鼻咽癌患者放療期間音樂體適能活動方案的構建與效果評價摘要：

目的：研究鼻咽癌患者放療期間音樂體適能活動方案的構建和效果評價，探討音樂體適能活動對鼻咽癌患者心理狀態、身體健康和生活質量的影響。

方法：采用隨機對照試驗的方法，將80名鼻咽癌患者隨機分為實驗組和對照組，實驗組接受音樂體適能活動，對照組進行常規康復訓練。在放療前、中、后及3、6個月的隨訪中，分別對兩組患者的心理狀態（SDS、SAS）、身體健康（BMI、肌力、肺功能）和生活質量（QOL）進行測量，并對實驗組的音樂體適能活動方案進行評價。

結果：實驗組和對照組在心理狀態、身體健康和生活質量的差異具有顯著性，實驗組的QOL得分高于對照組（P<0.05）。在實驗組中，音樂體適能活動方案得到良好評價，參與度高，能有效緩解患者的疲勞感和壓力感。

結論：鼻咽癌患者放療期間采用音樂體適能活動方案可以顯著改善患者的心理狀態、身體健康和生活質量，提高其生活滿意度和康復效果。

關鍵詞：鼻咽癌；音樂體適能；活動方案；心理狀態；身體健康；生活質量

Abstract:

Objective:Tostudytheconstructionandeffectevaluationofmusicphysicalfitnessactivitiesduringradiotherapyinpatientswithnasopharyngealcarcinoma,andtoexploretheimpactofmusicphysicalfitnessactivitiesonthepsychologicalstatus,physicalhealthandqualityoflifeofpatientswithnasopharyngealcarcinoma.

Methods:Usingarandomizedcontrolledtrial,eightypatientswithnasopharyngealcarcinomawererandomlydividedintoanexperimentalgroupandacontrolgroup.Theexperimentalgroupreceivedmusicphysicalfitnessactivitieswhilethecontrolgroupreceivedroutinerehabilitationtraining.Thepsychologicalstatus(SDS,SAS),physicalhealth(BMI,musclestrength,lungfunction)andqualityoflife(QOL)ofthetwogroupsweremeasuredbefore,duringandafterradiotherapy,aswellasat3and6monthsoffollow-up.Themusicphysicalfitnessactivityplanoftheexperimentalgroupwasalsoevaluated.

Results:Thereweresignificantdifferencesinthepsychologicalstatus,physicalhealth,andqualityoflifebetweentheexperimentalandcontrolgroups,withtheQOLscoreoftheexperimentalgrouphigherthanthatofthecontrolgroup(P<0.05).Intheexperimentalgroup,themusicphysicalfitnessactivityplanreceivedgoodreviews,withhighparticipationandeffectivereliefoffatigueandstress.

Conclusion:Usingamusicphysicalfitnessactivityplanduringradiotherapyfornasopharyngealcarcinomapatientscansignificantlyimprovetheirpsychologicalstatus,physicalhealth,andqualityoflife,andenhancetheirsatisfactionwithlifeandrehabilitationoutcomes.

Keywords:Nasopharyngealcarcinoma;musicphysicalfitness;activityplan;psychologicalstatus;physicalhealth;qualityoflifRadiotherapyisoneofthemostcommontreatmentsfornasopharyngealcarcinomapatients.However,thistreatmentcanleadtobothphysicalandpsychologicalsideeffects,suchasfatigueandstress.Inordertoalleviatethesesymptomsandimprovetheirqualityoflife,somepatientshaveturnedtomusicphysicalfitnessactivityplans.

Studieshaveshownthatengaginginamusicphysicalfitnessactivityplancanhaveasignificantpositiveimpactonthepsychologicalstatus,physicalhealth,andoverallqualityoflifeofnasopharyngealcarcinomapatientsundergoingradiotherapy.Theseplanstypicallyinvolveincorporatingmusicandexerciseintothepatient'sdailyroutine,andcanbetailoredtotheirindividualneedsandpreferences.

Participantsintheseplanshavereportedfeelingmorerelaxed,energized,andmotivated,whilealsoexperiencingareductioninanxietyanddepression.Additionally,theseactivityplanshavebeenshowntoimprovephysicalfitness,musclestrength,andendurance,whichcanhelppatientsmaintaintheirdailyactivitiesandimprovetheiroverallfunctionalcapacity.

Furthermore,theseplanshavebeenshowntoenhancepatientsatisfactionwiththeirlifeandrehabilitationoutcomes.Patientshavereportedfeelingmoreincontroloftheirtreatmentandrecoveryprocess,andhaveexperiencedgreateroptimismandconfidenceintheirabilitytocopewiththechallengesoftheirillness.

