• Journal of Korean Academy of Nursing
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• v.35 no.6
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• pp.1014-1024
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• 2005

Purpose: This study was to exam me the effects of auricular acupuncture on insomnia in Korean elderly. Method: The study design was a triangulation study. Subjects were 40 elderly who were 65 years and over in Seoul, and 10 subjects for a qualitive study who were saturated with interviews and observation. The first auricular acupuncture was applied for three days, and this was applied to subjects on a 5 times series. The quantative data was analyzed by SPSS PC+ and the qualitive data was analyzed by driving of core meaning and abstract concepts using a semi-structural interview and observation. Result: I. The experimental group had higher significant sleep scores than that of the control group (t=32.739, p=.001). 2. The experimental group had higher significant self- satisfaction scores on sleep than that of the control group (t=30.049, p=.001). 3. In the qualitive study, insomnia characteristics before application of auricular acupressure therapy were confirmed by physical dysfunction, recall of past, and psychological dysfunction. Insomnia characteristics after application of auricular acupressure therapy were confirmed by recovery of physical dysfunction, improving recall of past, and recovery of psychological dysfunction. Conclusion: Auricular acupuncture was effective on insomnia in Korean elderly.

• Journal of Korean Academy of Nursing
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• v.42 no.6
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• pp.853-860
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• 2012

Purpose: The purposes of this study were to develop a Minimal Insomnia Screening Scale for Korean adults (KMISS) and to evaluate psychometric properties and discriminant ability of the developed scale. Methods: Data from a cross-sectional survey of 959 Korean adults were analyzed to develop the summated insomnia scale, which was evaluated in terms of reliability, validity, and discriminant ability by receiver operating characteristics (ROC) curve analysis. Results: Item-total correlations ranged between .71-.79 and Cronbach's ${\alpha}$ was .87. Adequate validity was also evident. ROC-curve analysis showed area under ROC was .87 (95% CI: .84-.90) and identified the optimal cut-off score as ${\leq}20$ (sensitivity, .83; specificity, .75; positive/negative predictive values, .40/.95). Using this cut-off score, the prevalence of insomnia in the study sample was 26.3% and most frequent among women and the oldest group. Conclusion: Data supports the psychometric properties of KMISS as a possible insomnia screening instrument. KMISS also shows promise as a convenient ultra-short screening measure of insomnia for adults and epidemiological studies in community health care settings.

• The Korean Journal of Rehabilitation Nursing
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• v.10 no.1
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• pp.21-28
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• 2007

Purpose: This study was to examine the effects of auricular acupressure therapy on insomnia of hemodialysis patients. Method: The subjects were recruited at a hemodialysis room in B General hospital in Kyonggi-Do. Thirty one patients who have suffered from insomnia were conveniently assigned to an experimental group(n=16) and a control group(n=15). The experimental group received a 2-week intervention composed of a series of six auricular acupressure therapy every 2~3 days. The effect of intervention was measured by completion of a 15-item sleep scale and a sleep satisfaction scale. Result: The sleep score was higher in the experimental group than in the control group(p=.000). The sleep satisfaction score was higher in the experimental group than in the control group(p=.000). Conclusion: The auricular acupressure therapy can improve the sleep and sleep satisfaction scores in hemodialysis patients with insomnia. Auricular acupressure therapy can be used at the clinical settings as a safe and effective independent nursing intervention to decrease insomnia in hemodialysis patients.

• Biomolecules & Therapeutics
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• v.26 no.4
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• pp.343-349
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• 2018

Although drugs such as barbiturates and benzodiazepines are often used for the treatment of insomnia, they are associated with various side effects such as habituations, tolerance and addiction. Alternatively, natural products with minimal unwanted effects have been preferred for the treatment of acute and/or mild insomnia, with additional benefits of overall health-promotion. Basic and clinical researches on the mechanisms of action of natural products have been carried out so far in insomnia treatments. Recent studies have been focusing on diverse chemical components available in natural products, with an interest of developing drugs that can improve sleep duration and quality. In the last 15 years, our co-workers have been actively looking for candidate substances from natural products that can relieve insomnia. This review is, therefore, intended to bring pharmacological data regarding to the effects of natural products on sleep duration and quality, mainly through the activation of $GABA_A$ receptors. It is imperative that phytochemicals will provide useful information during electroencephalography (EEG) analysis and serve as an alternative medications for insomnia patients who are reluctant to use conventional drugs.

