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Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life

  • Authors:
    • Shiwei Liu
    • Lei Zhou
    • Lin An
  • View Affiliations / Copyright

    Affiliations: Department of Rehabilitation, Yidu Central Hospital of Weifang, Weifang, Shandong 262500, P.R. China, Department of Hepatobiliary Surgery, Yankuang Group General Hospital, Zoucheng, Shandong 273500, P.R. China, Department of Image, Jining No. 1 People's Hospital, Jining, Shandong 272000, P.R. China
  • Pages: 2703-2707
    |
    Published online on: January 29, 2019
       https://doi.org/10.3892/etm.2019.7215
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Abstract

Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma was studied to explore its impact on patients' quality of life. Two hundred and nineteen patients with cholangiocarcinoma who underwent surgery in Yidu Central Hospital of Weifang from April 2014 to June 2017 were selected as study subjects. Of these patients, 116 received comprehensive rehabilitation therapy, in addition to chemotherapy, after surgery and were assigned to the experimental group. The remaining 103 patients received routine treatment after surgery and were assigned to the control group. Under the guidance of experts, patients in the experimental group carried out multiple comprehensive rehabilitation activities, such as exercises on general physical function, adjustment of psychological state and recovery of social family function. The outcome after 1 month of treatment was evaluated for the two groups according to the RECIST 1.1 guidelines. Nutritional status of patients before surgery, at 1 day and at 1 month after surgery was measured according to the Nutritional Risk Screening endorsed by the European Society for Clinical Nutrition and Metabolism (ESPEN). The quality of life at 1 month after surgery was assessed based on the QLQ‑C30 quality of life questionnaire. The negative emotions that patients experienced at 1 month after surgery were assessed using the self‑rating anxiety scale (SAS) and the self‑rating depression scale (SDS). The response rate in the experimental group was 76.72%, which was significantly higher than 46.60% in the control group (P<0.05). At 1 month after surgery, the nutritional status and quality of life, as well as SAS/SDS scores, were significantly better in the experimental group than in the control group, and the differences were sta­tistically significant (P<0.05). In clinical anticancer treatment, synergistic implementation of comprehensive rehabilitation therapy can improve patients' psychological health status, nutritional status and the overall quality of life, and reduce the impact of negative emotions on the physical state.
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Copy and paste a formatted citation
Spandidos Publications style
Liu S, Zhou L and An L: Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life. Exp Ther Med 17: 2703-2707, 2019.
APA
Liu, S., Zhou, L., & An, L. (2019). Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life. Experimental and Therapeutic Medicine, 17, 2703-2707. https://doi.org/10.3892/etm.2019.7215
MLA
Liu, S., Zhou, L., An, L."Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life". Experimental and Therapeutic Medicine 17.4 (2019): 2703-2707.
Chicago
Liu, S., Zhou, L., An, L."Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life". Experimental and Therapeutic Medicine 17, no. 4 (2019): 2703-2707. https://doi.org/10.3892/etm.2019.7215
Copy and paste a formatted citation
x
Spandidos Publications style
Liu S, Zhou L and An L: Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life. Exp Ther Med 17: 2703-2707, 2019.
APA
Liu, S., Zhou, L., & An, L. (2019). Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life. Experimental and Therapeutic Medicine, 17, 2703-2707. https://doi.org/10.3892/etm.2019.7215
MLA
Liu, S., Zhou, L., An, L."Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life". Experimental and Therapeutic Medicine 17.4 (2019): 2703-2707.
Chicago
Liu, S., Zhou, L., An, L."Implementation of comprehensive rehabilitation therapy in postoperative care of patients with cholangiocarcinoma and its impact on patients' quality of life". Experimental and Therapeutic Medicine 17, no. 4 (2019): 2703-2707. https://doi.org/10.3892/etm.2019.7215
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