Willingness to try acupuncture again: reports from patients on their treatment reactions in a low back pain trial
Willingness to try acupuncture again: reports from patients on their treatment reactions in a low back pain trial
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DOI：
10.1136/aim.2010.002279
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发表时间：
2010-12-01
影响因子：
2.5
通讯作者：
MacPherson, H.
中科院分区：
文献类型：
--
作者：
Hopton, A. K.;Thomas, K. J.;MacPherson, H.
背景针灸后对治疗的反应很常见。了解这些反应是如何解释的患者在很大程度上unexplored.Objective检查患者的评级的严重性和麻烦的一系列常见的治疗反应，并评估其影响愿意尝试再次针灸。一项针灸随机对照试验中133名患者治疗反应的严重性和麻烦性结果共133名针灸患者在3个月内报告了他们在长达10次针灸治疗过程中的任何时间所经历的反应。他们总共接受了1150次治疗，平均每位患者8.6次。所有患者均报告了治疗反应，最常见的是放松（84%，n = 112），这与再次尝试针灸的意愿显著相关（chi（2）= 7.860，df = 1，p = 0.005）。只有16%（n=21）不愿意再次经历特定的治疗反应，9%（n = 12）不愿意再次尝试针灸。最“令人烦恼”的反应是症状暂时恶化（29%，n=38），尽管这与不愿意再次尝试针灸无关（chi（2）= 0.382，df = 1，p>0.536）。那些不愿意再次尝试针灸的患者在3个月时报告的疼痛减轻程度显著较低（平均（SE）SF-36身体疼痛评分在3个月时为30.453（3.598）vs 19.30（1.128）; p=0.003）。没有证据表明治疗反应的麻烦与患者再次尝试针灸的意愿有关。在治疗过程中疼痛减轻的获益似乎超过了自我评定的治疗不良反应。
Background Reactions to treatment are common following acupuncture. Understanding how these reactions are interpreted by patients is largely unexplored.Objective To examine patients' ratings of the severity and bothersomeness of a range of common treatment reactions, and to assess their impact on willingness to try acupuncture again.Methods Self-reported ratings of the frequency, severity and bothersomeness of treatment reactions from 133 patients in the acupuncture arm of a pragmatic randomised controlled trial of acupuncture for chronic back pain are described and analysed.Results A total of 133 acupuncture patients reported at 3 months reactions that they had experienced at any time during a course of up to 10 acupuncture treatment sessions. They received a total of 1150 treatments, an average of 8.6 sessions per patient. All patients reported treatment reactions, most commonly relaxation (84%, n = 112), which was significantly associated with willingness to try acupuncture again, (chi(2) = 7.860, df = 1, p = 0.005). Only 16% (n=21) were unwilling to experience a specific treatment reaction again, and 9% (n = 12) were unwilling to try acupuncture again. The most 'bothersome' reaction was a temporary worsening of symptoms (29%, n=38), though this was not associated with an unwillingness to try acupuncture again (chi(2) = 0.382, df = 1, p>0.536). Those unwilling to try acupuncture again reported significantly less reduction in their pain at 3 months (mean (SE) SF-36 bodily pain score at 3 months 30.453 (3.598) vs 19.30 (1.128); p=0.003).Conclusion Among this group of patients seeking help for low back pain, the experience of treatment reactions was universal. There was no evidence that the bothersomeness of treatment reactions was associated with patient's willingness to try acupuncture again. The benefit of pain reduction over the course of treatment appeared to outweigh self-rated bothersome reactions to treatment.