Quinlan-Woodward Jessica, Gode Autumn, Dusek Jeffery A, Reinstein Adam S, Johnson Jill R, Sendelbach Sue
Penny George Institute for Health and Healing.
Abbott Northwestern Hospital.
Oncol Nurs Forum. 2016 Nov 1;43(6):725-732. doi: 10.1188/16.ONF.725-732.
PURPOSE/OBJECTIVES: To compare the effect of acupuncture to a standard-of-care (control) group on pain, nausea, anxiety, and ability to cope. .
DESIGN: Pilot randomized, controlled trial. .
SETTING: Abbott Northwestern Hospital, a large, urban, tertiary care hospital in Minneapolis, Minnesota. .
SAMPLE: 30 adult women undergoing surgery for breast cancer. .
METHODS: Women were randomly assigned to two hospital-based acupuncture treatments versus usual care after breast cancer surgery. Pain, nausea, anxiety, and the patient's ability to cope pre- and post-treatment were compared within and between groups at two different time points postoperatively. .
MAIN RESEARCH VARIABLES: Mean change in pain, nausea, anxiety, and ability to cope by treatment group. .
FINDINGS: Compared to women assigned to the control group, women who received acupuncture reported a statistically significant greater reduction in pain, nausea, anxiety, and increase in ability to cope on the first postoperative day and in pain on the second postoperative day following mastectomy surgery. .
CONCLUSIONS: Acupuncture delivered postoperatively in the hospital after mastectomy can reduce the severity of symptoms experienced, as well as increase the patient's ability to cope with her symptoms. However, before implementation as a standard of care, further research needs to be conducted. .
Acupuncture adds a nonpharmacologic intervention for symptom management in women undergoing mastectomies for breast cancer.
目的/目标：比较针刺疗法与标准护理（对照组）对疼痛、恶心、焦虑及应对能力的影响。
试点随机对照试验。
明尼苏达州明尼阿波利斯市的一家大型城市三级护理医院——雅培西北医院。
30名接受乳腺癌手术的成年女性。
将女性随机分为两组，一组接受两种基于医院的针刺治疗，另一组接受乳腺癌手术后的常规护理。在术后两个不同时间点，对组内和组间治疗前后的疼痛、恶心、焦虑及患者应对能力进行比较。
治疗组疼痛、恶心、焦虑及应对能力的平均变化。
与分配到对照组的女性相比，接受针刺治疗的女性在乳房切除术后第一天的疼痛、恶心、焦虑程度在统计学上有显著降低，应对能力有所提高，在术后第二天的疼痛程度也有所降低。
乳房切除术后在医院进行针刺治疗可减轻患者所经历症状的严重程度，并提高患者应对症状的能力。然而，在作为标准护理实施之前，还需要进行进一步研究。
针刺疗法为接受乳腺癌乳房切除术的女性提供了一种非药物症状管理干预措施。
