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MEDICAL REHABILITATION FOR PATIENTS WITH CERVICAL
CANCER: MODERN APPROACHES AND INTERNATIONAL
EXPERIENCE.
Mushtariy Murotxonovna Abduvaliyeva
1
Karimova Mavluda Negmatovna
2
Akamal Farxodovich Asatulayev 3
Ergashev Javohir
4
1
Master’s student, Department of Oncology, Samarkand State Medical University
2
Associate Professor, Department of Oncology, Samarkand State Medical
University
3
PhD Assistant, Department of Oncology, Samarkand State Medical University
4
Master’s student, Department of Oncology, Samarkand State Medical University
Samarkand, Republic of Uzbekistan
e-mail: abduvaliyevamushtariy7@gmail.com
https://doi.org/10.5281/zenodo.15657388
Abstract .
Cervical cancer is one of the most prevalent oncological diseases
among women. The primary treatment methods include surgery, radiotherapy,
and chemotherapy. These procedures have a significant impact on patients’
overall physical and mental well-being, necessitating comprehensive medical
rehabilitation. Modern approaches, along with rehabilitation protocols
developed based on international experience, contribute to improving patients’
physical, psychological, and social adaptation.
Objective.
To evaluate the effectiveness of rehabilitation in patients with
cervical cancer, specifically when applied after completing combined therapy
(chemotherapy + radiotherapy) and during different stages of treatment. The
study aimed to assess the role of rehabilitation programs in accelerating the
return to a healthy lifestyle and to determine the impact of internationally based
approaches on functional activity and quality of life .
Materials and Methods
. From 2024 to 2025, 160 patients diagnosed with
cervical cancer (cancer colli uteri) were observed for a period of 3 to 6 months
at the Samarkand branch of the Republican Specialized Oncology Center. All
patients received chemotherapy and radiotherapy following surgery. Of these,
70% had completed full surgical and combined (chemotherapy + radiotherapy)
treatment, while 30% were still undergoing post-surgical therapy. The study
aimed to determine at which stage rehabilitation is more effective — after
completion of combined therapy or during the treatment process. Rehabilitation
was carried out according to standard protocols based on international
experience. Each patient was assigned an individualized rehabilitation program
and was placed under continuous monitoring.The program included
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physiotherapy, psychological counseling, dietary plans, physical exercise, and
social support. The rehabilitation methods were tailored to each patient based
on their age, general condition, stage of disease, and treatment-related
complications. Effectiveness was evaluated using the Karnofsky Performance
Index and the SF-36 Quality of Life Scale.
Results and Discussion
.During the 3-month rehabilitation period,
preliminary outcomes of two patient groups were analyzed. Among patients
who received rehabilitation after completing combined therapy (chemotherapy
+ radiotherapy), 50% achieved a Karnofsky Performance Score of 80–100. In the
remaining patients, recovery indicators showed minimal change. In contrast,
patients who received rehabilitation concurrently with combined therapy
demonstrated significantly higher recovery rates. These patients coped better
both mentally and physically with chemotherapy and radiotherapy. Overall,
rehabilitation contributed to improvement in general condition and functional
activity in 82% of patients. Psychological support led to a noticeable reduction
in symptoms of depression and anxiety. Multidisciplinary and individualized
approaches based on international experience also proved to be effective in the
context of Uzbekistan .
Conclusion.
Rehabilitation measures for patients with cervical cancer,
especially when integrated with combined therapy, significantly improve their
functional capacity and quality of life. Individually tailored rehabilitation
programs grounded in international experience are also showing positive
outcomes in Uzbekistan.
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