한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제12권12호
  • /
  • Pages.509-518
  • /
  • 2021
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

귀 지압이 수면의 질과 우울증에 미치는 영향

Effects of Auricular Acupressure on Quality of Sleep and Depression

  • 투고 : 2021.09.10
  • 심사 : 2021.12.20
  • 발행 : 2021.12.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 귀 지압이 수면의 질과 우울증에 미치는 영향을 알아보는 것이다. 1개월 이상 불면증이 있는 성인 44명을 모집한 후 실험군 혹은 대조군으로 무작위로 배치하였다. 실험군에는 신문(TF2), 불면증 1(SF4), 불면증 2(SF1), 항우울점(LO8)에 귀 지압 스티커를 1주일 동안 부착하였다. 대조군에는 수면 위생교육 자료를 제공하였다. 연구결과 실험군의 수면의 질 실험 전후 차이값은 4.05±2.52, 대조군은 1.45±3.77로 통계적 유의한 차이가 있었다(t=3.07, p=.004). 실험 후 실험군과 대조군의 우울 점수의 차이가 없었으나 종교 유무를 공변량에 넣고 통제한 결과 귀 지압을 받은 대상자는 받지 않은 대상자에 비해 우울이 통계적으로 유의하게 감소하였다(F=4.22, p=.046). 본 연구 결과 귀 지압은 수면의 질과 우울증을 감소시켰다. 본 연구에서 사용한 귀 지압점 외에 교감, 심장, 피질하, 내분비를 사용하여 불면증에 대한 효과를 확인해 볼 것을 제언한다.

This study was conducted to examine the effects of auricular acupressure on quality of sleep and depression. Adults who had insomnia for over 1 month were recruited. Participants were distributed randomly to the experimental group(n=22) and the control group(n=22). The experimental group received auricular acupressure on Shen men(TF2), insomnia 1(SF4), insomnia 2(SF1), and anti-depression(LO8) for 1 week. The contrast group received sleep hygiene education. The mean differences of the quality of sleep were 4.05±2.52 in the experimental group and 1.45±3.77 in the control group. Auricular acupressure significantly decreased insomnia in the experimental group compared to the control group(t=3.07, p=.004). Depression scores after acupressure were not different between the experimental group and the control group. After controlling the religion as a covariate, the mean difference of depression in the experimental group was higher than the control group(F=4.22, p=.046). In conclusion, auricular acupressure decreased insomnia and depression. Therefore, further studies on different acupressure points such as shen men, jiao gan, heart, pi zhi xia, and endocrine are recommended.

