Ba Dongsheng, Guo Yang, Chen Bo, Zhai Jingbo, Lv Xiaoyan, Wang Bin, Chen Aoxiang, Fu Liyuan, Chen Zelin, Guo Yi
School of Acupuncture-Moxibustion and Tuina, Tianjin University of TCM, Tianjin 301617, China.
Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of TCM.
Zhongguo Zhen Jiu. 2024 Sep 12;44(9):1023-8. doi: 10.13703/j.0255-2930.20231207-0001.
To understand the cognition for insomnia and preference for acupuncture in breast cancer survivors based on the in-depth interview.
Thirty breast cancer survivors with insomnia symptoms were collected for in-depth interview. The interview questions included three aspects, i.e. sleep expectation, cognition for insomnia (discomfort caused by insomnia, and underlying inducing factors of insomnia) and the preference for acupuncture (treatment methods used in the past, the reasons for not choosing acupuncture, and the tendency of acupuncture treatment). Using Colaizzi content analysis method, the data was analyzed.
Regarding sleep expectation, most breast cancer survivors with insomnia symptoms were able to maintain normal activity in daytime. Insomnia symptoms often led to fatigue, and the inducing factors of insomnia referred to the treatment with endocrine therapy, anticipatory anxiety and inadequate sleep hygiene. All of the patients had received pharmacotherapy. The use proportion of non-pharmacological therapies was relatively low, and acupuncture was not chosen due to "not familiar with" and "fear of pain". Concerning to the preference for acupuncture, patients preferred the therapeutic methods of acupuncture with mild pain sensation and gentle stimulation; and the treatment should be more acceptable if delivered 2 or 3 times a week.
Breast cancer survivors have the expectations for sleep, and are willing to receive the treatment with medication for their sleep disorders. Because of lack of the knowledge for acupuncture effect on insomnia and fear of strong needling sensation, a part of patients are unwilling to be treated with acupuncture therapy, but they are expected to receive the treatment with acupuncture while feeling more comfortable.
通过深入访谈了解乳腺癌幸存者对失眠的认知及对针灸的偏好。
收集30例有失眠症状的乳腺癌幸存者进行深入访谈。访谈问题包括三个方面，即睡眠期望、对失眠的认知（失眠引起的不适及失眠的潜在诱发因素）以及对针灸的偏好（过去使用的治疗方法、不选择针灸的原因及针灸治疗倾向）。采用Colaizzi内容分析法对数据进行分析。
关于睡眠期望，大多数有失眠症状的乳腺癌幸存者白天能够维持正常活动。失眠症状常导致疲劳，失眠的诱发因素涉及内分泌治疗、预期性焦虑和睡眠卫生不足。所有患者均接受过药物治疗。非药物治疗的使用比例相对较低，未选择针灸是因为“不熟悉”和“害怕疼痛”。关于对针灸的偏好，患者更喜欢疼痛感轻、刺激温和的针灸治疗方法；如果每周进行2或3次治疗，可能更易接受。
乳腺癌幸存者对睡眠有期望，愿意接受药物治疗睡眠障碍。由于对针灸治疗失眠的效果缺乏了解以及害怕强烈的针感，部分患者不愿意接受针灸治疗，但期望在感觉更舒适的情况下接受针灸治疗。
