{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T16:47:07Z","timestamp":1779122827479,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acupunct Med"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The quality of life (QoL) of individuals with cervical spondylosis (CS) can be impaired due to both physical discomfort and psychological harm. Acupuncture is known to be an effective treatment approach for CS; however, the relevant factors affecting QoL in this patient population remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The purpose of this study was to assess QoL and investigate related factors among patients with CS undergoing acupuncture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A predictive correlational study was conducted among 265 participants with CS undergoing acupuncture as part of routine clinical care. The following questionnaires were used to collect data on QoL and related factors: healthy lifestyle questionnaire (HLQ), Pittsburgh sleep quality index (PSQI), Chinese version of the perceptual stress scale (CPSS), self-rated abilities for health practices scale (SRAHP), social support rating scale (SSRS), cervical spine disease health knowledge awareness questionnaire and 12-item short form survey (SF-12). Standard multiple linear regression analysis was applied to determine the predictors of QoL in this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean total score of the QoL scale was 37.8\u2009\u00b1\u200910.57 (mean\u2009\u00b1\u2009SD), indicating moderate QoL levels among patients with CS undergoing acupuncture. Based on multiple regression, lifestyle (\u03b2\u2009=\u20090.25, p\u2009&lt;\u20090.01), health behavior (\u03b2\u2009=\u20090.379, p\u2009&lt;\u20090.01), social support (\u03b2\u2009=\u20090.098, p\u2009&lt;\u20090.01), knowledge about CS (\u03b2\u2009=\u20090.107, p\u2009&lt;\u20090.01) and PSQI scores (\u03b2\u2009=\u2009\u22120.196, p\u2009&lt;\u20090.001) explained 71% of the variance of QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Lifestyle, health behavior, social support and knowledge about CS significantly and positively predict the level of QoL, while PSQI scores negatively predicted QoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09645284251379944","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T11:03:47Z","timestamp":1759575827000},"page":"256-264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors predicting quality of life among patients with cervical spondylosis undergoing acupuncture in China: a cross-sectional study"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3561-7849","authenticated-orcid":false,"given":"Xiuhong","family":"Zhang","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Burapha University, Muang, Thailand"},{"name":"Peng Zutang Chinese Medicine Clinic in Lin An, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chintana","family":"Wacharasin","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Burapha University, Muang, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinjutha Chaisena","family":"Dallas","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Burapha University, Muang, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiyun","family":"Ye","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Inpatient, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-016-0389-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm7110387"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/17518423.2018.1537317"},{"key":"e_1_3_3_5_2","first-page":"45","article-title":"Effects of electroacupuncture at \u201cJiaji\u201d(EX-B2) on autophagy and endoplasmic reticulum stress in spinal cord injury mice","volume":"46","author":"Dai P","year":"2021","unstructured":"Dai P, Huang SQ, Tang CL, et al Effects of electroacupuncture at \u201cJiaji\u201d(EX-B2) on autophagy and endoplasmic reticulum stress in spinal cord injury mice. Zhen Ci Yan Jiu 2021; 46: 45\u201351.","journal-title":"Zhen Ci Yan Jiu"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9103740"},{"key":"e_1_3_3_7_2","first-page":"72","article-title":"Epidemiological status of cervical spine sub-health in college students and its influencing factors","volume":"41","author":"Tian Z","year":"2019","unstructured":"Tian Z, Ma Z, Liu X. Epidemiological status of cervical spine sub-health in college students and its influencing factors. J Weifang Med Coll 2019; 41: 72\u201374.","journal-title":"J Weifang Med Coll"},{"key":"e_1_3_3_8_2","first-page":"7","article-title":"Survey on the cervical spine subhealth condition of adolescents in Shanghai and analysis of influencing factors","volume":"48","author":"Zhang M","year":"2014","unstructured":"Zhang M, Niu A, Shi Y, et al Survey on the cervical spine subhealth condition of adolescents in Shanghai and analysis of influencing factors. Shanghai J Tradit Chin Med 2014; 48: 7\u20139.","journal-title":"Shanghai J Tradit Chin Med"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3216"},{"key":"e_1_3_3_10_2","first-page":"191","article-title":"A study on sleep quality and related factors in patients with cervical spondylosis","volume":"32","author":"Sun