ABSTRACT
Hintergrund: Die onkologische Rehabilitation ist integraler Bestandteil der Versorgung krebskranker Menschen. Nach einer dreiwöchigen stationären Rehabilitation mit multimodalem und integrativem Ansatz wurden die Effekte auf Belastungen und Lebensqualität der Patienten überprüft. Patienten und Methoden: 74 Krebspatienten erhielten ein komplexes Therapieprogramm, das Therapien zur Verbesserung der funktionalen Gesundheit, zur Reduktion psychosozialer Belastungen und komplementäre Massnahmen beinhaltete. Der Erfolg der Therapie wurde mit validierten Fragebögen am Abschluss der Rehabilitation (T2) und 3 Monate danach (T3) bestimmt. Ergebnisse: Es zeigte sich eine signifikante Besserung von Distress, Angst, Depression, Fatigue und Lebensqualitätsfunktionsskalen zum Zeitpunkt T2 und T3. Von T2 nach T3 war der Therapieeffekt rückläufig, ohne die Werte von T1 zu erreichen. Schlussfolgerungen: Eine multimodale, integrative onkologische Rehabilitation führt zu einer über 3 Monate anhaltenden Besserung des subjektiven Befindens der Patienten. Dieses Therapiekonzept sollte in einer Folgestudie mit einer Standardrehabilitation verglichen werden. BACKGROUND: Oncological rehabilitation is an integral part in the care of cancer patients. Following an inpatient rehabilitation of 3 weeks' duration with multidimensional and integrative components, the effects on distress and quality of life were measured. PATIENTS AND METHODS: 74 cancer patients received a complex treatment program, including treatments for improvement of functional health, reduction of psychosocial distress and complementary therapies. The treatment outcome was evaluated with validated questionnaires at the end of the rehabilitation (T2) and 3 months thereafter (T3). RESULTS: We observed significant improvement of distress, anxiety, depression, fatigue and quality of life at T2 and T3. In the interval from T2 to T3, the treatment effect was declining, without reaching the values of T1. CONCLUSIONS: A multidimensional integrative oncological rehabilitation improves the subjective condition of the patients over a 3-month period. This treatment concept should be tested in a comparative study against standard rehabilitation.
Subject(s)
Integrative Medicine/standards , Neoplasms/rehabilitation , Quality of Life , Adult , Aged , Complementary Therapies , Female , Humans , Male , Middle Aged , Stress, Psychological , Surveys and Questionnaires , Treatment OutcomeABSTRACT
The delayed luminescence curves of biological tissues, in particular the "hyperbolic" oscillations of the form exp(-iln (1 + lambda t)) with t as the time and lambda as a constant, were subjects of further experimental and theoretical investigations. It turned out that the oscillations are solutions of a Hamiltonian that keeps coherent states coherent. In agreement to the expectations the oscillations disappear as soon as the biological system looses its integrity or its collective structure. The photocount statistics (PCS) confirms these results. The illumination itself influences the biological state under consideration. The temperature dependence displays small deviations from the Arrhenius-law with a mean activation energy of about 0.5 eV in case of plants. The results may be useful for investigating supermolecular interactions as well as for assessing the quality or quality changes of biological tissues.
