INTRODUCTION: Cancer is a life-threatening disease often with curative therapy approaches, high risk of relapse and distressing symptoms, which require immediate, quality-assured care throughout the entire therapy process including rehabilitation, even in a pandemie .
METHODS: We started to develop a pandemic plan to maintain oncological rehabilitation in February 2020 . With the involvement of the whole clinic staff we developed protection scenarios with the aim of achieving Covid-19-free clinics . Schedules were developed and implemented based on the epidemiological bulletins of the RKI (Robert Koch Institute, Germany) of 2017 (influenza infection) and 2020 (Covid-19). The effects of these measures were evaluated by means of a patient and employee survey .
RESULTS: The challenges of the pandemic have been successfully implemented . Both the patient and employee surveys showed a high level of acceptance of the measures . For example , 98.5% of patients stated that the continuation of rehabilitation was important for their health, even in the pandemic situation . At the same time , 87% felt safe . 88% of all employees (MA) and 93% of MA in the risk group stated that the protective measures were introduced at the right time . At the same time , 76% of all employees and 84% of the employees in the risk group agreed with the additional burden . In spite of the high risk potential in the clinics (immunocompromised patients, patients from different districts with different levels of exposure), an outbreak of SARS-CoV-2 could be avoided in the clinics .
CONCLUSION: The timely roll-out of adapted pandemic rules in rehabilitation clinics enables the continuation of high-quality oncological rehabilitation even in pandemic times and thus contributes to a stabilisation of the supply chain for cancer diseases . A high level of acceptance of the measures among patients and hospital staff was evaluated.