PHYSICAL THERAPY DURING POSTOPERATIVE PERIOD IN PATIENTS WITH LUNG CANCER

WHO have developed an average of 38 tasks for a European strategy that has received health for all people who have been referred to as "lifelong life". The content of this task was revealed as follows: “... all people should be given the opportunity to develop and use their own health potential in order to lead a full social, economic and spiritual life. That is, health is defined as a state of complete physical, mental and social well-being, not just the absence of illness and disability. Lung cancer continues to occupy the first place in the structure of male oncological morbidity. The num-ber of working age patients after radical treatment is constantly growing. The aim of the study was to investigate the ef-fect of physical therapy on the state of external respira-tion in operated lung cancer patients. Materials and methods. Effect of physical therapy on external respiration was studied in 332 pa-tients with lung cancer after one year after surgery. Of these, 156 patients, who for various reasons refused to perform therapeutic exercises, were included in the con-trol group. In the main group, in the immediate and de-layed periods after surgery, 176 patients with a full course of physical therapy were examined. External breathing was monitored by Spirograph and employment status by interviewing patients. Considering that there are complications from radical antitumor treatment in the form of pulmonary and circulatory insufficiency of degree I, restriction of movements in the shoulder joint, curvature of the spine we performed complexes of medical exercises. It aimed at training of cardiovascular and respiratory systems in the shoulder joint on the side of surgery, prevention of deformation of the chest and spine, strengthening of all muscles, increase of mobility of the chest and diaphragm, and preparation of min. nut to household loads. Results. Most indicators of Spirograph when us-ing exercise significantly exceeded the same data in pa-tients in the control group. The percentage of patients returning to work in the study group is significantly higher than in the control group. There was also a decrease in the disability of patients in the study group. Patients, who were employed during the first year after radical treat-ment, generally returned to work earlier than those who had not previously worked. According to the survey data, the vast majority of patients wishing to find a job fulfill their desire regardless of the opinion of the medical board. Significant changes in the situation regarding the increase of working capacity in the group of patients after pulmonectomy could not be achieved for obvious reasons - in this group of patients, it was impossible to apply our proposed methods of improving external respiration. Conclusions. Thus, the use of physical therapy in the postoperative period in patients with lung cancer significantly improves the restoration of respiratory func-tion and facilitates the return to work. It was established that the criteria for the appointment of a program for withdrawal from physical therapy should be the age, gender, general health of the patient and the results of the initial rehabilitation examination, as well as the individu-al response to physical exertion. In order to stimulate patients' participation in rehabilitation, it is recommended to improve the patient's perceived behavioral control of physical therapy methods.