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影响癌症患者是否考虑使用针灸的因素。

Factors affecting whether or not cancer patients consider using acupuncture.

作者信息

Oh Byeongsang, Eade Thomas, Kneebone Andrew, Pavlakis Nick, Clarke Stephen, Eslick Guy, River Jo, Back Michael

机构信息

Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.

Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Acupunct Med. 2017 Apr;35(2):107-113. doi: 10.1136/acupmed-2016-011115. Epub 2016 Sep 22.

Abstract

OBJECTIVE

To explore the factors associated with utilisation of an acupuncture service in a tertiary oncology setting in an Australian public hospital.

METHOD

Cancer patients attending oncology clinics at a university teaching hospital were invited to participate in the evaluation of acupuncture services from June 2014 to May 2015. Patients had a prior diagnosis of cancer (albeit at different stages) and were planning to receive, or were already receiving, systemic and/or radiation cancer treatment.

RESULTS

The majority (81%) of participants indicated that they would consider the use of acupuncture during their cancer treatment. The most common reasons given for not considering acupuncture included adequate control of symptoms already with medical treatment, inconvenient clinic timing, and needle phobia. The main reasons given for considering acupuncture use included its perceived capability of reducing fatigue, boosting energy levels, improving immune function, and reducing pain and anxiety. Patients considering acupuncture use also demonstrated significantly higher levels of stress (p<0.001), anxiety and depression (p<0.001), fatigue (p<0.001), and lower global quality of life (p<0.01) compared to those who were not considering acupuncture.

CONCLUSIONS

The findings show that demand for acupuncture by cancer patients is high. A substantial proportion of cancer patients intend to use acupuncture to manage cancer and/or cancer treatment-related symptoms. Discussion with patients about acupuncture and other complementary therapies during the consultation may improve cancer care.

摘要

目的

探讨澳大利亚一家公立医院三级肿瘤科室中与针灸服务利用相关的因素。

方法

2014年6月至2015年5月期间,邀请在某大学教学医院肿瘤门诊就诊的癌症患者参与针灸服务评估。患者此前已被诊断患有癌症(尽管处于不同阶段),且正计划接受或已在接受全身性和/或放射性癌症治疗。

结果

大多数(81%)参与者表示他们会考虑在癌症治疗期间使用针灸。不考虑针灸的最常见原因包括当前医疗已充分控制症状、门诊时间不便以及恐针。考虑使用针灸的主要原因包括其被认为有减轻疲劳、提高精力水平、改善免疫功能以及减轻疼痛和焦虑的能力。与不考虑使用针灸的患者相比,考虑使用针灸的患者在压力(p<0.001)、焦虑和抑郁(p<0.001)、疲劳(p<0.001)水平上显著更高,总体生活质量更低(p<0.01)。

结论

研究结果表明癌症患者对针灸的需求很高。相当一部分癌症患者打算使用针灸来管理癌症和/或癌症治疗相关症状。在会诊期间与患者讨论针灸及其他补充疗法可能会改善癌症护理。

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