| Objectives1.To develop an exercise program based health-related physical fitness for NPC patients during radiotherapy.2.To explore the effects of rhythmic exercise on health-related physical fitness and quality of life of NPC patients undergoing radiotherapy.Methods1.First of all,we searched relevant researches from PubMed,EMBASE,Web of science,Cochrane database,EBSCO,CNKI,Wan Fang database and China biology medicine Disc with subject words and free words.The retrieval period is from the establishment of the database to June 2018.Two members of the research team independently carried out literature screening and data extraction in accordance with the criteria of literature inclusion and exclusion.Then,the rhythmic exercise program for NPC patients during radiotherapy was developed using focus group discussion and Delphi survey.2.The study was designed with quasi-experimental.Forty NPC patients who met the inclusion and exclusion criteria were assigned to the experimental group(n=20)or the control group(n=20).The control group received routine care in the radiotherapy department.The experimental group received rhythmic exercise on the basis of routine care.The quality of life and health-related physical fitness including body composition,cardiopulmonary fitness,muscle fitness,and flexibility of patients were measured before and one day after the intervention.3.Descriptive statistics were applied to obtain the median and range for continuous variables and frequencies and percentages for categorical variables.The distributions of patient characteristics between the different groups were assessed using the chi-squared test or Fisher’s exact test for categorical variables.P value<0.05 denoted statistically significant differences.Results1.The rhythmic exercise was constructed in two rounds of expert consultations.The first and second rounds of expert opinion submission rates were 80% and 60%,respectively.The enthusiasm is good;the authoritative coefficient of the two rounds of experts is 0.955,which indicates that the results of the two rounds of expert consultation are credible;the importance and operability of the content of the letter of inquiry are both P<0.05,indicating that the experts’ opinions are more consistent.2.The effect of rhythmic exercise on the intervention of patients with nasopharyngeal carcinoma:(1)The effect on health-related physical fitness of patients:(1)Body composition: No significant improvement in body weight and BMI of the patients in the experimental group after intervention(P>0.05);(2)Cardiopulmonary fitness:The step evaluation index of the experimental group after intervention was significantly higher than that of the control group(P<0.05);(3)Muscle fitness: a.Muscle strength of upper and lower extremities: After the intervention,under 5slow speeds(60°/S),the extensors and flexors of the elbow joints on the left and right sides of the test group were significantly improved(P<0.05),right side There was no significant improvement in shoulder extensor muscles(P>0.05).The right shoulder flexors,left shoulder extensors,and flexors all improved significantly(P<0.05).In the experimental group,there was no significant improvement in the left knee extensor(P>0.05),but the left knee flexor,right knee extensor,and flexor were all significantly improved(P<0.05);in 10 rapid(180°/S),there was no significant improvement in the left elbow extensor(P>0.05),and the left elbow flexor,right elbow extensor,and flexor were significantly improved(P<0.05).In the experimental group,there was no significant improvement in the right shoulder extensor and left shoulder flexor(P>0.05),but the right shoulder flexor and left shoulder extensor(P<0.05)were significantly improved.In the experimental group,there was no significant improvement on the left and right knee flexors(P>0.05),and there was a significant improvement on the left and right extensors(P<0.05).b.Grip strength: After the intervention,the grip strength of the left hand of the test group was not significantly improved(P>0.05),and the grip strength of the right hand of the test group was significantly improved(P<0.05);(4)Flexibility: after intervention,the flexibility of the experimental group was significantly higher than that of the control group(P<0.05).(2)The effect of music fitness activity on the quality of life of patients with nasopharyngeal carcinoma: After intervention,the scores of physical function,emotional function and social function in the experimental group were significantly higher than those in the control group(P<0.05).There was no statistically significant difference in knowledge function and total health function(P>0.05).Conclusions1.The exercise rhythmic exercise constructed in this study is operable.2.The rhythmic exercise can effectively improve the health-related physical fitness and quality of life of patients with nasopharyngeal carcinoma during radiotherapy,and can be promoted in the clinic as a cost-effective treatment method,but its long-term effects need to be further proven. |
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