Effect of medical rehabilitation on improvement of quality of life in patients with breast cancer in the early postoperative period

The model for cancer rehabilitation begins with the pre-rehabilitation stage, next is the first rehabilitation stage. It is imperative to strictly justify the choice of rehabilitation technologies. There is evidence that nutritional and physical pre-rehabilitation has a positive effect on patient survival. However, there are no researches on the possible complex use of nutritional support and physiotherapy in the medical rehabilitation of patients with malignant neoplasms (MNs) of the breast in the early postoperative period, by substantiating the role of each factor. Objective. To investigate the efficiency of specialized dietary therapeutic and preventive nutrition and fluctuorization in the complex medical rehabilitation of patients with breast cancer (BC) in the early postoperative period. Subjects and methods. A prospective simple randomized study was conducted, which involved 202 patients with BC in the early postoperative period (on 24 days after surgery). All the patients underwent medical rehabilitation: individual physiotherapy exercises, balance therapy, and sessions with a medical psychologist. A study group included 68 patients receiving nutritional support in the medical rehabilitation cycle using the specialized LEOVIT ONCO dietary therapeutic food products, as well as fluctuorization. The rehabilitation cycle involved physiotherapy without therapeutic nutrition in a comparison group of 67 patients. A control group of 67 patients received a medical rehabilitation cycle without physiotherapy and therapeutic nutrition. The patients underwent clinical, functional, laboratory, and instrumental studies. Results and conclusion. The use of the specialized LEOVIT ONCO dietary products and fluctuorization in the preoperative and early postoperative periods was established to be an effective method of rehabilitation. The advantage of fluctuorization is the rapid relief of postoperative pain syndrome and the acceleration of regeneration. The use of the specialized LEOVIT ONCO dietary health food products assists in reducing postoperative intoxication, improves the antitoxic function of the liver, and reduces inflammatory processes and a negative impact of oxidative stress in the patients with BC. As a result, faster recovery of damaged tissues occurs and quality of life improves in the patients.