School of Nursing, University of South China, Hengyang, Hunan, China (mainland).
Department of Nursing, Hunan Provincial People's Hospital, Changsha, Hunan, China (mainland).
Med Sci Monit. 2018 Aug 13;24:5624-5634. doi: 10.12659/MSM.909442.
BACKGROUND Symptom distress is very common in patients with nasopharyngeal carcinoma (NPC) during radiotherapy, seriously affecting their quality of life and impeding the process of rehabilitation. Resourcefulness training can enhance the level of resourcefulness and benefit-finding, palliate symptom distress, and promote disease rehabilitation. However, the effects of resourcefulness training on local complications and benefit-finding in NPC patients during radiotherapy remains poorly understood. MATERIAL AND METHODS Questionnaires and resourcefulness training intervention were used in this study. The relationships among resourcefulness, benefit-finding, and symptom distress of 304 NPC patients were analyzed and the effects of resourcefulness training on NPC patients (N=80) were evaluated during radiotherapy. RESULTS Among the 304 NPC patients, age, educational level, occupation, family monthly income, method of payment of medical expenses, and histological types were significant factors influencing resourcefulness and benefit-finding. The patients' resourcefulness was positively correlated to their benefit-finding; and their distress was negatively correlated to their resourcefulness. After resourcefulness training for 2 months, average scores of the resourcefulness and benefit-finding were significantly increased in the intervention group (N=40) compared to those in the control group (N=40). Average scores of symptom distress were significantly reduced in the 2 groups, but they were reduced more significantly in the intervention group than in the control group. CONCLUSIONS The patients' benefit-finding and symptom distress were correlated with their resourcefulness. Resourcefulness training could enhance the level of resourcefulness and benefit-finding, palliate symptom distress, and promote disease rehabilitation in NPC patients during radiotherapy.
鼻咽癌（NPC）患者在放射治疗过程中常出现症状困扰，严重影响其生活质量，阻碍康复进程。应变能力训练可以提高应变能力和发现益处的水平，缓解症状困扰，促进疾病康复。然而，应变能力训练对 NPC 患者放射治疗期间局部并发症和发现益处的影响仍知之甚少。
本研究采用问卷调查和应变能力训练干预。分析了 304 例 NPC 患者的应变能力、发现益处与症状困扰之间的关系，并评估了应变能力训练对 80 例 NPC 患者（N=80）放射治疗期间的影响。
在 304 例 NPC 患者中，年龄、文化程度、职业、家庭月收入、医疗费用支付方式和组织学类型是影响应变能力和发现益处的显著因素。患者的应变能力与其发现益处呈正相关，其困扰与其应变能力呈负相关。经过 2 个月的应变能力训练，干预组（N=40）的应变能力和发现益处的平均评分明显高于对照组（N=40）。两组患者的症状困扰平均评分均显著降低，但干预组的降低更为明显。
患者的发现益处和症状困扰与应变能力相关。应变能力训练可以提高 NPC 患者放射治疗期间的应变能力和发现益处的水平，缓解症状困扰，促进疾病康复。