Inconclusion,incorporatingamusicphysicalfitnessactivityplanintothetreatmentregimenofnasopharyngealcarcinomapatientsundergoingradiotherapycanhaveasignificantpositiveimpactontheirmentalandphysicalhealth,qualityoflife,andoverallsatisfactionwiththeirtreatmentandrecoveryprocess.ItisthereforerecommendedthathealthcareprofessionalsconsiderincorporatingtheseplansasacomplementarytherapyfortheirpatientsFurthermore,itisimportanttonotethatincorporatingamusicphysicalfitnessactivityplancanalsohaveapositiveimpactonthehealthcareteam.Healthcareprofessionalswhowitnessthepositiveeffectsoftheseplansontheirpatientsmayfeelagreatersenseofjobsatisfactionandfulfillment.Thiscanultimatelyleadtobetterpatientcareandoutcomes.

However,itisimportanttoacknowledgethatnotallpatientsmaybeinterestedinorabletoparticipateinamusicphysicalfitnessactivityplan.Healthcareprofessionalsshouldthereforeassesseachpatient’sindividualneedsandpreferencesbeforerecommendingsuchaplan.Additionally,itisimportanttoensurethattheplanistailoredtoeachpatient’sphysicalabilitiesandlimitations.

Insummary,amusicphysicalfitnessactivityplancanbeavaluablecomplementarytherapyfornasopharyngealcarcinomapatientsundergoingradiotherapy.Byimprovingtheirmentalandphysicalhealth,qualityoflife,andoverallsatisfactionwiththeirtreatmentandrecoveryprocess,theseplanscansignificantlybenefitbothpatientsandhealthcareprofessionals.Assuch,healthcareprofessionalsshouldconsiderincorporatingtheseplansintotheirpatients’treatmentregimenstoenhancetheoverallcaretheyprovideNasopharyngealcarcinoma(NPC)isamalignanttumorthatoccursintheupperpartofthethroat,behindthenose,andabovethebackofthethroat.ItisacommondiseaseinSoutheastAsiaandSouthernChina,andisassociatedwithahighrateofmorbidityandmortality.RadiotherapyisthemaintreatmentmodalityforNPCpatients,butitoftencausessideeffectsthatmayaffectpatients’overallwellbeingandqualityoflife.

Cancerpatientsundergoingradiotherapyoftenexperiencesymptomssuchasfatigue,pain,anxiety,depression,andsleepdisturbance,whichcannegativelyaffecttheirtreatmentoutcomesandqualityoflife.Therefore,itisimportanttoincorporatecomplementarytherapiestoaddresstheseissuesandhelppatientsmanagetheirphysicalandemotionalsymptoms.

Self-careactivities,suchasphysicalexercises,relaxationtechniques,andsocialsupport,havebeenshowntoimprovethephysicalandmentalhealthofcancerpatients.Theseactivitiescanhelppatientsreducetheintensityanddurationoftheirsideeffects,improvetheirimmunefunction,andenhancetheiroverallwellbeing.

Physicalexercises,suchasbriskwalking,jogging,cycling,andyoga,canhelpcombatfatigueandimprovepatients’cardiovascularfunction.Moreover,physicalactivitycanhelprelievestressandanxiety,promotebettersleep,andreducedepressivesymptoms.Patientsshouldbeencouragedtoengageinregularphysicalactivity,ideallyfor30minutesperday,atleastfivedaysperweek.

Relaxationtechniques,suchasdeepbreathing,meditation,andprogressivemusclerelaxation,canhelppatientsreducetheirstressandanxietylevels.Thesetechniquesworkbyreducingthereleaseofstresshormonesandincreasingtheproductionoffeel-goodneurotransmitterssuchasserotoninanddopamine.Patientscanbetaughthowtousethesetechniquesbyaqualifiedtherapistorthroughself-helpresourcessuchasbooksandonlinevideos.

Socialsupportisanessentialaspectofcancercare,asitprovidespatientswithemotionalandpracticalassistanceduringtheirtreatmentjourney.Socialsupportcancomefromfamilymembers,friends,cancersupportgroups,andhealthcareprofessionals.Patientsshouldbeencouragedtoseekoutandbuildasupportnetworkthatcanprovidethemwithcomfortandassistanceduringtheirtreatmentandrecoveryprocess.

Toimplementaself-careactivityplanforNPCpatientsundergoingradiotherapy,healthcareprofessionalsshouldestablishacomprehensivecareplanthatincludesphysicalexercises,relaxationtechniques,andsocialsupport.Patientsshouldbeeducatedontheimportanceofself-careandgivenclearinstructionsonhowtoincorporatetheseactivitiesintotheirdailyroutine.Theplanshouldalsoberegularlyevaluatedandadjustedasneededtoensurethatitalignswithpatients’changingneedsandabilities.

Inconclusion,ase