量化运动模式干预联合直接摄食训练对提高鼻咽癌放疗患者生活质量的效果

Quantified the effect of exercise mode intervention combined with direct feeding training on improving the quality of life of patients with radiotherapy for nasopharyngeal carcinoma

目的:探讨量化运动模式干预联合直接摄食训练对提高鼻咽癌放疗患者生活质量的效果。方法:选择2020年2月—2022年10月收治的126例鼻咽癌患者,均接受放射治疗,根据信封法随机分为联合干预组和常规干预组。常规干预组采用传统干预措施,联合干预组在此基础上给予量化运动模式联合直接摄食训练。比较两组患者干预前后营养状况指标、疼痛和睡眠评分变化情况,并比较干预后两组患者生活质量评分和放疗相关不良反应情况。结果:干预后,联合干预组患者白蛋白、总蛋白和血红蛋白等指标水平均高于常规干预组,差异有统计学意义(P<0.05)。干预后,联合干预组患者疼痛数字评分(NRS)和匹兹堡睡眠质量指数量表(PSQI)评分均低于常规干预组,差异有统计学意义(P<0.05)。联合干预组生理功能、躯体功能、社会功能和物质生活评分明显高于常规干预组(P<0.001)。联合干预组患者皮炎、口腔黏膜炎、骨髓抑制和唾液腺反应等放疗相关不良反应发生率明显低于常规干预组(P<0.05)。结论:量化运动模式干预联合直接摄食训练可提高鼻咽癌放疗患者生活质量,改善患者营养状况,减轻疼痛,提高睡眠质量,减轻放疗相关不良反应。

Objective:To explore the quantified effect of exercise mode intervention combined with direct feeding training on improving the quality of life of patients with radiotherapy for nasopharyngeal cancer.Methods:A total of 126 patients with nasopharyngeal carcinoma admitted to our hospital from February 2020 to October 2022,all of whom underwent radiotherapy,were randomly divided into the combined intervention group and the conventional intervention group according to envelope method.The conventional intervention group adopted traditional intervention measures,and the combined intervention group was given quantitative exercise mode combined with direct feeding training on this basis.The changes of nutritional status indexes,pain and sleep scores before and after intervention were compared between the two groups,and the scores of life quality between the two groups after intervention were compared,and the incidence of radiotherapy related adverse reactions between the two groups were observed.Results:After intervention,the levels of albumin,total protein and hemoglobin in the combined intervention group were higher than those in the conventional intervention group(P<0.05).After intervention,the numerical rating scale(NRS)score and pittsburgh sleep quality index(PSQI)score of the combined intervention group were lower than those of the conventional intervention group(P<0.05).The scores of physiological function,physical function,social function and material life in the combined intervention group were significantly higher than those in the conventional intervention group(P<0.001).The incidence of radiotherapy related adverse reactions such as dermatitis,oral mucositis,myelosuppression and salivary gland reaction in the combined intervention group was significantly lower than that in the conventional intervention group,with statistical significance(P<0.05).Conclusion:Quantitative exercise mode intervention combined with direct feeding training can improve the quality of life,improve the nutritional status of patients,reduce pain,improve sleep quality and alleviate radiotherapy related adverse reactions in patients with nasopharyngeal cancer.