Yoon Saunjoo L, Grundmann Oliver, Williams Joseph J, Carriere Gwen
Department of Adult and Elderly Nursing, University of Florida, Gainesville, FL.
Department of Adult and Elderly Nursing and the Department of Medicinal Chemistry, University of Florida, Gainesville, FL.
Oncol Nurs Forum. 2015 Mar;42(2):E102-9. doi: 10.1188/15.ONF.E102-E109.
PURPOSE/OBJECTIVES: To investigate the feasibility of using acupuncture as a complementary intervention to existing treatments and to evaluate the efficacy of acupuncture in improving appetite and slowing weight loss with patients with gastrointestinal (GI) tract cancers.
One-group pre- and postintervention feasibility study.
Outpatient clinic for patients with cancer and a community setting, both in Florida.
A convenience sample of seven adults with GI cancer.
Eight acupuncture sessions were provided during eight weeks. Data were collected using the visual analog scale (VAS) for appetite, Simplified Nutritional Appetite Questionnaire (SNAQ), Karnofsky Performance Status, and bioelectrical impedance analysis.
Appetite, weight, attrition rate.
Seven patients with a mean age of 61 years completed the intervention. Acupuncture was well accepted, feasible, and safe without any reported side effects. Appetite showed improvement, with an average score of 3.04 on the VAS and 4.14 on SNAQ compared to the preintervention scores. The average weight loss was 1.32% compared to the baseline during an eight-week period.
The acupuncture intervention was feasible and indicated positive outcomes. Because of the small sample size and lack of a control group, statistical significance of effectiveness was not determined. Acupuncture seemed to improve appetite and slow weight loss in patients with GI cancers, so additional studies with a larger sample size and a variety of cancers are warranted.
Oncology nurses are uniquely able to equip patients with information about complementary therapy modalities, such as acupuncture, which is a promising way to improve appetite and slow weight loss in patients with GI cancers.
目的/目标：探讨将针灸作为现有治疗的辅助干预措施的可行性，并评估针灸对改善胃肠道（GI）癌患者食欲及减缓体重减轻的疗效。
单组干预前后可行性研究。
佛罗里达州的癌症患者门诊及社区环境。
七名患有胃肠道癌症的成年患者的便利样本。
在八周内进行八次针灸治疗。使用视觉模拟量表（VAS）评估食欲、简化营养食欲问卷（SNAQ）、卡诺夫斯基功能状态评分量表以及生物电阻抗分析来收集数据。
食欲、体重、损耗率。
七名平均年龄为61岁的患者完成了干预。针灸疗法接受度良好、可行且安全，未报告任何副作用。与干预前评分相比，食欲有所改善，VAS平均评分为3.04，SNAQ平均评分为4.14。在八周期间，与基线相比平均体重减轻了1.32%。
针灸干预可行且显示出积极结果。由于样本量小且缺乏对照组，未确定有效性的统计学意义。针灸似乎能改善胃肠道癌患者的食欲并减缓体重减轻，因此有必要开展样本量更大且涉及多种癌症的进一步研究。
肿瘤护士有独特的能力为患者提供有关补充治疗方式的信息，如针灸，这是改善胃肠道癌患者食欲及减缓体重减轻的一种有前景的方法。
