<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Sociology of Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Sociology of Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Социология медицины</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1728-2810</issn><issn publication-format="electronic">2413-2942</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">50761</article-id><article-id pub-id-type="doi">10.17816/1728-2810-2020-19-1-60-64</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Content of rehabilitation in the continuum of cancer care for patients in disease situations</article-title><trans-title-group xml:lang="ru"><trans-title>Контент реабилитации в континууме онкологической помощи пациентам в ситуациях болезни</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shmerkevich</surname><given-names>Alexandr B.</given-names></name><name xml:lang="ru"><surname>Шмеркевич</surname><given-names>Александр Борисович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. med. Sci., Applicant for the Department of Public Health and Health Care (with courses in jurisprudence and history of medicine).</p></bio><bio xml:lang="ru"><p>канд. мед. наук, соискатель кафедры общественного здоровья и здравоохранения (c курсами правоведения и истории медицины)</p></bio><email>913693@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Krom</surname><given-names>Irina L.</given-names></name><name xml:lang="ru"><surname>Кром</surname><given-names>Ирина Львовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Doctor of Medical Sciences, Professor, Professor of the Health Organization and Public Health Department (the courses of Law and History of Medicine), Head of the Centre of Medico-social Research</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор кафедры общественного здоровья и здравоохранения (c курсами правоведения и истории медицины), руководитель Центра медико-социологических исследований</p></bio><email>913693@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Erugina</surname><given-names>Marina V.</given-names></name><name xml:lang="ru"><surname>Еругина</surname><given-names>Марина Василидовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Dr. med. Sciences, Head of the Department of Public Health and Health Care (with courses in jurisprudence and history of medicine)</p></bio><bio xml:lang="ru"><p>д-р мед. наук, заведующая кафедрой общественного здоровья и здравоохранения (c курсами правоведения и истории медицины)</p></bio><email>913693@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Balakina</surname><given-names>Diana D.</given-names></name><name xml:lang="ru"><surname>Балакина</surname><given-names>Диана Дмитриевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Postgraduate student of the Department of Public Health and Health Care (with courses in jurisprudence and history of medicine)</p></bio><bio xml:lang="ru"><p>аспирантка кафедры общественного здоровья и здравоохранения (c курсами правоведения и истории медицины)</p></bio><email>913693@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">V.I. Razumovsky Saratov State Medical University» of the Ministry of Healthcare of the Russian Federation</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Саратовский ГМУ им. В.И. Разумовского» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of the Russian Federation</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Саратовский ГМУ им. В.И. Разумовского» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-06-15" publication-format="electronic"><day>15</day><month>06</month><year>2020</year></pub-date><volume>19</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>60</fpage><lpage>64</lpage><history><date date-type="received" iso-8601-date="2020-11-21"><day>21</day><month>11</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-11-21"><day>21</day><month>11</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, ООО "Эко-Вектор"</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder></permissions><self-uri xlink:href="https://rjsocmed.com/1728-2810/article/view/50761">https://rjsocmed.com/1728-2810/article/view/50761</self-uri><abstract xml:lang="en"><p>Because of the optimization of the clinical and social prognosis of patients with cancer in recent decades, the possibility of incorporating rehabilitation in the continuum of cancer care is considered. Therefore, this study presents a comparative analysis of the quality of life among 427 working-age respondents with breast cancer in disease situations using the WHO QOL 100 questionnaire. Based on the results, a statistically significant decrease in the quality of life among the respondents in the “physical” and the “level of independence” spheres in the non-terminal situation of the disease was found, whereas in the group of incurable patients, a statistically significant decrease in the quality of life among the respondents in the “physical,” “psychological,” and “level of independence” spheres was found. Through the findings of this study, the rehabilitation of cancer patients in disease situations can be personified, and recommendations for improving the continuum of cancer care can be developed.