| Objective: The purpose of this study is to understand the trend of the psychological pain,supportive care needs and quality of life of patients with nasopharyngeal cancer over time,and to analyze the correlation between the three at different time points in patients with nasopharyngeal cancer,and to treat nasopharyngeal cancer at different stages.Cancer patients provide targeted nursing interventions to provide theoretical references.Methods: This study is a prospective cohort study,using convenience sampling.Investigate 136 patients who were hospitalized for nasopharyngeal cancer for the first time.The whole evaluation was conducted five times,namely at admission(T0),before radiotherapy(T1),during radiotherapy(T2),after radiotherapy(T3),and one month after hospital(T4).The survey tools are general information questionnaire,cancer function evaluation system head and neck tumor special scale,psychological pain thermometer,supportive care demand scale,using repeated measures analysis of variance to describe the change trend of patients’ supportive care needs and quality of life scores.Pearson analyzed the relationship between the three and conducted a longitudinal study of the results reported by patients.Results: 1.The scores and trends of psychological pain in patients with nasopharyngeal carcinoma from T0 to T4:The incidence of significant psychological distress in patients with nasopharyngeal carcinoma at the five time points from T0 to T4 was 32.3%,23.5%,63.2%,55.9%,and 14.7%,respectively.The psychological pain score was the highest(4.03±1.57)in the T2 period,and the psychological pain score was the lowest(2.4±1.31)in the T4 period.Repeated measures analysis of variance showed that there was a statistically significant difference in the psychological distress scores of patients with nasopharyngeal carcinoma at five time points(P<0.001).2.The scores and trends of supportive care needs of patients with nasopharyngeal carcinoma from T0 to T4:The total scores of supportive care needs of nasopharyngeal cancer patients at the five time points from T0-T4 were(64.76±13.90)points,(63.37±11.41)points,(72.25±11.87)points,(72.49±10.82)points,and(58.63±14.8)points.Repeated measures analysis of variance showed that there was a statistically significant difference in the supportive care needs scores of patients with nasopharyngeal carcinoma at five time points(P<0.001).The results showed that in each period,the highest scores were scores for health information needs,and the lowest scores were scores for sexual needs.3.The scores of quality of life in patients with nasopharyngeal carcinoma from T0 to T4 and their changing trends: The total quality of life scores for nasopharyngeal carcinoma patients at the five time points from T0-T4 were(121.63±13.82)points,(111.38±14.24)points,(86.11±14.18)points,(85.4±13.31)points,and(101.42±12.07)points.The results showed that in different periods,time was statistically significant(P<0.05).Among them,the additional questions scored the highest,and the physiological condition scores showed a slow downward trend.4.Variance analysis of repeated measures for supportive care needs scores of patients with nasopharyngeal carcinoma in different groups: The results showed that the scores of the physiological needs and health information dimensions of patients with different educational backgrounds showed statistical differences in the time effect,group and time interaction effects(P<0.05),indicating that as time goes by,the physiological needs of patients with different educational backgrounds There are differences in the trend of changes in the scores of dimensions and health information dimensions.The scores of the psychological needs,sexual needs,and care needs of patients of different genders showed statistical differences in the time effect,group and time interaction effects(P<0.05),indicating that as time goes by,the psychological needs of patients of different genders There are differences in the change trend of the demand dimension,the sexual demand dimension,and the care demand dimension.Different monthly income patients’ sexual demand dimension scores showed statistical differences in the time effect,group and time interaction effects(P<0.05),indicating that as time goes by,the trend of changes in the patient’s sexual demand dimension scores of different monthly incomes is different.Different residences and health information demand dimension scores showed statistical differences in time effect,group and time interaction effects(P<0.05),indicating that the trend of changes in the scores of patients’ health information demand dimension of different residences over time Differences.5.Repeated measure ANOVA for quality of life scores of patients with nasopharyngeal carcinoma in different groups: The results showed that the social status dimension scores of patients with different residences and different clinical stages showed statistical differences in the time effect,group and time interaction effects(P<0.05),indicating that as time goes by,different residences and different clinical There are differences in the changing trend of the social status dimension scores of patients by stage.In the T0-T1 period,urban residents declined faster than rural residents.Urban residents changed more steadily from T2 to T4.During T4-T5,their scores increased slightly.In the second stage patients,the decline was relatively rapid in the T1-T3 period,and the rest patients were relatively flat.6.Correlation analysis of psychological distress,supportive care needs and quality of life in patients with nasopharyngeal carcinoma at T0-T4 stage: This study showed that in each period from T0 to T4,psychological pain was negatively correlated with the total score of quality of life(r=-0.445,P<0.001),and positively correlated with the total score of supportive care needs and the scores of physiological and psychological dimensions(r =0.264、 0.366,0.376,P<0.001).The total quality of life score is negatively correlated with the physiological and psychological needs of supportive care needs(r=-0.372 、-0.264,P<0.001),while the total quality of life score is positively correlated with the scores of care and health information needs(r =0.261、0.296,P<0.001).Conclusions: 1.Psychological pain of patients with nasopharyngeal carcinoma showed a dynamic trend during the treatment process,and the time point when the detection rate of significant psychological pain was the highest was the middle stage of radiotherapy.2.The unmet needs(physical needs,psychological needs,care needs,health information needs,sexual needs)of nasopharyngeal cancer patients during the treatment process are dynamically changing.During the T0-T4 period,the demand for health information is the highest,and Sexual needs are the lowest,requiring scientific evaluation and effective intervention;in the T0-T2 period,the psychological needs of female patients are significantly higher than that of men,and their sexual needs are lower than those of men;urban patients have higher needs than rural patients and have higher educational levels The health needs of patients are also higher.3.The quality of life of patients with nasopharyngeal carcinoma showed a dynamic trend during the treatment process,and the quality of life was the worst in the middle and late stages of radiotherapy.During the T2-T4 period,close attention should be paid to the social/family situation of patients with higher clinical stages,and more communication with the patients’ family members to meet the patients’ needs for social support.4.The higher the degree of psychological distress of patients with nasopharyngeal cancer,the higher the degree of unsatisfied physical and psychological needs,the worse the quality of life,the higher the degree of satisfaction of care needs and health information needs,the higher the quality of life;the higher the physical and psychological needs.The higher the degree of satisfaction,the higher the degree of psychological distress.The patient’s physical and psychological needs can be identified and met in time,health information and care needs can be improved,and the patient’s quality of life can be improved. |
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