Evaluation of the impact of a comprehensive rehabilitation program on improving nutritional status, psychoemotional signs and adverse events in patients with melanoma after surgical treatment

Suetina M.S.

doi:https://doi.org/10.17116/hirurgia2024122173

Suetina M.S.

Medsi Clinical Hospital in Otradnoye of the Joint-Stock Company “Medsi Group of Companies”

ORCID: 0000-0003-0455-9867

Evaluation of the impact of a comprehensive rehabilitation program on improving nutritional status, psychoemotional signs and adverse events in patients with melanoma after surgical treatment

Authors:

Suetina M.S.

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Journal: Pirogov Russian Journal of Surgery. 2024;(12‑2): 173‑178

DOI: 10.17116/hirurgia2024122173

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To cite this article:

Suetina MS. Evaluation of the impact of a comprehensive rehabilitation program on improving nutritional status, psychoemotional signs and adverse events in patients with melanoma after surgical treatment. Pirogov Russian Journal of Surgery. 2024;(12‑2):173‑178. (In Russ.)
https://doi.org/10.17116/hirurgia2024122173

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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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.

Keywords:

melanoma

surgical treatment

general magnetic therapy

nutritional support

psychotherapy

rehabilitation of patients with melanoma after surgery

Authors:

Suetina M.S.

Medsi Clinical Hospital in Otradnoye of the Joint-Stock Company “Medsi Group of Companies”

ORCID: 0000-0003-0455-9867

Received:

02.10.2024

Accepted:

24.10.2024

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References:

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