Background/Objectives: Breast cancer survivors undergoing long-term endocrine therapy often experience multiple symptoms, including pain, fatigue, sleep disturbance, hot flashes, anxiety, and depression. This study explored the feasibility and acceptability of integrating acupuncture for symptom management in medically underserved breast cancer survivors. Methods: This randomized controlled trial was conducted at two clinics serving medically underserved populations. Breast cancer survivors (N= 62) were randomized to receive acupuncture (n= 31) or usual care (n= 31). The acupuncture group underwent 10 sessions over 5 weeks. Symptoms were assessed at baseline and Weeks 6 and 12. Results: The majority of participants (55%) were Black, mean age was 55.2 ± 9.3 years, and 62.9% had a household income below $55,000. Retention (90.3%), engagement (93.1%), and acceptability (92.8%) rates were high, demonstrating that integrating acupuncture into care for medically underserved breast cancer survivors is both feasible and acceptable. At Week 6, the acupuncture group showed significant reduction compared to the usual care group in pain, fatigue, sleep disturbance, depression, anxiety, and the symptom cluster score. All improvements persisted to Week 12 except for those in anxiety. Conclusions: Integrating acupuncture for symptom management in medically underserved breast cancer survivors is both feasible and acceptable. This approach offers potential benefits for reducing multiple symptoms and addressing health disparities.
**背景/目的：** 长期接受内分泌治疗的乳腺癌幸存者常出现多种症状，包括疼痛、疲劳、睡眠障碍、潮热、焦虑和抑郁。本研究探讨了在医疗服务不足的乳腺癌幸存者中，整合针灸进行症状管理的可行性与可接受性。 **方法：** 这项随机对照试验在两个服务于医疗服务不足人群的诊所进行。乳腺癌幸存者（N=62）被随机分配接受针灸治疗（n=31）或常规护理（n=31）。针灸组在5周内接受10次治疗。在基线、第6周和第12周评估症状。 **结果：** 大多数参与者（55%）为黑人，平均年龄为55.2 ± 9.3岁，62.9%的家庭年收入低于55,000美元。研究保留率（90.3%）、参与度（93.1%）和可接受性（92.8%）均较高，表明将针灸整合到医疗服务不足的乳腺癌幸存者的护理中既可行又可接受。在第6周，与常规护理组相比，针灸组在疼痛、疲劳、睡眠障碍、抑郁、焦虑以及症状群总分方面均显示出显著降低。除焦虑外，所有改善均持续至第12周。 **结论：** 在医疗服务不足的乳腺癌幸存者中整合针灸进行症状管理是可行且可接受的。这种方法为减轻多种症状和解决健康差异提供了潜在益处。
肿瘤(癌症)患者之家