STATE OF THE PROBLEMS OF TELEREHABILITATION OF BREAST CANCER PATIENTS AND THE FORMATION OF REQUIREMENTS FOR MODERN TELEREHABILITATION SYSTEMS
DOI:
https://doi.org/10.11603/mie.1996-1960.2023.3-4.14468Keywords:
telerehabilitation, breast cancer, quality of life, regulatory acts, multidisciplinary rehabilitation teamAbstract
Background. Cancer is one of the most pressing medical issues and a leading cause of morbidity and mortality worldwide. Developing cancer rehabilitation services is a crucial direction for the adaptation and integration of cancer patients into society. Currently, providing rehabilitation care using telerehabilitation is a promising area.
Materials and methods. Detailed in the National Research Foundation of Ukraine Project 2021.01/0136 "Development of a cloud-based platform for patient-centered telerehabilitation of cancer patients based on mathematical modeling". The key research methodology was to study the state-of-the-art telerehabilitation of breast cancer patients based on the evaluation of existing methodological approaches to rehabilitation and telerehabilitation of cancer patients worldwide.
Results. In recent years, various telerehabilitation systems for breast cancer patients undergoing cancer treatment have been implemented worldwide. The main advantage of telerehabilitation is the inclusion of more patients in outpatient rehabilitation, especially those with limited mobility and those living far from rehabilitation centers, by providing remote rehabilitation services. Modern telemedicine technologies allow real-time monitoring of the patient's exercises and loading, as well as correction of the rehabilitation program based on subjective feedback and the dynamics of the patient's state and condition.
Conclusions. International experience demonstrates that an effective complex of telerehabilitation technologies can be developed for breast cancer patients at the outpatient rehabilitation stage.
References
Analitychnyi ohliad: Onkoepidemiolohichna sytuatsiia ta stan orhanizatsii onkolohichnoi dopomohy v Ukraini, 2021-2022 rr. [Analytical review: Oncological epidemiological situation and the state of organization of cancer care in Ukraine, 2021-2022]. Available from: http://www.ncru.inf.ua/publications/BULL_24/PDF/04-13-vstup.pdf.[In Ukrainian].
Chhikara, B. S., Parang, K. (2023). Global Cancer Statistics 2022: the trends projection analysis. Chemical Biology Letters, 10 (1). Available from: https://pubs.thesciencein.org/journal/index.php/cbl/article/view/451.
Biuleten Natsionalnoho Kantser-reiestru Ukrainy № 24. Kyiv, 2023. [Bulletin of the National Cancer Registry of Ukraine No. 24. Kyiv, 2023.] Available from: http://www.ncru.inf.ua/publications/BULL_24/.[In Ukrainian].
Zub, V. O. (2023). Porivnialnyi analiz yakosti zhyttia patsiientiv z rakom lehen, prostaty, molochnoi zalozy ta shlunku v Ukraini zghidno opytuvalnyka EORTC QLQ-C30. [Comparative analysis of the quality of life of patients with lung, prostate, breast and stomach cancer in Ukraine according to the EORTC QLQ-C30 questionnaire]. Klinichna ta profilaktychna medytsyna [Clinical and Preventive Medicine], 2 (24), 46-54. doi: https://doi.org/10.31612/2616-4868.2(24).2023.07.[In Ukrainian]. DOI: https://doi.org/10.31612/2616-4868.2(24).2023.07
Pro vnesennia zmin do deiakykh zakonodavchykh aktiv Ukrainy shchodo funktsionuvannia telemedytsyny [On making changes to some legislative acts of Ukraine regarding the functioning of telemedicine]. Zakon Ukrayiny vid 09.08.2023 № 3301-IX [Law of Ukraine dated August 9, 2023 No. 3301-IX]. Holos Ukrayiny [Voice of Ukraine]. 06 veres. (№ 30) [September 6. (No. 30)]. [In Ukrainian].
Peng, Y., Zhang, K. et al. (2022). Effect of a telehealth-based exercise intervention on the physical activity of patients with breast cancer: A systematic review and metaanalysis. Asia-Pacific. Journal of Oncology Nursing, 9. doi: https://doi.org/10.1016/j.apjon.2022.100117. DOI: https://doi.org/10.1016/j.apjon.2022.100117
Pro reabilitatsiyu u sferi okhorony zdorov'ya : Zakon Ukrayiny vid 03.12.2020 № 1053-IX [On rehabilitation in the field of health care: Law of Ukraine dated 03.12.2020 No. 1053-IX]. Holos Ukrayiny [Voice of Ukraine]. 30 hrud. (№ 242) [December 30 (No. 242)].[In Ukrainian].
Pro zatverdzhennya Poryadku nadannya medychnoyi dopomohy iz zastosuvannyam telemedytsyny, reabilitatsiynoyi dopomohy iz zastosuvannyam telereabilitatsiyi na period diyi voyennoho stanu v Ukrayini abo okremykh yiyi mistsevostyakh [On the approval of the Procedure for providing medical assistance using telemedicine, rehabilitation assistance using telerehabilitation for the period of martial law in Ukraine or some of its localities]. Nakaz Ministerstva okhorony zdorov'ya Ukrayiny vid 17.09.2022 № 1695 iz zminamy [Order of the Ministry of Health of Ukraine dated 09/17/2022 No. 1695, as amended]. Ofitsiynyy visnyk Ukrayiny [Official Gazette of Ukraine]. 21 zhovt. (№ 82) [October 21 (No. 82)], 458.[In Ukrainian].
