Pré-Habilitação em doentes com adenocarcinoma do estômago localmente avançado em regime FLOT: relatório de estágio

Abstract

The internship was developed within the scope of a research project entitled FORTALECER EM CASA/PROTECT, a clinical study aimed at implementing a surgical prehabilitation program designed to reduce postoperative complications. This project was carried out at the Portuguese Institute of Oncology in Porto (IPO-PORTO). Internship goals: To integrate into a multidisciplinary team in a hospital setting and understand its functions and contributions; to interpret, apply, and communicate the results obtained to patients and members of the multidisciplinary team; to perform physical exercise assessments and progressions according to scientific guidelines and the patient's condition. Methodology: This project is based on the implementation of a surgical prehabilitation program. Its aim is to observe the outcome of a structured exercise program (Protocol 2), compared to a non-structured exercise program (Protocol 1), in reducing postoperative complications. The FORTALECER EM CASA/PROTECT project targets patients with locally advanced and potentially resectable gastric adenocarcinoma, undergoing the FLOT regimen. It combines a home-based exercise program with appropriate healthcare, psychological, and nutritional care tailored to the pathology of gastric adenocarcinoma. Results: The patient assigned to Protocol 1 showed negative results compared to patients assigned to Protocol 2. In terms of symptoms, the patient from Protocol 1 experienced more symptoms during chemotherapy sessions. Conclusion: The adherence of patients to protocol 2 promoted better post-surgical recovery of physical fitness. The internship allowed me to develop a better ability to interact with oncology patients, and I feel prepared to work in the field of oncology in the future.