키워드

참고문헌

  1. Seoul National University Hospital. [Online]. http://www.snuh.org/health/encyclo/view/11/5/5.do.
  2. Y. J. Kim, H. M. Lee. & S. Y. Lee. (2016). The Relationship between Stress, Psychological Hardiness, Social Support and Quality of Life in Insomniacs. The Korean Journal of The Korean Society of Stress Medicine, 24(3), 137-150. https://doi.org/10.17547/kjsr.2016.24.3.137
  3. National Health Insurance Service. [Online]. https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=131445&article.offset=0&articleLimit=10&srSearchVal=%EC%88%98%EB%A9%B4%EC%9E%A5%EC%95%A0.
  4. KDCA. [Online]. https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do.
  5. E. H. Kang. (2011). Sleep Disorder and Socioeconomic Burden. Sleep Medicine and Psychophysiology, 18(2), 72-75. https://doi.org/10.14401/KASMED.2011.18.2.072
  6. J. Finsterer & M. Frank. (2016). Zolpidem-triggered seizures, depression, and reduced locomotion. Journal of Clinical Neuroscience, 33, 271-272. DOI: 10.1016/j.jocn.2016.05.034
  7. Y. J. Lee. (2016). Study on the situation of insomnia treatment and its health effect. Korea : Korea Mental Health Technology R&D Project.
  8. W. He et al. (2012). Auricular Acupuncture and Vagal Regulation. Evidence-based Complementary and Alternative Medicine, 2012. DOI: 10.1155/2012/786839
  9. Z. H. Zhao, Y. Zhou, W. H. Li, Z. H. Tang, T. W. Xia. & H. Li. (2020), Auricular Acupressure in Patients with Hypertension and Insomnia: A Systematic Review and Meta-Analysis. Evidence-based Complementary and Alternative Medicine, 2020. DOI : 10.1155/2020/7279486
  10. K. H. Chueh, C. C. Chang & M. L. Yeh. (2018). Effects of Auricular Acupressure on Sleep Quality, Anxiety, and Depressed Mood in RN-BSN Students With Sleep Disturbance. The Journal of Nursing Research, 26(1), 10-17. DOI : 10.1097/JNR.0000000000000209
  11. M. O. Perlmutter, K. Carter & J. Marx. (2019). Auricular Acupressure Reduces Anxiety and Burnout in Behavioral Healthcare. Applied Nursing Research, 49, 57-63. DOI : 10.1016/j.apnr.2019.05.011
  12. Y. L. Ko., S. C. Lin & P. C. Lin. (2016). Effect of Auricular Acupressure for Postpartum Insomnia: An Uncontrolled Clinical Trial. Journal of Clinical Nursing, 25(3-4), 332-339. DOI : 10.1111/jocn.13053
  13. N. J. Lin, H. Zhang & Y. P. Lin. (2018). The Effect of Auricular Acupressure on Sleep Quality in Young and Middle-aged Patients with Hypertension and Insomnia. Fujian Medical Journal, 40(3), 129-130.
  14. L. L. Wang, Y. Jiang & Y. C. Z. Yuan. (2018). The Effect of Auricular Point Pressing on Hypertension with Liver-fire Hyperactivity Syndrome. China Modern Medicine, 25(12), 108-111.
  15. X. L. Li, X. Y. Zhong & F. Q. Zhang. (2017). Clinical Observation on the Efficiency of Auricular Acupressure on Hypertension and Insomnia with Liver-yang Hyperactivity Syndrome. Nursing of Integrated Traditional Chinese and Western Medicine, 3(12), 74-76.
  16. Y. T. Tseng, I. H. Chen, P. H. Lee & P. C. Lin. (2021). Effects of Auricular Acupressure on Depression and Anxiety in Older Adult Residents of Long-term Care Institutions: A Randomized Clinical Trial. Geriatric Nursing (New York, N.Y.), 42(1), 205-212. DOI : 10.1016/j.gerinurse.2020.08.003
  17. D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman & D. J. Kupfer. (1989). The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Research, 28(2), 193-213. DOI : 10.1016/0165-1781(89)90047-4
  18. S. I. Sohn, D. H. Kim, M. Y. Lee & Y. W. Cho. (2012). The Reliability and Validity of the Korean Version of the Pittsburgh Sleep Quality Index. Sleep Breathing, 16(3), 803-812. DOI : 10.1007/s11325-011-0579-9
  19. S. H. Shin & S. H. Kim. (2020). The Reliability and Validity Testing of Korean Version of the Pittsburgh Sleep Quality Index. Journal of Convergence For Information Technology, 10(11), 148-155. DOI : 10.22156/CS4SMB.2020.10.11.148
  20. R. L. Spitzer. (1999). Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study. JAMA, 282(18), 1737. DOI : 10.1001/jama.282.18.1737
  21. C. S. Han et al. (2008). Validation of the Patient Health Questionnaire-9 Korean Version in the Elderly Population: the Ansan Geriatric Study. Comprehensive Psychiatry, 49(2), 218-223. DOI : 10.1016/j.comppsych.2007.08.006
  22. S. J. Park, H. R. Choi, J. H. Choi, K. W. Kim & J. P. Hong. (2010). Reliability and Validity of the Korean Version of the Patient Health Questionnaire-9(PHQ-9). Anxiety and Mood, 6(2), 119-124.
  23. SEOKEUM. [Online]. http://www.soojichim.com/
  24. T. Oleson. (2014). Auriculotherapy Manual. 4th ed. China: Elsevier
  25. Y. Wu. C. Zou, X. Liu. X. Wu & Q. Lin. (2014). Auricular Acupressure Helps Improve Sleep Quality for Severe Insomnia in Maintenance Hemodialysis Patients: A Pilot Study. Journal of Alternative and Complementary Medicine (New York, N.Y.), 20(5), 356-363. DOI : 10.1089/acm.2013.0319
  26. X. R. Liu, N. Rana, N. S. Wong, C. James, J. Lu & X. Xu. (2020). The Effect of Auricular Acupressure on Sleep Disturbance Among Patients With Leukemia: A Feasibility Study. Holistic Nursing Practice, 34(2), 103-112. DOI : 10.1097/HNP.0000000000000372
  27. N. H. Cha, Y. K. Park & S. R Sok. (2017). Effects of Auricular Acupressure Therapy on Stress and Sleep Disturbance of Middle-Aged Women in South Korea. Holistic Nursing practice, 31(2), 102-109. DOI : 10.1097/HNP.0000000000000197
  28. S. N. Lee, B. Kim & H. Park. (2021). The Effects of Auricular Acupressure on Stress, Anxiety, and Depression of Outpatient Nurses in South Korea. Complementary Therapies in Clinical Practice, 44. DOI : 10.1016/j.ctcp.2021.101447
  29. S. W. Kim & K. M. Sung. (2019). The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers. Journal of East-West Nursing Research, 25(2), 91-102. DOI : 10.1016/j.ctcp.2021.101447
  30. P. W. Hou, H. C. Hsu, Y. W. Lin, N. Y. Tang, C. Y. Cheng & C. L. Hsieh. (2015). The History, Mechanism, and Clinical Application of Auricular Therapy in Traditional Chinese Medicine. Evidence-based Complementary and Alternative Medicine, 2015, 495684. DOI : 10.1155/2015/495684
  31. E. J. Ryu. & S. E. Choi. (2020). The Effects of Auricular Acupressure Therapy on Sleep Disorder and Fatigue in Menopausal Women. Korean Academy Community Health Nursing, 31(4), 447-458. https://doi.org/10.12799/jkachn.2020.31.4.447