Radiation therapy in rectal cancer and stress management pre-treatment and post-treatment radiant

The importance of the subject: The integrated and early management of psychological stress in patients with rectal cancer undergoing radiotherapy leads to the development of compliance, treatment efficiency and their quality of life. The research hypothesis: The article brings to attention a holistic and multidisciplinary approach to radiotherapy treatment in rectal cancer, emphasizing the major importance of managing psychological stress as a determinant of therapeutic success and post-treatment recovery. Summary Introduction: The current research aims to evaluate the impact of psychological stress on the results of radiotherapy treatment in rectal cancer and identify effective strategies for managing stress in order to optimize therapeutic results and quality of life of patients. Materials and methods: The study included analysis of data from 104 patients diagnosed with rectal cancer, treated by radiotherapy using modern techniques: radiation therapy with modulated intensity and volumetric modulated arc therapy compared to conventional conformational 3D3D technique. Patients have benefited from integrated psychological support strategies, including cognitive-behavioral therapy, support groups, mindfulness and empathic communication for assessing stress levels and quality of life before, during and after treatment. Results:The analysis of the data reveals that the chronic stress experienced by patients during radiation therapy has significant consequences on the effectiveness of treatment. Patients with high stress levels experienced reduced immunity, decreased compliance and poorer therapeutic results. In contrast, patients who received stress management interventions showed increased compliance, decreased side effects and significantly improved therapeutic results. Modern radiotherapy techniques: modulated intensity radiotherapy and volumetric modulated arc therapy have significantly reduced toxicity and improved quality of life compared to 3Dconformational technique. Conclusions: The study confirms the hypothesis that early and integrated management of psychological stress is essential in the radiotherapy treatment of rectal cancer. The implementation of effective psychological and emotional strategies leads to superior therapeutic results and greatly improves the quality of life of patients. Advanced radiotherapy techniques (IMRT and VMAT) bring additional benefits by reducing the side effects and stress associated with treatment.