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已发表论文
鼻咽癌患者放疗期间构音障碍相关症状体验：一项描述性定性研究
Authors Li F , Xiong L, Lei C , Zhou S , Leng H, Tang L, Wang C, Ding Z, Ge M, Shi Q
Received 13 May 2025
Accepted for publication 11 September 2025
Published 20 September 2025 Volume 2025:18 Pages 3167—3180
DOI https://doi.org/10.2147/RMHP.S536012
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Kyriakos Souliotis
Fan Li,1,2 Lingling Xiong,2 Cheng Lei,3 Shitong Zhou,2 Hongyao Leng,4 Li Tang,2 Chunyu Wang,5 Zaiqiao Ding,6 Mengya Ge,7 Qiuling Shi1,3
1College of Public Health, State Key Laboratory of Ultrasound in Medicine and Engineering, Chongqing Medical University, Chongqing, People’s Republic of China; 2Department of Otorhinolaryngology Head and Neck Surgery, Chongqing General Hospital, Chongqing University, Chongqing, People’s Republic of China; 3Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, Sichuan, People’s Republic of China; 4Department of Nursing, Children’s Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 5Radiation Oncology Center, Chongqing University Cancer Hospital, Chongqing, People’s Republic of China; 6Department of Oncology, Army Medical Center of PLA, Chongqing, People’s Republic of China; 7Department of Public Health, Chongqing University Three Gorges Hospital, Chongqing, People’s Republic of China
Correspondence: Qiuling Shi, College of Public Health, State Key Laboratory of Ultrasound in Medicine and Engineering, Chongqing Medical University, No. 1 Medical College Road, Yuzhong District, Chongqing, 400016, People’s Republic of China, Tel +86 13647689863, Email qshi@cqmu.edu.cn
Background: Radiation to the adjacent parts of the tumor and radiation to the larynx may lead to voice changes and the development of dysarthria, however, dysarthria is often overlooked compared to other complications. It is necessary to understand the experience of nasopharyngeal cancer (NPC) patients with symptoms related to dysarthria after radiotherapy.
Methods: This qualitative descriptive study enrolled 33 patients NPC radiotherapy patients who experienced dysarthria were recruited from May to August 2024. Data were collected using semi-structured interviews. The interviews were audio-recorded and converted verbatim into standard text, and the data were iteratively thematically analyzed.
Results: Changes in speech and language quality after radiotherapy for NPC are common, but there are differences in the degree of symptoms perceived by patients. At the same time, dysarthria is often accompanied by other diverse oropharyngeal symptoms, and the trajectory-varying nature of these symptom experiences imposes a dual physical and psychological burden on patients. Lack of awareness of dysarthria and inadequate emotional support may lead to very different coping styles and a desire for professional ongoing voice management.
Conclusion: This study helps to elucidate the current status of dysarthria faced by patients undergoing radiotherapy for NPC and provides multiple dimensions of dysarthria assessment and management goals for quantitative research. We call attention to the need for healthcare professionals to pay attention to patients’ perspectives and related needs and to develop targeted management strategies that match patients’ needs, and we emphasize the importance of continuity of care to effectively improve dysarthria-related symptoms.
Keywords: nasopharyngeal carcinoma, radiotherapy, dysarthria, syndrome, qualitative research
1College of Public Health, State Key Laboratory of Ultrasound in Medicine and Engineering, Chongqing Medical University, Chongqing, People’s Republic of China; 2Department of Otorhinolaryngology Head and Neck Surgery, Chongqing General Hospital, Chongqing University, Chongqing, People’s Republic of China; 3Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, Sichuan, People’s Republic of China; 4Department of Nursing, Children’s Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 5Radiation Oncology Center, Chongqing University Cancer Hospital, Chongqing, People’s Republic of China; 6Department of Oncology, Army Medical Center of PLA, Chongqing, People’s Republic of China; 7Department of Public Health, Chongqing University Three Gorges Hospital, Chongqing, People’s Republic of China
Correspondence: Qiuling Shi, College of Public Health, State Key Laboratory of Ultrasound in Medicine and Engineering, Chongqing Medical University, No. 1 Medical College Road, Yuzhong District, Chongqing, 400016, People’s Republic of China, Tel +86 13647689863, Email qshi@cqmu.edu.cn
Background: Radiation to the adjacent parts of the tumor and radiation to the larynx may lead to voice changes and the development of dysarthria, however, dysarthria is often overlooked compared to other complications. It is necessary to understand the experience of nasopharyngeal cancer (NPC) patients with symptoms related to dysarthria after radiotherapy.
Methods: This qualitative descriptive study enrolled 33 patients NPC radiotherapy patients who experienced dysarthria were recruited from May to August 2024. Data were collected using semi-structured interviews. The interviews were audio-recorded and converted verbatim into standard text, and the data were iteratively thematically analyzed.
Results: Changes in speech and language quality after radiotherapy for NPC are common, but there are differences in the degree of symptoms perceived by patients. At the same time, dysarthria is often accompanied by other diverse oropharyngeal symptoms, and the trajectory-varying nature of these symptom experiences imposes a dual physical and psychological burden on patients. Lack of awareness of dysarthria and inadequate emotional support may lead to very different coping styles and a desire for professional ongoing voice management.
Conclusion: This study helps to elucidate the current status of dysarthria faced by patients undergoing radiotherapy for NPC and provides multiple dimensions of dysarthria assessment and management goals for quantitative research. We call attention to the need for healthcare professionals to pay attention to patients’ perspectives and related needs and to develop targeted management strategies that match patients’ needs, and we emphasize the importance of continuity of care to effectively improve dysarthria-related symptoms.
Keywords: nasopharyngeal carcinoma, radiotherapy, dysarthria, syndrome, qualitative research