Osnovy zakonodavstva Ukrayiny pro okhoronu zdorov'ya [Fundamentals of Ukrainian legislation on health care]. Zakon Ukrayiny vid 19.11.1992 № 2801-XII iz zminamy [Law of Ukraine dated 19.11.1992 No. 2801-XII as amended]. Holos Ukrayiny [Voice of Ukraine]. 15 hrud. [December 15]. Available from: https://zakon.rada.gov.ua/laws/show/2801-12#Text.[In Ukrainian].
Yaremko, O. (2023). Telemedytsyna/ telereabilitatsiia pid chas voiennoho stanu: yaki harantii prava na medychnu taiemnytsiu patsiienta? [Telemedicine/tele-rehabilitation during martial law: what are the guarantees of the right to patient's medical confidentiality?]. Available from: https://www.hsa.org.ua/blog/telemedicina-telereabilitaciia-pid-cas-vojennogo-stanu-iaki-garantiyi-prava-na-medicnu-tajemniciu-pacijenta.[In Ukrainian].
Lahutina, K. O. (2020). Telemedychna merezha v Ukraini [Telemedicine network in Ukraine]. Yurydychnyi naukovyi elektronnyi zhurnal [Legal scientific electronic journal], 2, 38-41. doi: https://doi. org/10.32782/2524-0374/2020-2/8.[In Ukrainian]. DOI: https://doi.org/10.32782/2524-0374/2020-2/8
Lloyd, G. R., Oza, S., Kozey-Keadle, S. et al. (2016). Breast cancer survivors' beliefs and preferences regarding technology-supported sedentary behavior reduction interventions. AIMS Public Health, 3 (3), 592-614. DOI: https://doi.org/10.3934/publichealth.2016.3.592
Silva, E. H., Lawler, S., Langbecker, D. (2019). The effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review. Journal of Cancer Survivorship, 13, 97-107. doi: https://doi.org/10.1007/s11764-018-0730-8. DOI: https://doi.org/10.1007/s11764-018-0730-8
Galiano-Castillo, N., Arroyo-Morales, M. et al. (2017). Effect of an Internet-based telehealth system on functional capacity and cognition in breast cancer survivors: a secondary analysis of a randomized controlled trial. Support Care Cancer, 25 (11), 35513559. doi: https://doi.org/10.1007/s00520-017-3782-9. DOI: https://doi.org/10.1007/s00520-017-3782-9
Garcia-Roca, M. E., Rodriguez-Arrastia, M. et al. (2022). Breast Cancer Patients' Experiences with Online Group-Based Physical Exercise in a COVID-19 Context: A Focus Group Study. J Pers Med., 12(3). doi: https://doi.org/10.3390/jpm12030356. DOI: https://doi.org/10.3390/jpm12030356
Mella-Abarca, W., Barraza-Sanchez, V., Ramfrez-Parada, K. (2020). Telerehabilitation for people with breast cancer through the COVID-19 pandemic in Chile. Ecancermedicalscience, 5 (14). doi: https://doi.org/10.3332/ecancer.2020.1085. DOI: https://doi.org/10.3332/ecancer.2020.1085
Loubani, K., Schreuer, N., Kizony, R. (2022). Telerehabilitation for Managing Daily Participation among Breast Cancer Survivors during COVID-19: A Feasibility Study. Journal of Clinical Medicine, 11(4). doi: https://doi.org/10.3390/jcm11041022. DOI: https://doi.org/10.3390/jcm11041022
Cattaneo, A., Fragasso, M., Magni, M. et al. (2023). Assessing the Accuracy of the Azure Kinect for Telerehabilitation After Breast Cancer Surgery. Studies in Health Technology and Informatics, 301, 83-88. doi: https://doi.org/10.3233/SHTI230017. DOI: https://doi.org/10.3233/SHTI230017
Siegel, R. L., Miller, K. D., Fuchs, H. E. et al. (2021). Cancer statistics. CA: A Cancer. Journal for Clinicians, 71 (4), 359. doi: https://doi.org/10.3322/caac.21654. DOI: https://doi.org/10.3322/caac.21654
Breast Cancer Facts & Figures 2019-2020 (2020). Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2019-2020.pdf.
Torres Lacomba, M., Mayoral del Moral, O. et al. (2009). Axillary web syndrome after axillary dissection in breast cancer: a prospective study. Breast Cancer Res Treat, 117 (3), 625-630. doi: https://doi.org/10.1007/s10549-009-0371-8. DOI: https://doi.org/10.1007/s10549-009-0371-8
Keesing, S., Rosenwax, L., McNamara, B. (2018). Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer. British Journal of Occupational Therapy, 81 (7), 402-412. doi: https://doi.org/10.1177/0308022618762080. DOI: https://doi.org/10.1177/0308022618762080
Von Blanckenburg, P., Seifart, U. et al. (2014). Quality of life in cancer rehabilitation: the role of life goal adjustment. Psychooncology, 23 (10), 1149-1156. doi: https://doi.org/10.1002/pon.3538. DOI: https://doi.org/10.1002/pon.3538
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