Hopkins Hollis Anne Seton
School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Oncol Nurs Forum. 2010 Sep;37(5):E344-8. doi: 10.1188/10.ONF.E344-E348.
PURPOSE/OBJECTIVES: To explore the current state of the science regarding acupuncture as a treatment modality for cancer pain.
PubMed and CINAHL databases were searched, as were Web sites from the National Cancer Institute, the National Institute of Health's Complementary and Alternative Medicine Program, and the American Cancer Society.
This article synthesizes nine years of published research on the use of acupuncture as an adjunct treatment for the management of cancer pain.
Findings suggest a lack of level I evidence regarding the use of acupuncture as a cancer pain treatment modality. The majority of evidence is level III or higher; therefore, causality cannot be inferred.
Future research should focus on level I and level II evidence, controlling for variables to strengthen validity, and addressing sample size to enhance the generalizability of results. Nurses should be knowledgeable about the state of the science evidence available to assist patients in making educated decisions.
目的/目标:探讨将针灸作为癌症疼痛治疗方式的科学现状。
检索了PubMed和CINAHL数据库,以及美国国立癌症研究所、国立卫生研究院补充和替代医学项目和美国癌症协会的网站。
本文综合了九年来发表的关于使用针灸作为辅助治疗癌症疼痛的研究。
研究结果表明,缺乏关于将针灸作为癌症疼痛治疗方式的一级证据。大多数证据为三级或更高等级;因此,无法推断因果关系。
未来的研究应侧重于一级和二级证据,控制变量以加强有效性,并解决样本量问题以提高结果的普遍性。护士应了解现有的科学证据状况,以帮助患者做出明智的决定。