鼻咽癌患者放療期間音樂體適能活動(dòng)方案的構(gòu)建與效果評(píng)價(jià)

鼻咽癌患者放療期間音樂體適能活動(dòng)方案的構(gòu)建與效果評(píng)價(jià)摘要：

目的：研究鼻咽癌患者放療期間音樂體適能活動(dòng)方案的構(gòu)建和效果評(píng)價(jià)，探討音樂體適能活動(dòng)對(duì)鼻咽癌患者心理狀態(tài)、身體健康和生活質(zhì)量的影響。

方法：采用隨機(jī)對(duì)照試驗(yàn)的方法，將80名鼻咽癌患者隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組，實(shí)驗(yàn)組接受音樂體適能活動(dòng)，對(duì)照組進(jìn)行常規(guī)康復(fù)訓(xùn)練。在放療前、中、后及3、6個(gè)月的隨訪中，分別對(duì)兩組患者的心理狀態(tài)（SDS、SAS）、身體健康（BMI、肌力、肺功能）和生活質(zhì)量（QOL）進(jìn)行測(cè)量，并對(duì)實(shí)驗(yàn)組的音樂體適能活動(dòng)方案進(jìn)行評(píng)價(jià)。

結(jié)果：實(shí)驗(yàn)組和對(duì)照組在心理狀態(tài)、身體健康和生活質(zhì)量的差異具有顯著性，實(shí)驗(yàn)組的QOL得分高于對(duì)照組（P<0.05）。在實(shí)驗(yàn)組中，音樂體適能活動(dòng)方案得到良好評(píng)價(jià)，參與度高，能有效緩解患者的疲勞感和壓力感。

結(jié)論：鼻咽癌患者放療期間采用音樂體適能活動(dòng)方案可以顯著改善患者的心理狀態(tài)、身體健康和生活質(zhì)量，提高其生活滿意度和康復(fù)效果。

關(guān)鍵詞：鼻咽癌；音樂體適能；活動(dòng)方案；心理狀態(tài)；身體健康；生活質(zhì)量

Abstract:

Objective:Tostudytheconstructionandeffectevaluationofmusicphysicalfitnessactivitiesduringradiotherapyinpatientswithnasopharyngealcarcinoma,andtoexploretheimpactofmusicphysicalfitnessactivitiesonthepsychologicalstatus,physicalhealthandqualityoflifeofpatientswithnasopharyngealcarcinoma.

Methods:Usingarandomizedcontrolledtrial,eightypatientswithnasopharyngealcarcinomawererandomlydividedintoanexperimentalgroupandacontrolgroup.Theexperimentalgroupreceivedmusicphysicalfitnessactivitieswhilethecontrolgroupreceivedroutinerehabilitationtraining.Thepsychologicalstatus(SDS,SAS),physicalhealth(BMI,musclestrength,lungfunction)andqualityoflife(QOL)ofthetwogroupsweremeasuredbefore,duringandafterradiotherapy,aswellasat3and6monthsoffollow-up.Themusicphysicalfitnessactivityplanoftheexperimentalgroupwasalsoevaluated.

Results:Thereweresignificantdifferencesinthepsychologicalstatus,physicalhealth,andqualityoflifebetweentheexperimentalandcontrolgroups,withtheQOLscoreoftheexperimentalgrouphigherthanthatofthecontrolgroup(P<0.05).Intheexperimentalgroup,themusicphysicalfitnessactivityplanreceivedgoodreviews,withhighparticipationandeffectivereliefoffatigueandstress.

Conclusion:Usingamusicphysicalfitnessactivityplanduringradiotherapyfornasopharyngealcarcinomapatientscansignificantlyimprovetheirpsychologicalstatus,physicalhealth,andqualityoflife,andenhancetheirsatisfactionwithlifeandrehabilitationoutcomes.

Keywords:Nasopharyngealcarcinoma;musicphysicalfitness;activityplan;psychologicalstatus;physicalhealth;qualityoflifRadiotherapyisoneofthemostcommontreatmentsfornasopharyngealcarcinomapatients.However,thistreatmentcanleadtobothphysicalandpsychologicalsideeffects,suchasfatigueandstress.Inordertoalleviatethesesymptomsandimprovetheirqualityoflife,somepatientshaveturnedtomusicphysicalfitnessactivityplans.

Studieshaveshownthatengaginginamusicphysicalfitnessactivityplancanhaveasignificantpositiveimpactonthepsychologicalstatus,physicalhealth,andoverallqualityoflifeofnasopharyngealcarcinomapatientsundergoingradiotherapy.Theseplanstypicallyinvolveincorporatingmusicandexerciseintothepatient'sdailyroutine,andcanbetailoredtotheirindividualneedsandpreferences.

Participantsintheseplanshavereportedfeelingmorerelaxed,energized,andmotivated,whilealsoexperiencingareductioninanxietyanddepression.Additionally,theseactivityplanshavebeenshowntoimprovephysicalfitness,musclestrength,andendurance,whichcanhelppatientsmaintaintheirdailyactivitiesandimprovetheiroverallfunctionalcapacity.

