Acupuncture Reduces Severity of Hot Flashes in Breast Cancer: A Randomized Single-Blind Trial.

IF 1.3 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Holistic Nursing Practice Pub Date : 2023-11-01 DOI:10.1097/HNP.0000000000000612
Diane Serra, Stewart B Fleishman, Carol White, Tung Ming Leung, Manjeet Chadha
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Abstract

This study evaluated the effectiveness of traditional Chinese medicine-based therapeutic acupuncture (TA) in reducing the severity of hot flashes (HFs) in breast cancer patients and compared the effectiveness of TA to "sham" placebo acupuncture (SA). Subjects experiencing more than 10 episodes of HF/week were randomly assigned to TA or SA. The response was assessed by the Menopause-specific Quality of Life (MenQoL) scale, scoring the subject's perception of the severity of HFs. HFs were scored at baseline, after treatment, and 1-month follow-up. A total of 54 subjects enrolled (28 TA and 26 SA). Seven women withdrew from the study. A hot flash diary documented the number of HFs a subject experienced. Analysis included 47 subjects (27 TA and 20 SA). A statistically significant response in HF scores was noted in the TA group compared with the SA group (P = .0064.) On average HF scores dropped by 1.89 with TA, and only 0.16 with SA. At follow-up, TA subjects had a sustained response. TA is effective in reducing the intensity and severity of HF. With SA, no relative response/change in HF scores was noted. Larger studies and longer follow-up to assess durability of response to TA are needed.

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针灸降低癌症热闪光的严重程度:一项随机的单盲试验。
本研究评估了中医治疗针灸(TA)在降低癌症患者潮热(HFs)严重程度方面的有效性,并将其与“假”安慰剂针灸(SA)的有效性进行了比较。每周出现10次以上HF发作的受试者被随机分配到TA或SA。通过更年期特异性生活质量(MenQoL)量表评估反应,对受试者对HF严重程度的感知进行评分。在基线、治疗后和1个月随访时对HFs进行评分。共有54名受试者入选(28名TA和26名SA)。七名女性退出了这项研究。一本热门日记记录了受试者经历的HFs的数量。分析包括47名受试者(27名TA和20名SA)。与SA组相比,TA组的HF评分有统计学意义的反应(P=.0064)。TA组的平均HF评分下降了1.89,SA组仅下降了0.16。随访时,TA受试者有持续的反应。TA可有效降低HF的强度和严重程度。SA治疗后,HF评分无相对反应/变化。需要进行更大规模的研究和更长时间的随访,以评估TA反应的持久性。
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来源期刊
Holistic Nursing Practice
Holistic Nursing Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-NURSING
CiteScore
1.90
自引率
7.70%
发文量
120
期刊介绍: Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.
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