Nutrition counseling combined with head and neck rehabilitation exercises can enhance outcomes among nasopharyngeal carcinoma patients in southern China: a prospective study in an epidemic area
| Autor: | Wen Hu, Lijuan Zhang, Yu-Ying Fan, Jian-Mei Li, Dongfang Su, Wen-Qiong Li, Yan He, Linmin Chen, Cong Li, Li-Ping Chen |
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| Rok vydání: | 2020 |
| Předmět: |
Counseling
China medicine.medical_specialty medicine.medical_treatment Disease Quality of life medicine Carcinoma Humans Aerobic exercise Prospective Studies Epidemics Prospective cohort study Advanced and Specialized Nursing Nasopharyngeal Carcinoma Rehabilitation business.industry Nasopharyngeal Neoplasms medicine.disease Exercise Therapy Anesthesiology and Pain Medicine Nasopharyngeal carcinoma Quality of Life Physical therapy business Nutrition counseling |
| Zdroj: | Annals of Palliative Medicine. 9:1152-1163 |
| ISSN: | 2224-5839 2224-5820 |
| Popis: | Background More than two thirds of new of nasopharyngeal carcinoma (NPC) cases occurring in the east and southeast parts of Asia. As a consequence, the development of intervention programs that can educate and assist patients of NPC in adopting and maintaining long-term behavioral changes to prevent further progression of the disease and improve quality of life represents a continuing need. Methods Patients diagnosed with NPC (n=141) completed chronic disease self-management questionnaires (CDSMP) before, immediately after, and 3, 6, and 12 months after receiving primary cancer treatment. An independent-samples T test was used to compare mean changes in chronic disease self-management (CDSM) items between the intervention group and control group. Results There was no difference between the two groups at baseline. Patients who received an intervention demonstrated a significant improvement in fatigue and shortness of breath after treatment. They also demonstrated significant improvements in weekly minutes of aerobic exercise and stretching/strengthening exercise. These advantages lessened slightly with elapsed time. Conclusions For NPC patients, nutrition counseling combined with head and neck rehabilitation exercises can greatly reduce fatigue and shortness of breath and greatly increase the use of stretching/strengthening and aerobic exercise 3 months after intensity-modulated radiotherapy (IMRT). |
| Databáze: | OpenAIRE |
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