Z","year":"2018","unstructured":"Sun Z, Sun Y, Yu X. A study on sleep quality and related factors in patients with cervical spondylosis. J Changzhi Med Coll 2018; 32: 191\u2013194, 207.","journal-title":"J Changzhi Med Coll"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/3289521"},{"issue":"4","key":"e_1_3_3_12_2","first-page":"361","article-title":"Research progress of health education for patients with cervical spondylosis","volume":"36","author":"Li L","year":"2013","unstructured":"Li L, Li L, Li Y. Research progress of health education for patients with cervical spondylosis. J Bethune Mil Med Coll 2013; 36(4): 361\u2013362.","journal-title":"J Bethune Mil Med Coll"},{"key":"e_1_3_3_13_2","volume-title":"A study on the correlation between psychological stress and social support and non-specific neck and low back pain","author":"Sun WJ.","year":"2020","unstructured":"Sun WJ. A study on the correlation between psychological stress and social support and non-specific neck and low back pain. Master Thesis, Naval Medical University, Yangpu, China, 2020."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01713-6"},{"issue":"4","key":"e_1_3_3_15_2","first-page":"1017","article-title":"Effectiveness of acupuncture in the management of cervical spondylosis: a meta-analysis","volume":"31","author":"Deng YZ","year":"2017","unstructured":"Deng YZ, Xu LG, Chen L, et al Effectiveness of acupuncture in the management of cervical spondylosis: a meta-analysis. J Biol Regul Homeost Agents 2017; 31(4): 1017\u20131022.","journal-title":"J Biol Regul Homeost Agents"},{"key":"e_1_3_3_16_2","article-title":"Efficacy and safety of electroacupuncture in treatment of cervical spondylosis: a protocol of randomized controlled trial","volume":"100","author":"Zhou Y","year":"2021","unstructured":"Zhou Y, Wang W, Tian K, et al Efficacy and safety of electroacupuncture in treatment of cervical spondylosis: a protocol of randomized controlled trial. Medicine (Baltimore) 2021; 100: e25570.","journal-title":"Medicine (Baltimore)"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038455"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-199703000-00003"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1003-5257(17)30091-0"},{"key":"e_1_3_3_20_2","volume-title":"The study of the preliminary constitution of a Healthy Lifestyle Questionnaire (HLQ) based on Chinese medicine theory","author":"Feng Y.","year":"2013","unstructured":"Feng Y. The study of the preliminary constitution of a Healthy Lifestyle Questionnaire (HLQ) based on Chinese medicine theory. PHD Thesis, Guangzhou University of Chinese Medicine, Guangzhou, China, 2013."},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_3_3_22_2","first-page":"103","article-title":"Reliability and validity study of the Pittsburgh Sleep Quality Index","volume":"29","author":"Liu X","year":"1996","unstructured":"Liu X, Tang M, Hu L, et al Reliability and validity study of the Pittsburgh Sleep Quality Index. Chin J Psychiatry 1996; 29: 103\u2013107.","journal-title":"Chin J Psychiatry"},{"issue":"9","key":"e_1_3_3_23_2","first-page":"760","article-title":"An epidemiological study on stress among urban residents in social transition period","volume":"24","author":"Yang TZ","year":"2003","unstructured":"Yang TZ, Huang HT. An epidemiological study on stress among urban residents in social transition period. Zhonghua Liu Xing Bing Xue Za Zhi 2003; 24(9): 760\u2013764.","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"key":"e_1_3_3_24_2","first-page":"42","article-title":"Self-rated abilities for health practices: a health self-efficacy measure","volume":"17","author":"Becker H","year":"1993","unstructured":"Becker H, Stuifbergen A, Oh HS, et al Self-rated abilities for health practices: a health self-efficacy measure. Health Values 1993; 17: 42\u201350.","journal-title":"Health Values"},{"key":"e_1_3_3_25_2","first-page":"1437","article-title":"A study on relativity between self-efficacy and health behaviors of senile people","volume":"21","author":"Mao X","year":"2007","unstructured":"Mao X, You L, Gu S, et al A study on relativity between self-efficacy and health behaviors of senile people. Chin Nurs Res 2007; 21: 1437\u20131439.","journal-title":"Chin Nurs Res"},{"key":"e_1_3_3_26_2","first-page":"98","article-title":"Theoretical foundations and research applications of the Social Support Inventory","volume":"4","author":"Xiao S.","year":"1994","unstructured":"Xiao S. Theoretical foundations and research applications of the Social Support Inventory. J Clin Psychiatry 1994; 4: 98\u2013100.","journal-title":"J Clin Psychiatry"},{"key":"e_1_3_3_27_2","first-page":"847","article-title":"Survey on situation of health knowledge cognition in patients with cervical spondylosis and corresponding nursing strategy","volume":"29","author":"Du Y.","year":"2013","unstructured":"Du Y. Survey on situation of health knowledge cognition in patients with cervical spondylosis and corresponding nursing strategy. Mod Med Health 2013; 29: 847\u2013848.","journal-title":"Mod Med Health"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_3_3_29_2","first-page":"15","article-title":"A survey on the