Eunbin Kwag, Haneum Joo, Soo-Dam Kim, So Jung Park, Jung Hyo Cho, Nam Hun Lee, Jong Cheon Joo, Myung Han Hyun, Susan Chimonas, Ting Bao, Jun J Mao, Jee Young Lee, Hwaseung Yoo
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A total of 201 cancer patients with pain completed a questionnaire assessing acupuncture use, pain severity and interference, and beliefs using a modified version of the ABCAM (Attitudes and Beliefs about Complementary and Alternative Medicine) instrument. Treatment concerns, logistical barriers, and social norms were analyzed.</p><p><strong>Results: </strong>Of the 201 participants, 80.6% reported using acupuncture for cancer-related pain. Pain severity was the only significant predictor of acupuncture use (OR = 1.53, 95% CI: 1.10-2.12, <i>p</i> = 0.01). Acupuncture users reported fewer concerns about safety and side effects, fewer logistical barriers, and stronger encouragement from family, healthcare providers, and peers.</p><p><strong>Conclusions: </strong>This is the first study to explore real-world use of acupuncture for cancer pain in South Korea. Greater pain severity, perceived safety, ease of access, and social support were associated with higher acupuncture use. 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Pain severity was the only significant predictor of acupuncture use (OR = 1.53, 95% CI: 1.10-2.12, <i>p</i> = 0.01). Acupuncture users reported fewer concerns about safety and side effects, fewer logistical barriers, and stronger encouragement from family, healthcare providers, and peers.</p><p><strong>Conclusions: </strong>This is the first study to explore real-world use of acupuncture for cancer pain in South Korea. Greater pain severity, perceived safety, ease of access, and social support were associated with higher acupuncture use. 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引用次数: 0
摘要
背景:癌症相关疼痛是癌症患者常见的痛苦症状。虽然针灸被广泛使用,并得到越来越多的证据支持,但在韩国,针灸在现实世界中的使用和相关的患者态度仍未得到充分的探讨。本研究旨在探讨针刺的使用模式,并确定影响其使用的因素在韩国癌症患者经历疼痛。方法:于2023年10月至2024年5月在6家韩国医院进行横断面调查。201名患有疼痛的癌症患者完成了一份问卷,使用改进版的ABCAM(关于补充和替代医学的态度和信念)来评估针灸的使用、疼痛的严重程度和干扰以及信念。分析了治疗问题、后勤障碍和社会规范。结果:在201名参与者中,80.6%的人报告使用针灸治疗癌症相关疼痛。疼痛严重程度是针刺使用的唯一显著预测因子(OR = 1.53, 95% CI: 1.10-2.12, p = 0.01)。针灸使用者报告较少担心安全性和副作用,后勤障碍较少,并且来自家庭、医疗保健提供者和同伴的鼓励更强。结论:这是第一个在韩国探索真实世界中使用针灸治疗癌症疼痛的研究。更大的疼痛严重程度、可感知的安全性、易获得性和社会支持与更高的针灸使用相关。这些发现表明,改善患者教育和将针灸纳入癌症治疗可能会改善韩国患者的疼痛管理。
Utilization Pattern of Acupuncture and Its Associated Predictors for Cancer Pain in South Korea: A Cross-Sectional Study.
Background: Cancer-related pain is a common and distressing symptom among patients with cancer. Although acupuncture is widely used and supported by growing evidence, its real-world use and related patient attitudes remain underexplored in South Korea. This study aimed to investigate patterns of acupuncture use and identify factors influencing its use among Korean cancer patients experiencing pain.
Methods: A cross-sectional survey was conducted from October 2023 to May 2024 at six Korean medicine hospitals. A total of 201 cancer patients with pain completed a questionnaire assessing acupuncture use, pain severity and interference, and beliefs using a modified version of the ABCAM (Attitudes and Beliefs about Complementary and Alternative Medicine) instrument. Treatment concerns, logistical barriers, and social norms were analyzed.
Results: Of the 201 participants, 80.6% reported using acupuncture for cancer-related pain. Pain severity was the only significant predictor of acupuncture use (OR = 1.53, 95% CI: 1.10-2.12, p = 0.01). Acupuncture users reported fewer concerns about safety and side effects, fewer logistical barriers, and stronger encouragement from family, healthcare providers, and peers.
Conclusions: This is the first study to explore real-world use of acupuncture for cancer pain in South Korea. Greater pain severity, perceived safety, ease of access, and social support were associated with higher acupuncture use. These findings suggest that improved patient education and integration of acupuncture into cancer care may enhance pain management for Korean patients.