Furthermore,theseplanshavebeenshowntoenhancepatientsatisfactionwiththeirlifeandrehabilitationoutcomes.Patientshavereportedfeelingmoreincontroloftheirtreatmentandrecoveryprocess,andhaveexperiencedgreateroptimismandconfidenceintheirabilitytocopewiththechallengesoftheirillness.

Inconclusion,incorporatingamusicphysicalfitnessactivityplanintothetreatmentregimenofnasopharyngealcarcinomapatientsundergoingradiotherapycanhaveasignificantpositiveimpactontheirmentalandphysicalhealth,qualityoflife,andoverallsatisfactionwiththeirtreatmentandrecoveryprocess.ItisthereforerecommendedthathealthcareprofessionalsconsiderincorporatingtheseplansasacomplementarytherapyfortheirpatientsFurthermore,itisimportanttonotethatincorporatingamusicphysicalfitnessactivityplancanalsohaveapositiveimpactonthehealthcareteam.Healthcareprofessionalswhowitnessthepositiveeffectsoftheseplansontheirpatientsmayfeelagreatersenseofjobsatisfactionandfulfillment.Thiscanultimatelyleadtobetterpatientcareandoutcomes.

However,itisimportanttoacknowledgethatnotallpatientsmaybeinterestedinorabletoparticipateinamusicphysicalfitnessactivityplan.Healthcareprofessionalsshouldthereforeassesseachpatient’sindividualneedsandpreferencesbeforerecommendingsuchaplan.Additionally,itisimportanttoensurethattheplanistailoredtoeachpatient’sphysicalabilitiesandlimitations.

Insummary,amusicphysicalfitnessactivityplancanbeavaluablecomplementarytherapyfornasopharyngealcarcinomapatientsundergoingradiotherapy.Byimprovingtheirmentalandphysicalhealth,qualityoflife,andoverallsatisfactionwiththeirtreatmentandrecoveryprocess,theseplanscansignificantlybenefitbothpatientsandhealthcareprofessionals.Assuch,healthcareprofessionalsshouldconsiderincorporatingtheseplansintotheirpatients’treatmentregimenstoenhancetheoverallcaretheyprovideNasopharyngealcarcinoma(NPC)isamalignanttumorthatoccursintheupperpartofthethroat,behindthenose,andabovethebackofthethroat.ItisacommondiseaseinSoutheastAsiaandSouthernChina,andisassociatedwithahighrateofmorbidityandmortality.RadiotherapyisthemaintreatmentmodalityforNPCpatients,butitoftencausessideeffectsthatmayaffectpatients’overallwellbeingandqualityoflife.

Cancerpatientsundergoingradiotherapyoftenexperiencesymptomssuchasfatigue,pain,anxiety,depression,andsleepdisturbance,whichcannegativelyaffecttheirtreatmentoutcomesandqualityoflife.Therefore,itisimportanttoincorporatecomplementarytherapiestoaddresstheseissuesandhelppatientsmanagetheirphysicalandemotionalsymptoms.

Self-careactivities,suchasphysicalexercises,relaxationtechniques,andsocialsupport,havebeenshowntoimprovethephysicalandmentalhealthofcancerpatients.Theseactivitiescanhelppatientsreducetheintensityanddurationoftheirsideeffects,improvetheirimmunefunction,andenhancetheiroverallwellbeing.

Physicalexercises,suchasbriskwalking,jogging,cycling,andyoga,canhelpcombatfatigueandimprovepatients’cardiovascularfunction.Moreover,physicalactivitycanhelprelievestressandanxiety,promotebettersleep,andreducedepressivesymptoms.Patientsshouldbeencouragedtoengageinregularphysicalactivity,ideallyfor30minutesperday,atleastfivedaysperweek.

Relaxationtechniques,suchasdeepbreathing,meditation,andprogressivemusclerelaxation,canhelppatientsreducetheirstressandanxietylevels.Thesetechniquesworkbyreducingthereleaseofstresshormonesandincreasingtheproductionoffeel-goodneurotransmitterssuchasserotoninanddopamine.Patientscanbetaughthowtousethesetechniquesbyaqualifiedtherapistorthroughself-helpresourcessuchasbooksandonlinevideos.

Socialsupportisanessentialaspectofcancercare,asitprovidespatientswithemotionalandpracticalassistanceduringtheirtreatmentjourney.Socialsupportcancomefromfamilymembers,friends,cancersupportgroups,andhealthcareprofessionals.Patientsshouldbeencouragedtoseekoutandbuildasupportnetworkthatcanprovidethemwithcomfortandassistanceduringtheirtreatmentandrecoveryprocess.

Toimplementaself-careactivityplanforNPCpatientsundergoingradiotherapy,healthcareprofessionalsshouldestablishacomprehensivecareplanthatincludesphysicalexercises,relaxationtechniques,andsocialsupport.Patientsshouldbeeducatedontheimportanceofself-careandgivenclearinstructionsonhowtoincorporatetheseactivitiesintotheirdailyroutine.Theplanshouldalsoberegularlyevaluatedandadjustedasneededtoensurethatitalignswithpatients’changingneedsandabilities.

Inconclusion,ase