探讨团体针刺与个体针刺治疗癌症相关疼痛的患者体验和可接受性：一项定性研究。
Exploring patient experiences and acceptability of group vs. individual acupuncture for Cancer-related pain: a qualitative study.
机构信息
Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Vive Integrative Health Group, 1889 - 45 Street NW, Calgary, AB, Canada.
出版信息
BMC Complement Med Ther. 2022 Jun 13;22(1):155. doi: 10.1186/s12906-022-03600-6.
BACKGROUND
Individual acupuncture (AP) is a safe and effective treatment for cancer-related pain and other symptoms in cancer survivors. However, access to individual AP is limited, and costs can be prohibitive. Group AP could be a more cost-effective alternative as it is less expensive and non-inferior to individual AP for pain relief. Despite growing evidence in favour of group AP, patient acceptability and experience of group AP in cancer patients is relatively unknown. This exploratory study sought to compare patient experiences and acceptability of group versus individual AP in cancer patients.
METHODS
Semi-structured, open-ended, in-depth interviews were conducted in a subset of 11 cancer patients enrolled in a randomized non-inferiority trial of group vs. individual AP for cancer pain. Participants for this study were recruited via purposive sampling, aiming for diversity in age, sex, education, employment, cancer types, and treatment arms. Data was analyzed using inductive thematic analysis.
RESULTS
Two major themes were identified: a) overall experience of AP treatment b) value of AP. Participants across both treatment arms acknowledged improvement in pain, quality of sleep, mood and fatigue. Participants in the group AP arm reported a significant increase in perceived social support, while participants in the individual arm valued privacy and one-on-one interaction with the acupuncturist. Although some participants in the group arm had privacy-related concerns before the commencement of the program, these concerns waned after a few AP sessions. Participants across both the treatment arms reported cordial clinician-patient relationship with the acupuncturist. Willingness to pursue AP treatment in the future was comparable across both the treatment arms and was limited by out-of-pocket costs.
CONCLUSION
Patient acceptability and experience of treatment in group AP was on par with individual AP. Group AP may further augment perceived social support among patients and privacy concerns, if any, subside after a few sessions.
TRIAL REGISTRATION
ClinicalTrials.gov ( NCT03641222 ). Registered 10 July 2018 - Retrospectively registered.
背景
个体针灸（AP）是治疗癌症相关疼痛和癌症幸存者其他症状的安全有效方法。然而，个体 AP 的可及性有限，且费用可能过高。群体 AP 可能是一种更具成本效益的替代方法，因为它在缓解疼痛方面与个体 AP 相比既便宜又非劣效。尽管越来越多的证据支持群体 AP，但癌症患者对群体 AP 的接受程度和体验相对未知。这项探索性研究旨在比较癌症患者对群体与个体 AP 的体验和接受程度。
方法
在一项群体 AP 与个体 AP 治疗癌症疼痛的非劣效性随机对照试验中，对 11 名入组患者进行了半结构式、开放式、深入访谈。本研究的参与者通过目的性抽样招募，旨在在年龄、性别、教育、就业、癌症类型和治疗臂方面具有多样性。使用归纳主题分析对数据进行分析。
结果
确定了两个主要主题：a）AP 治疗的总体体验 b）AP 的价值。两种治疗臂的参与者均承认疼痛、睡眠质量、情绪和疲劳得到改善。群体 AP 臂的参与者报告感知社会支持显著增加，而个体 AP 臂的参与者则重视隐私和与针灸师的一对一互动。虽然群体 AP 臂的一些参与者在开始治疗前有隐私相关的担忧，但这些担忧在几次 AP 治疗后减弱。两种治疗臂的参与者均报告与针灸师建立了亲切的医患关系。两种治疗臂对未来接受 AP 治疗的意愿相当，且受到自付费用的限制。
结论
群体 AP 的患者接受程度和治疗体验与个体 AP 相当。如果在几次治疗后缓解了任何隐私问题，群体 AP 可能会进一步增强患者的感知社会支持。
试验注册
ClinicalTrials.gov（NCT03641222）。2018 年 7 月 10 日注册-回顾性注册。
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