Issue №1-20, 2021

Original article

Experience of Application of the International Classification of Functioning (ICF) in Assessment of the Need for Rehabilitation of Patients with Operated Breast Cancer



1 ORCIDValeria A. Kluge, 1,2 ORCIDTatiana Y. Semiglazova, 1 ORCIDPetr V. Krivorotko, 3 ORCIDElena V. Melnikova, 1 ORCIDBoris S. Kasparov, 1 ORCIDKristina O. Kondrateva, 6 ORCIDMikhail V. Semeniuk, 1 ORCIDMargarita A. Tynkasova, 5 ORCIDDenis V. Kovlen, 4 ORCIDBakhtiar M. Adhamov, 1 ORCIDKonstantin Yu. Zernov, 1 ORCIDRoman S. Pesotsky, 1 ORCIDAlla A. Ryazankina, 7 ORCIDYulia V. Semiletova, 1 ORCIDSvetlana G. Nazarova, 1,3 ORCIDVladislav V. Semiglazov, 1,2 ORCIDVladimir F. Semiglazov, 1,2 ORCIDAlexey M. Belyaev

1 Petrov Scientific and Research Institute of Oncology, Saint-Peterburg, Russian Federation
2 Mechnikov North-Western State Medical University, Saint-Peterburg, Russian Federation
3 Pavlov First Saint-Petersburg State Medical University, Saint-Peterburg, Russian Federation
4 S.M. Kirov Military Medical Academy, Saint-Peterburg, Russian Federation
5 Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, Saint-Peterburg, Russian Federation
6 City Hospital №38 named after N. A. Semashko, Saint-Peterburg, Russian Federation
7 Saint-Peterburg State University, Saint-Peterburg, Russian Federation


ABSTRACT

The article presents the results of a study of the biopsychosocial principle in the rehabilitation of patients with breast cancer.

AIM. To assess the need for patients with operable breast cancer in rehabilitation measures at various stages of treatment.

RESULTS. When assessing the need for rehabilitation of patients with operable breast cancer, it was found that the need for rehabilitation measures in all patients increases in the postoperative period and persists for 12 months after the end of treatment. Special attention should be paid to the indicators of physical and social functioning in subgroups of patients who received neoadjuvant chemotherapy: increased fatigue, weight gain, unstable emotional background impose significant restrictions on the socio-role functioning of patients, reducing the quality of life and increasing the risks associated with the progression of the underlying disease, exacerbation of chronic diseases. Thus, patients who participated in the program of rehabilitation measures in the framework of the biopsychosocial approach showed the best performance after the end of treatment during the observation period: in the subgroup of patients receiving chemotherapy and rehabilitation in the framework of the biopsychosocial model, the dynamics of the recovery needs of the operation sought to average indicators by domain “b4552 Fatigue” – 21%, “b4551 Aerobic capacity “ – 18%, “d240 Handling stress and other psychological demands ≫ – 39%, “b710 Mobility of joint functions “ – 29%, self-service (“d510 Washing”; “ d540 Dressing≫) – 21%, “b455 Exercise tolerance functions “ – 22%. In the subgroup of patients who received on-demand rehabilitation, there was an increase in the need for rehabilitation by domain: “d240 Handling stress and other psychological demands “ – 45%, “b4552 Fatigue” – 28%, self-service (“d510 Washing”; “ d540 Dressing≫) – 32%, b455 Exercise tolerance functions – 30%.

CONCLUSION. The results of the study suggest a positive effect of rehabilitation measures on the functioning of patients with operable breast cancer.


KEYWORDS: rehabilitation, breast cancer, biopsychosocial model, psychological rehabilitation, physical functioning

For citation: Kluge V.A., Semiglazova T.Y., Krivorotko P.V., Melnikova E.V., Kasparov B.S., Kondrateva K.O., Semeniuk M.V., Tynkasova M.A., Kovlen D.V., Adhamov B.M., Zernov K.Yu., Pesotsky R.S., Ryazankina A.A., Semiletova Y.V., Nazarova S.G., Semiglazov V.V., Semiglazov V.F., Belyaev A.M. Experience of Application of the International Classification of Functioning (ICF) in Assessment of the Need for Rehabilitation of Patients with Operated Breast Cancer. Bulletin of Rehabilitation Medicine. 2021; 20(1): 70-83. https://doi.org/10.38025/2078-1962-2021-20-1-70-83



References:




Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.

РЕКЛАМА