimental group (p <0.05). According to the Moka test data, cognitive impairment level at the end of the study was 24.02 (17-30, CI = 22.5-25.54) in the control group and 26.85 (19-30, CI = 26.0 - 27.64) in the experimental group (p <0.05). The cognitive impairment subjective signs were significantly higher in the control group (p <0.05) as well. The anxiety level at the end of the study was 7.022 (1-19, CI = 5.91-8.13) in the experimental group and 11.02 (4-22, CI = 9.83-12.22) in the control group (p <0.05). At the end of the study, the following depression levels were obtained 12.43 (5 - 21; CI = 11.23 - 13.64) and 7.69 (1 -14; CI = 6.77 - 8.62) in the control and the experimental group respectively (p <0.05). At the end of the study, deep vein thrombosis was observed in 21 patients in the control group (44.7%) and 7 patients in the experimental group (15.22%) (p <0.05). One patient from the control group had PATE. According to EORTC QLQ-C30, the quality of life and socialization level was significantly higher in the experimental group, while fatigue level was lower. At the end of the study, 36.2% and 76.0% of patients in the control and the experimental group respectively were employed. The rehabilitation program improves the emotional and cognitive functioning, induced menopause associated somatic disorders, quality of life, and work capacity.
Selo DaSilva