mental health status and quality of life of patients with cervical spondylosis","volume":"18","author":"Lou Y","year":"2006","unstructured":"Lou Y, Han S, Guo J. A survey on the mental health status and quality of life of patients with cervical spondylosis. Chin Med Orthop 2006; 18: 15\u201316.","journal-title":"Chin Med Orthop"},{"key":"e_1_3_3_30_2","first-page":"22","article-title":"Study on correlation between social supports and quality of life of patients with cervical spondylosis","volume":"2012","author":"Na H","year":"2012","unstructured":"Na H, Li L. Study on correlation between social supports and quality of life of patients with cervical spondylosis. Chin Gen Pract 2012; 2012: 22.","journal-title":"Chin Gen Pract"},{"key":"e_1_3_3_31_2","first-page":"6","article-title":"Investigation research and nursing measures on depression and social supports for cervical spondylosis patients","volume":"10","author":"Wen J","year":"2013","unstructured":"Wen J, Liu M. Investigation research and nursing measures on depression and social supports for cervical spondylosis patients. Nurs Pract Res 2013; 10: 6\u20139.","journal-title":"Nurs Pract Res"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S23028"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59020256"},{"key":"e_1_3_3_34_2","first-page":"143","article-title":"Analysis of the effect of acupuncture and moxibustion rehabilitation nursing on clinical indexes, quality of life and rehabilitation effect of patients with cervical spondylosis","volume":"37","author":"Su S","year":"2021","unstructured":"Su S, Feng Y, Wu H, et al Analysis of the effect of acupuncture and moxibustion rehabilitation nursing on clinical indexes, quality of life and rehabilitation effect of patients with cervical spondylosis. China Commun Phys 2021; 37: 143\u2013144.","journal-title":"China Commun Phys"},{"key":"e_1_3_3_35_2","first-page":"2793","article-title":"Application of health belief educational mode for patients with vertebral artery type of cervical spondylosis","volume":"25","author":"Ren Y.","year":"2011","unstructured":"Ren Y. Application of health belief educational mode for patients with vertebral artery type of cervical spondylosis. Nurs Res 2011; 25: 2793\u20132793.","journal-title":"Nurs Res"},{"key":"e_1_3_3_36_2","first-page":"30","article-title":"Effect of systematic rehabilitation nursing on health management behavior in patients with cervical spondylosis","volume":"2015","author":"Yuan C","unstructured":"Yuan C, Jiang G, Liu D. Effect of systematic rehabilitation nursing on health management behavior in patients with cervical spondylosis. J Qilu Nurs 2015: 30\u201332.","journal-title":"J Qilu Nurs"},{"key":"e_1_3_3_37_2","first-page":"1150","article-title":"Correlation of illness perceptions with quality of life in early-and intermediate-stage hepatocellular carcinoma patients","volume":"39","author":"Qiu Y","year":"2017","unstructured":"Qiu Y, Yang J, Ma K, et al Correlation of illness perceptions with quality of life in early-and intermediate-stage hepatocellular carcinoma patients. J Third Mil Med Univ 2017; 39: 1150\u20131154.","journal-title":"J Third Mil Med Univ"},{"key":"e_1_3_3_38_2","first-page":"102","article-title":"Comparative study on cognition of cervical spondylosis in different professional backgrounds","volume":"14","author":"Guan F","year":"2017","unstructured":"Guan F, Yang H, Huang H, et al Comparative study on cognition of cervical spondylosis in different professional backgrounds. Chin Med Innov 2017; 14: 102\u2013105.","journal-title":"Chin Med Innov"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951113000012"},{"key":"e_1_3_3_40_2","first-page":"1","article-title":"Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients","volume":"6","author":"Artner J","year":"2013","unstructured":"Artner J, Cakir B, Spiekermann JA, et al Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res 2013; 6: 1\u20136.","journal-title":"J Pain Res"},{"key":"e_1_3_3_41_2","first-page":"348","article-title":"Effect of focal solution model on psychological resilience, sleep quality and nursing satisfaction of patients with neurogenic cervical spondylosis","volume":"30","author":"Dong X","year":"2021","unstructured":"Dong X, Xie Y. Effect of focal solution model on psychological resilience, sleep quality and nursing satisfaction of patients with neurogenic cervical spondylosis. Henan Med Res 2021; 30: 348\u2013350.","journal-title":"Henan Med Res"}],"container-title":["Acupuncture in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284251379944","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09645284251379944","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284251379944","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:19:46Z","timestamp":1777367986000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09645284251379944"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/09645284251379944"],"URL":"https:\/\/doi.org\/10.1177\/09645284251379944","relation":{},"ISSN":["0964-5284","1759-9873"],"issn-type":[{"value":"0964-5284","type":"print"},{"value":"1759-9873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}