| Objective:To investigate the current status of cancer-related fatigue and negative emotions in patients with nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy and conduct a summary analysis.Based on the results of the investigation,a comprehensive intervention plan for multimodal exercise combined with music imaging was developed,and this plan was explored for simultaneous radiotherapy The effects of chemotherapy-induced nasopharyngeal cancer patients with cancer-related fatigue and negative emotions provide a new perspective for promoting patients' rehabilitation and improving their quality of life,and provide a reference for clinical medical staff to formulate overall rehabilitation measures for patients with nasopharyngeal cancer.Methods:This study is divided into two phases.The first stage: investigation.Using the General Information Questionnaire,Cancer-Fatigue Scale(CFS),and the Irritability,Depression and Anxiety Scale(IDA).A questionnaire survey was performed on 163 patients with nasopharyngeal carcinoma who were hospitalized in the radiotherapy department of the hospital to understand the status of cancer-related fatigue and negative emotions,and to conduct a summary analysis.The second stage: intervention research.Using the Cancer-Fatigue-Fatigue Scale(CFS)and the Irritability,Depression and Anxiety Scale(IDA).Patients with nasopharyngeal cancer who were hospitalized in the ward were screened and evaluated for fatigue and negative emotions,and 140 patients with cancer-related fatigue and negative emotions were screened as the research subjects.Three of the four wards in the radiotherapy department of the hospital were randomly selected by the lottery as the intervention group,that is,the multimodal exercise group,the music imaging group,and the combined group,and the other ward was the control group,with 35 cases in each group.The control group received conventional nursing;the patients in the three groups of the intervention group received routine nursing.The multimodal exercise group performed multimodal exercise training;the music imaging group performed music imaging training;the combined group performed multimodal exercise combined with music Comprehensive training in imaging.After5 weeks of intervention,the scores of cancer due to fatigue and irritation,depression,and anxiety were compared between the four groups before and after the intervention.Results:Investigation results :1.The incidence of cancer-related fatigue in patients with nasopharyngeal cancer was 93.9%.The total fatigue score was(30.19±6.35)points,and the scores in each dimension were: physical fatigue was(14.42±3.40)points,and emotional fatigue was(9.17± 2.89)Points,cognitive fatigue was(6.60±2.33)points.2.In this study,the incidence of anxiety and depression in patients with nasopharyngeal carcinoma was 87.1% and 87.7%,and the incidence of extroversion and introversion was 57.7% and 81.6%,respectively.The overall negative emotion score was(24.77±5.49)Points,anxiety was(8.00±2.15)points,depression was(6.21±2.33)points,introverted irritability was(5.42±1.92)points,and extroverted irritability was(5.14±1.93)points.Intervention results:1.Baseline data: Before the intervention,the general information of the four groups of study subjects,the scores of the Cancer Cause Fatigue Scale and the irritability,depression,and anxiety scale scores were not statistically different after statistical tests(P>0.05),indicating that the baseline levels of the four groups were consistent and comparable Sex.2.Comparison in the group before and after the intervention: There was no significant difference in the scores of the cancer-related fatigue scale and the irritability,depression,and anxiety scale in the control group before and after the intervention(P>0.05);The sexual fatigue scale score and the irritability,depression,and anxiety scale scores were compared before and after the comparison.The differences in the multimodal exercise group were statistically significant(all P=0.001);the differences in the music imaging group were statistically significant(P=0.003,0.002);The difference of multimodal motion combined music imaging was statistically significant(all P<0.001),indicating that the three interventions can effectively improve cancer-related fatigue and negative emotions in patients with nasopharyngeal carcinoma.3.Comparison between groups after intervention: There was a statistically significant difference in the scores of the cancer-induced fatigue scale and theirritability,depression,and anxiety scale scores between the four groups after intervention(P<0.05).Two comparisons show that the difference between the control group and the multimodal exercise group is statistically significant(P=0.023,0.030);the difference between the control group and the music imaging group is statistically significant(P=0.028,0.043);The difference between the control group and the combined group was statistically significant(all P<0.001);There was no significant difference between the multimodal motion group and the music imaging group(all P=1.000);the difference between the multimodal exercise group and the combined group was statistically significant(P=0.041,0.027);the difference between the music imaging group and the combined group was statistically significant(P=0.033,0.018),indicating that the three interventions were effective in improving cancer-related fatigue and negative mood in patients with nasopharyngeal carcinoma.But multimodal exercise combined with music imaging has a more significant effect on alleviating fatigue and improving negative emotions than single intervention.Conclusions:1.Patients with nasopharyngeal carcinoma during concurrent chemoradiotherapy have high levels of cancer-related fatigue and negative emotions.2.Multimodal exercise,music imaging,and multimodal exercise combined with music imaging can alleviate cancer-related fatigue and improve their negative emotions in patients with nasopharyngeal carcinoma during concurrent chemoradiotherapy,and their efficacy is better than that of the control group.The effect of multimodal exercise combined with music imaging on improving fatigue and negative emotions is better than that of a single intervention method,which is worthy of clinical reference. |
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