</p></abstract><trans-abstract xml:lang="ru"><p>Вследствие оптимизации клинического и социального прогноза пациентов при онкологических заболеваниях в последние десятилетия возникает возможность включения реабилитации в континуум онкологической помощи. В статье представлены результаты проведенного с использованием опросника ВОЗ КЖ 100 (WHOQOL-100) компаративного анализа качества жизни 427 респондентов трудоспособного возраста, страдающих раком молочной железы, в ситуациях болезни. Установлено статистически значимое снижение показателей качества жизни респондентов в «Физической» сфере и сфере «Уровень независимости» в нетерминальной ситуации болезни. В группе инкурабельных пациентов снижение показателя качества жизни респондентов статистически значимо в «Физической», «Психологической» сферах и сфере «Уровень независимости». Полученные результаты позволяют персонифицировать реабилитацию онкологических больных в ситуациях болезни и разработать рекомендации по совершенствованию континуума онкологической помощи.</p></trans-abstract><kwd-group xml:lang="en"><kwd>quality of life</kwd><kwd>rehabilitation</kwd><kwd>cancer situation</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>качество жизни</kwd><kwd>реабилитация</kwd><kwd>ситуации онкологического заболевания</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Reshetnikov A, Fedorova J, Prisyazhnaya N, et al. Health management for sustainable development. In: IEEE Staff. 2018 Second World Conference on Smart Trends in Systems, Security and Sustainability (WorldS4). 2018, Oct 30-31; London; UK. IEEE; 2018. P. 51–56.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Silver JK. Integrating rehabilitation into the cancer care continuum. PM&amp;R. 2017;9(9 Suppl 2):291-296. https://doi.org/10.1016/j.pmrj.2017.07.075.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Stubblefield MD. Cancer rehabilitation. Semin Oncol. 2011; 38(3):386-93. https://doi.org/10.1053/j.seminoncol.2011.03.008.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Stanos PS, Gagnon CM, Atchison JW. Interdisciplinary pain rehabilitation programs: how much is enough to optimize clinical outcomes? PM&amp;R. 2013;5(9):295-6. https://doi.org/10.1016/j.pmrj.2013.08.532.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Payne R. Chronic pain: challenges in the assessment and management of cancer pain. J Pain Symptom Manage. 2000;19(1 Suppl): S12-5. https://doi.org/10.1016/s0885-3924(99)00123-2.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Масляков В.В., Левина В.А., Накаева Е.Ю. Качество жизни и послеоперационная реабилитация больных раком молочной железы // Медицинский вестник Северного Кавказа. — 2014. — Т. 9. — № 1. — С. 26–29. [Maslyakov VV, Lyevina VA, Nakayeva EYu. Quality of life and postoperative rehabilitation of patients with cancer of the mammary gland. Meditsinskiy vestnik Severnogo Kavkaza. 2014;9(1):26-29. (In Russ.)]</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Holland JC. Psycho-oncology: overview, obstacles and opportunities. Psychooncology. 1992;(6):1-13. https://doi.org/10.1002/pon.2960010103.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Шмеркевич А.Б., Водолагин А.В., Балакина Д.Д. Междисциплинарные аспекты реабилитации онкологических больных в нетерминальной ситуации болезни (обзор) // Саратовский научно-медицинский журнал. — 2017. — Т. 13. — № 4. — С. 806–808. [Shmerkevich AB, Vodolagin AV, Balakina DD. Interdisciplinary aspects of rehabilitation of patients with oncological diseases in non-terminal situation of the disease. Saratovskiy nauchno-meditsinskiy zhurnal. 2017;13(4):806-808. (In Russ.)]</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Lehmann JF, Lisa JA, Warren CG, et al. Cancer rehabilitation: assessment of need, development, and evaluation of a model of care. Arch Phys Med Rehabil. 1978;59(9):410-419.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Verhoef MJ, de Nijs E, Horeweg N, et al. Palliative care needs of advanced cancer patients in the emergency department at the end of life: an observational cohort study. Support Care Cancer. 2020;28(3):1097-1107. https://doi.org/10.1007/s00520-019-04906-x.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Greer S. Psycho-oncology: its aims, achievements and future tasks. Psychooncology. 1994;3(2):87-101. https://doi.org/10.1002/pon.2960030203.