Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Effects of Auricular Acupressure on Quality of Sleep and Depression

귀 지압이 수면의 질과 우울증에 미치는 영향

  • Received : 2021.09.10
  • Accepted : 2021.12.20
  • Published : 2021.12.28
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Abstract

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.

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.

Keywords

References

  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