Acupuncture for Hot Flashes: Decision Making by Breast Cancer Survivors

被引:21
|
作者
Mao, Jun J. [1 ,2 ,3 ]
Leed, Rana [1 ]
Bowman, Marjorie A. [1 ,4 ]
Desai, Krupali [1 ]
Bramble, Manuel [1 ]
Armstrong, Katrina [3 ,5 ]
Barg, Frances [1 ,5 ]
机构
[1] Univ Penn, Sch Med, Dept Family Med & Community Hlth, Philadelphia, PA 19104 USA
[2] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Med, Abramson Canc Ctr, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Med, Ctr Publ Hlth Initiat, Philadelphia, PA 19104 USA
[5] Univ Penn, Sch Med, Dept Med, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
Acupuncture; Alternative Medicine; Behavior; Breast Cancer; Complementary Medicine; Hot Flashes; Survivors; RANDOMIZED CONTROLLED-TRIAL; ALTERNATIVE MEDICINE CAM; PRIMARY-CARE PHYSICIANS; MENOPAUSAL SYMPTOMS; VASOMOTOR SYMPTOMS; MEGESTROL-ACETATE; WEIGHT-GAIN; COMPLEMENTARY; WOMEN; MANAGEMENT;
D O I
10.3122/jabfm.2012.03.110165
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose: Hot flashes (HFs) are a particularly common and distressing symptom among breast cancer survivors (BCSs). Given its low rate of side effects, acupuncture shows promise as a therapeutic approach for HFs, but little is known about BCS's decision making about the use of acupuncture. This study seeks to identify attitudes and beliefs about using acupuncture for HFs by BCSs. Methods: Using the Theory of Planned Behavior (TPB) as a conceptual framework, we conducted semistructured interviews among women with stage I-III breast cancer who had finished primary treatment and were currently experiencing HFs. Interviews were taped, transcribed, and coded. We used a modified grounded theory approach to analyze the data. Results: Twenty-five BCSs (13 whites/12 African American) participated in the study. Respondents stated that their intended use of acupuncture for HFs would be dependent on (1) expected therapeutic effects (eg, pain relief, energy); (2) practical concerns (eg, fear of needles, practitioner experience, time commitment); and (3) source of decision support/validation (eg, family members, physicians, self). Although constructs in the TPB accounted for many decision factors, respondents identified 2 major themes outside of the TPB: (1) viewing acupuncture as a natural alternative to medications, and (2) assessing the degree of HFs as bothersome enough in the context of other medical comorbidities to trigger the need for therapy. Conclusion: BCSs expressed varied expected therapeutic benefits, practical concerns, and decision support, emphasizing the "natural appeal" and symptom appraisal as key determinants when using acupuncture for HFs. Incorporating these factors in counseling BCSs may promote patient-centered communication, leading to improved hot flash management and quality of life. (J Am Board Fam Med 2012;25:323-332.)
引用
收藏
页码:323 / 332
页数:10
相关论文
共 50 条
  • [1] Genetic predictors to acupuncture response for hot flashes: an exploratory study of breast cancer survivors
    Romero, Sally A. D.
    Li, Qing Susan
    Orlow, Irene
    Gonen, Mithat
    Su, Hui-Chun Irene
    Mao, Jun J.
    [J]. MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2020, 27 (08): : 913 - 917
  • [2] Definitions of hot flashes in breast cancer survivors
    Finck, G
    Barton, DL
    Loprinzi, CL
    Quella, SK
    Sloan, JA
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1998, 16 (05) : 327 - 333
  • [3] Reducing hot flashes in breast cancer survivors
    不详
    [J]. AMERICAN JOURNAL OF NURSING, 2007, 107 (04) : 22 - 22
  • [4] Acupuncture Reduces Severity of Hot Flashes in Breast Cancer
    Serra, Diane
    Fleishman, Stewart B.
    White, Carol
    Leung, Tung Ming
    Chadha, Manjeet
    [J]. HOLISTIC NURSING PRACTICE, 2023, 37 (06) : 330 - 336
  • [5] Feasibility Study of Acupuncture for Reducing Sleep Disturbances and Hot Flashes in Postmenopausal Breast Cancer Survivors
    Otte, Julie L.
    Carpenter, Janet S.
    Zhong, Xin
    Johnstone, Peter A. S.
    [J]. CLINICAL NURSE SPECIALIST, 2011, 25 (05) : 228 - 236
  • [6] Management of hot flashes in breast-cancer survivors
    Loprinzi, Charles L.
    Barton, Debra L.
    Rhodes, Deb
    [J]. LANCET ONCOLOGY, 2001, 2 (04): : 199 - 204
  • [7] Attributions of hot flashes among breast cancer survivors
    Cohen, S. M.
    Carr, F.
    Stubbs, M. L.
    [J]. PSYCHO-ONCOLOGY, 2007, 16 (09) : S29 - S29
  • [8] A randomized placebo-controlled trial of acupuncture and gabapentin for hot flashes among breast cancer survivors
    Mao, Jun J.
    Xie, Sharon X.
    Bowman, Marjorie A.
    Bruner, Deborah
    Li, Susan Q.
    DeMichele, Angela
    Farrar, John T.
    [J]. CANCER RESEARCH, 2015, 75
  • [9] Acupuncture for hot flashes in women with breast cancer: A systematic review
    Chen, Yu-Pei
    Liu, Tong
    Peng, Yuan-Yuan
    Wang, Yan-Ping
    Chen, Huan
    Fan, Yi-Fan
    Zhang, Li
    [J]. JOURNAL OF CANCER RESEARCH AND THERAPEUTICS, 2016, 12 (02) : 535 - 542
  • [10] Effect of oral magnesium on hot flashes in breast cancer survivors
    Park, H.
    Smith, T. J.
    Parker, G. L.
    Dodson, P.
    Boardman, C.
    Morris, M. M.
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (15)