关键词: 鼻咽癌, 放射治疗, 目标管理, 张口训练, 营养相关症状群, 生活质量

Abstract: Objective:To explore the effect of objective management in mouth opening training of patients with nasopharyngeal carcinoma undergoing radiotherapy. Methods: A total of 95 patients with nasopharyngeal carcinoma who planned to receive radiotherapy from October 2018 to December 2020 were included and were divided into the observation group(n=48) and the control group(n=47) by random number table method. The control group was given routine nursing intervention and mouth opening training management, and the observation group received mouth opening training combined objective management. After 6 months of intervention, the incidence of dysphagia, nutrition-related symptoms, quality of life and other indicators were compared between the two groups. Results: The incidence of mouth opening difficulty in the observation group was lower than that in the control group(P=0.023). The total scores of oral/throat pain, dysphagia/mastication, oral and throat mucus, abnormal taste, constipation and nutrition-related symptoms were lower than those in the control group. The total scores of physical function, psychological function, social function, common symptoms and side effects, specific modules and quality of life were higher than those in the control group. Conclusion: Mouth opening training based on objective management can reduce the incidence of mouth opening difficulty, relieve the burden of nutrition-related symptoms and improve the quality of life of patients with nasopharyngeal carcinoma undergoing radiotherapy.

Key words: Nasopharyngeal carcinoma, Radiotherapy, Objective management, Mouth opening training, Nutrition-related symptom cluster, Quality of life