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Silver JK, Raj VS, Fu JB, Wisotzky EM, Smith SR, Kirch RA. Cancer rehabilitation and palliative care: Critical components in the delivery of high quality oncology services. Support Care Cancer. 2015;23(12):3633-3643. https://doi.org/10.1007/s00520-015-2916-1.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Barawid E, Covarrubias N, Tribuzio B. The benefits of rehabilitation for palliative care patients. Am J Hosp Palliat Care. 2015;32(1):34-43. https://doi.org/10.1177/1049909113514474.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Lyons KD, Padgett LS, Marshall TF, et al. Follow the trail: using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation. CA Cancer J Clin. 2019;69(2):113-126. https://doi.org/10.3322/caac.21549.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Santiago-Palma J, Payne R. Palliative care and rehabilitation. Cancer. 2001;92(4 Suppl):1049-1052. https://doi.org/10.1002/1097-0142(20010815)92:4+&lt;1049::aid-cncr1418&gt;3.0.co;2-h.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Щепин В.О., Тельнова Е.А., Карпова О.Б., Проклова Т.Н. О проблемах паллиативной помощи // Проблемы социальной гигиены, здравоохранения и истории медицины. — 2019. — Т. 27. — № 1. — С. 36–40. https://doi.org/10.32687/0869-866X-2019-27-1-36-40. [Shchepin VO, Tel’nova EA, Karpova OB, Proklova TN. About problems of palliative care. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2019;27(1):36-40. https://doi.org/10.32687/0869-866X-2019-27-1-36-40. (In Russ.)]</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Орлова М.М. Перцепция здоровья и болезни, как частный случай адаптационных стратегий // Известия Саратовского Университета. Новая серия. Серия: Философия. Психология. Педагогика. — 2010. — Т. 10. — № 1. — 87–92. [Orlova MM. Perception of conditions health and illness as the analoque of adaptive strategy. Izvestiya Saratovskogo Universiteta. Novaya seriya. Seriya: Filosofiya. Psikhologiya. Pedagogika. 2010;10(1):87-92. (In Russ.)]</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Cherny NI, Coyle N, Foley KM. Guidelines in the care of the dying cancer patient. Hematol Oncol Clin North Am. 1996;10(1):261-286. https://doi.org/10.1016/s0889-8588(05)70338-5.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Cheville A. Rehabilitation of patients with advanced cancer. Cancer. 2001;92(S4):1039-1048. https://doi.org/10.1002/1097-0142(20010815)92:4+&lt;1039::aid-cncr1417&gt;3.0.co;2-l.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Gagnon B, Murphy J, Eades M, et al. A prospective evaluation of an interdisciplinary nutrition-rehabilitation program for patients with advanced cancer. Curr Oncol. 2013;20(6):310-318. https://doi.org/10.3747/co.20.1612</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Chasen MR, Feldstain A, Gravelle D, et al. An interprofessional palliative care oncology rehabilitation program: effects on function and predictors of program completion. Curr Oncol. 2013;20(6):301-309. https://doi.org/10.3747/co.20.1607.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Salakari Minna RJ, Surakka T, Nurminen R, Pylkkänen L. Effects of rehabilitation among patients with advances cancer: a systematic review. Acta Oncol. 2015;54(5):618-628. https://doi.org/10.3109/0284186X.2014.996661.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Cheville AL, Morrow M, Smith SR, Basford JR. Integrating function-directed treatments into palliative care. PM&amp;R. 2017;9(9S2):335-346. https://doi.org/10.1016/j.pmrj.2017.07.073.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Alt-Epping B. More than quality of life assessment: How to value the usefulness of palliative care interventions in patients suffering from cancer. Oncol Res Treat. 2017;40(Suppl. 3):115.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Никифоров Г.С. Диагностика здоровья. Психологический практикум. — СПб.: Речь; 2007. [Nikiforov G.S. Diagnostika zdorov’ya. Psikhologicheskiy praktikum. St. Petersburg: Rech’; 2007. (In Russ.)]</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Axelsson B, Sjoden PO. Quality of life of cancer patients and their spouses in palliative home care. Palliat Med. 1998;12(1):29-39. https://doi.org/10.1191/026921698676629560.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Карицкий А.П., Чулкова В.А., Пестерева Е.В., Семиглазова Т.Ю. Реабилитация онкологического больного как основа повышения качества его жизни // Вопросы онкологии. — 2015. — Т. 61. — № 2. — С. 180–184. [Karitsky AP, Chulkova VA, Pestereva EV, Semiglazova TYu. Rehabilitation of a cancer patient as a basis for improving the quality of his life. Voprosy onkologii. 2015;61(2):180-184. (In Russ.)]</mixed-citation></ref></ref-list></back></article>
