鼻咽癌患者放疗期间音乐体适能活动方案的构建与效果评价

鼻咽癌患者放疗期间音乐体适能活动方案的构建与效果评价摘要：

目的：研究鼻咽癌患者放疗期间音乐体适能活动方案的构建和效果评价，探讨音乐体适能活动对鼻咽癌患者心理状态、身体健康和生活质量的影响。

方法：采用随机对照试验的方法，将80名鼻咽癌患者随机分为实验组和对照组，实验组接受音乐体适能活动，对照组进行常规康复训练。在放疗前、中、后及3、6个月的随访中，分别对两组患者的心理状态（SDS、SAS）、身体健康（BMI、肌力、肺功能）和生活质量（QOL）进行测量，并对实验组的音乐体适能活动方案进行评价。

结果：实验组和对照组在心理状态、身体健康和生活质量的差异具有显著性，实验组的QOL得分高于对照组（P<0.05）。在实验组中，音乐体适能活动方案得到良好评价，参与度高，能有效缓解患者的疲劳感和压力感。

结论：鼻咽癌患者放疗期间采用音乐体适能活动方案可以显著改善患者的心理状态、身体健康和生活质量，提高其生活满意度和康复效果。

关键词：鼻咽癌；音乐体适能；活动方案；心理状态；身体健康；生活质量

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