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目的探讨鼻咽癌患者放疗期间及放疗后症状困扰以及症状对生活质量的影响。方法使用M.D.Anderson症状调查量表-头颈部对我院收治并给予放疗治疗的77例鼻咽癌患者的症状困扰情况进行分析。结果患者主要的困扰症状包括:味觉的改变;口干;口咽喉部有大量的黏液或者严重的疼痛;咀嚼困难和吞咽困难;全身性的疼痛;皮肤有疼痛或者烧灼感,甚至发生皮炎。患者在放疗期间的症状困扰评分以及症状对生活发妨碍情况与放疗5年以上相比,差异无统计学意义(P>0.05)。而放疗期间和放疗5年以上的患者的症状困扰评分以及症状对生活发妨碍情况评分均明显高于放疗后6个月内、6～12个月内以及1～5年期间的患者,差异有统计学意义(P<0.05)。结论放疗期间以及放疗5年后,患者的症状困扰情况以及症状对生活的妨碍情况最为严重,需要更加有针对性的对患者进行护理干预。
Objective To investigate the effects of symptoms and symptoms on the quality of life of patients with nasopharyngeal carcinoma after radiotherapy and after radiotherapy. Methods Using the M.D. Anderson Symptom Inventory Scale-head and neck analysis of 77 patients with nasopharyngeal carcinoma treated in our hospital and given radiotherapy. Results The main troublesome symptoms of the patients included: changes in taste; dry mouth; large amounts of mucus or severe pain in the oropharyngeal throat; mastication and dysphagia; generalized pain; skin irritation or burning sensations and even dermatitis. There was no significant difference (P> 0.05) in patients’ symptom disturbance scores during radiotherapy and symptom on incidence of life complications compared with radiotherapy more than 5 years. The scores of symptom distress and symptom on the condition of living obstacle in radiotherapy period and radiotherapy more than 5 years were significantly higher than those in 6 months after radiotherapy, in 6 to 12 months and in 1 to 5 years, the difference was Statistical significance (P <0.05). Conclusion During the radiotherapy and 5 years after radiotherapy, the patient’s symptom distress and symptom are the most serious impediments to life, and the patient’s nursing intervention needs to be more targeted.