Khirurgiia (Mosk). 2024;(12. Vyp. 2):173-178. doi: 10.17116/hirurgia2024122173.
ABSTRACT
The purpose of the study: to evaluate the impact of a comprehensive rehabilitation program on physical health indicators, such as weight restoration and improvement of functional capabilities of patients, psychoemotional state of patients, reduction of complications after surgical treatment.
MATERIAL AND METHODS: Observations were conducted on 148 patients diagnosed with melanoma of various localizations, who were divided into two groups by simple randomization: study (n=77) and control (n=71). The study group received surgical treatment in combination with rehabilitation programs (psychotherapy, nutritional support, general magnetic therapy), while the control group received only standard surgical treatment.
RESULTS: In the study group, there is a significant improvement in the quality of life, as well as an improvement in the general condition against the background of the addition of comprehensive rehabilitation programs. According to the results of the analysis, it was noted that adverse events in the study group against the background of the use of comprehensive rehabilitation programs were less common in 41 (53%) patients than in patients in the study group in 54 (76%), where only surgical treatment was performed. After treatment, in the study group, there was a reliably significant decrease in the risk of nutritional deficiency in 16 patients (none), compared with the control group in 12 patients, respectively, (p<0.05). In the study group, a significant decrease in complaints was recorded for the indicators «Emotional functioning» (by 13.4%, in the control group a decrease of 4.9%, p<0.05), «Role functioning» (by 15.1%, in the control group by 3.4%, p<0.05), «Cognitive functioning» (by 13.7%, in the control group by 5.6%, p<0.05) and «Social functioning» (by 14.2%, in the control group by 4.0%, p<0.05).
CONCLUSION: The use of a multidisciplinary rehabilitation approach, including nutritional support, magnetic therapy and psychological assistance, demonstrates a significant improvement in symptom management and quality of life in patients with melanoma after surgical treatment.
PMID:39803854 | DOI:10.17116/hirurgia2024122173