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目的描述鼻咽癌(NPC)患者放疗期间与放疗后的症状困扰,以及症状对患者生活妨碍的程度及特点。方法应用M.D.Anderson症状调查量表-头部和颈部(MDASI-H&N)及自行设计的增补条目,对住院接受放疗的111例NPC患者和放疗后返院复查的122例NPC患者的症状困扰及症状对患者生活妨碍的程度进行调查。结果放疗期间与放疗后NPC患者症状困扰的发生率为100%;放疗期间与放疗后5年以上的患者症状困扰程度高于放疗后5年内的患者(P<0.05)。症状对放疗期间与放疗后NPC患者的生活均造成不同程度的妨碍;放疗期间与放疗后5年以上NPC患者的症状对生活的妨碍程度高于放疗后5年内的患者(P<0.05)。情绪是受症状影响最为严重的项目。结论放疗期间与放疗后NPC患者的症状困扰及症状对患者生活的妨碍程度显著,了解这种特点有助于更好地指导临床护理工作。
Objective To describe the symptoms of nasopharyngeal carcinoma (NPC) patients during and after radiotherapy, as well as the extent and characteristics of the symptoms of patients’ life. Methods The symptoms of 111 patients with NPC who received radiotherapy and 122 patients who returned to hospital after radiotherapy were retrospectively analyzed with the MDAnderson Symptom Inventory - Head and Neck (MDASI-H & N) and self-designed supplements. Symptoms Investigate the extent of patient’s obstruction. Results The incidence of symptoms of NPC was 100% during radiotherapy and after radiotherapy. The symptoms of patients with radiotherapy and radiotherapy more than 5 years were higher than those within 5 years after radiotherapy (P <0.05). Symptoms had different degrees of hindering the life of NPC patients during radiotherapy and after radiotherapy. Symptoms of NPC patients who were treated more than 5 years after radiotherapy were more obstructive to life than those within 5 years after radiotherapy (P <0.05). Mood is the most affected by the symptoms of the project. Conclusion The symptom disturbance and symptom of NPC patients during radiotherapy and after radiotherapy have a significant degree of obstruction to patients’ life. Understanding these characteristics will help to better guide the clinical nursing.