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目的探讨鼻咽癌患者放疗期间与放疗后症状困扰及对生活的影响。方法 90例鼻咽癌患者为研究对象,通过MD安德森肿瘤中心头颈部肿瘤症状评估表全面调查患者放疗期间与放疗后症状困扰及对生活的影响,对结果进行统计分析。结果放疗期间,90例患者均存在不同程度症状困扰,发生率为100%。患者放疗期间症状困扰与对生活的影响和放疗>4年对比,差异无统计学意义(P>0.05);患者放疗期间、放疗>4年与放疗6个月、6~12个月、1~4年在症状困扰评分及对生活影响上比较差异有统计学意义(P<0.05)。结论鼻咽癌患者放疗症状困扰及对生活影响最为严重的阶段是放疗期间及放疗>4年,需按照患者具体情况,为其实施个性化护理干预,以提升患者生活质量。
Objective To investigate the symptoms of nasopharyngeal carcinoma (NPC) patients during and after radiotherapy and their effects on life. Methods Ninety patients with nasopharyngeal carcinoma (NPC) were enrolled in this study. The symptoms of head and neck cancer in MD Anderson Cancer Center were evaluated by questionnaire. The results were statistically analyzed during the radiotherapy and after radiotherapy. Results During radiotherapy, 90 patients had different degrees of symptoms plagued with a rate of 100%. During radiotherapy, radiotherapy> 4 years and radiotherapy 6 months, 6 ~ 12 months, 1 ~ 6 months, radiotherapy> 4 years in the symptom score and the impact on life, the difference was statistically significant (P <0.05). Conclusion The symptoms of radiotherapy in patients with nasopharyngeal carcinoma and the most serious impact on the life stage of radiation during radiotherapy and radiotherapy> 4 years, according to the specific circumstances of patients, to implement personalized care interventions to improve the quality of life of patients.