Aspects of medical and social rehabilitation for female reproductive system malignant neoplasms

Background: For the effective implementation of health-saving measures, it is necessary to take into account regional peculiarities and develop appropriate medical and social rehabilitation measures for each specific region.

Aim: To present the medical and social rehabilitation of women with oncogynecological diseases of the reproductive system in the aspect of providing medical care to the female population in the Chechen Republic.

Materials and methods: The object of the study: women with cervical cancer (PC), uterine body cancer (RTM) and ovarian cancer (ovarian cancer) from among the adult female population in the Chechen Republic. The data on the morbidity and disability of women (adult population) presented in the data of the federal state statistical observation — form No. 35 “Information on patients with malignant neoplasms” and form No. 7-sobes “Information on the medical and social examination of persons aged 18 years and older” in the Chechen Republic, as well as the submitted in the collection “The state of oncological care for the Russian population in 2020”.

Results: The routing of oncogynecological patients on the way to medical care included a stage of treatment selection depending on the prevalence and severity of the tumor process. Radical treatment was completed in 54 patients with breast cancer (58.1% of those newly diagnosed), 47 patients with breast cancer (62.7%) and 24 patients with breast cancer (38.7%). The range of disability caused by impaired functions (I–IV degrees) of the body in women included impaired ability to move, self-care and work. The second and third degrees of impairment were more common in people with disabilities due to ovarian cancer, while the first degree occurred in people with disabilities due to cancer of the uterine body. Accelerated recovery was carried out, including consultations with a surgeon and an anesthesiologist at the stage of preliminary rehabilitation of women with reproductive system diseases.

Conclusion: When implementing a medical and social rehabilitation program, a personalized approach is most effective, taking into account the existing disorders of body functions and limitations of vital activity, the complexity and multidirectionality of measures and the strategy of their continuity. The accessibility of medical and social rehabilitation and the widespread involvement of the female population in preventive programs are fundamentally important for the health of the population.