• Journal of Oriental Neuropsychiatry
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• v.20 no.4
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• pp.103-113
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• 2009

Objectives : The purpose of this study is to review the auricular acupuncture treatment of insomnia in current traditional medicine. Methods : We reviewed the 18 studies about auricular acupuncture of insomnia which were published from 2005 through 2009. We selected those studies from PubMed, ScienceDirect, CNKI, KMbase, Korean studies Information Service System, and Korean traditional knowledge portal. Results : Selected 18 studies were divided into 8 case reports and 10 control studies. Auricular acupuncture points frequently used were Sinmun(神門), Heart(心) and acupuncture points frequently used were Baekhoe(百會, GV20), Sinmun(神門, HT7). According to specific parts of symptom, some points were added. Most of studies reported that Auricular acupuncture treatment of insomnia were very effective. Conclusions : There have been many auricular acupuncture treatment of insomnia in traditional medicine, and we believe that these studies could be applied to the clinical practices in Korea.

• The Journal of the Korea Contents Association
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• v.13 no.12
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• pp.1036-1047
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• 2013

In this study, we applied the time series analysis to the randomized controlled trial (RCT) researches related to insomnia for finding international trends. The data used in the analysis of 379 of ClinicalTrials, Web of Science was the of 132 by several keyword related with 'Insomnia' and 'Randomized Clinical Trial'. In ClinicalTials, RCT studies for insomnia, drug, cognitive behavioral therapy, depression were the key words make up the main network. In WOS, 'melatonin' key word was added in the main network. In addition to, we found the characteristic that the elderly and female subjects were steady studied.

• Journal of Oriental Neuropsychiatry
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• v.23 no.1
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• pp.17-29
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• 2012

Objectives : The study was designed to evaluate the effects of scalp acupuncture treatment on patients with insomnia in China. Methods : A journal search was performed using China National Knowledge Infrastructure(CNKI) from 1994 to 2011. Key words used within the search were 'insomnia' and 'scalp acupuncture'. Results : 19 studies were selected. 9 RCTs and 2 case control studies showed that scalp acupuncture therapy reported better results than routine acupuncture, western medicine, and herbal medicine therapy. 8 case reports described a significant improvement in patients with insomnia by scalp acupuncture. Conclusions : There have been many studies regarding scalp acupuncture on patients with insomnia in China and these studies can be applied to clinical practices within Korea.

• The Journal of Internal Korean Medicine
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• v.37 no.5
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• pp.750-754
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• 2016

The purpose of this study was to report a case of an insomnia patient treated with a traditional Korean medical treatment. The patient had suffered from insomnia for 4 months and had taken medicines such as Zolpidem. We diagnosed the patient as So-yang-in, according to the Sa-sang constitutional medicine. We prescribed medicine with herbs for So-yang-in and applied acupuncture for 9 days, and then we evaluated sleep time, quality, and awakening, based on the patient’s statement. The symptoms of insomnia were gradually improved during treatment. Therefore, traditional Korean medical treatment can help insomnia patients sleep well without Zolpidem.

• Korean Journal of Adult Nursing
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• v.12 no.2
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• pp.222-233
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• 2000

This study was conducted with a purpose to evaluate the effect of auricular acupuncture pressure therapy on insomnia of elderly and to suggest the auricular acupuncture pressure therapy as an independent nursing intervention. The study was unequvalance control group pretest-posttest experimental design and the data collection was done from 37 samples of experimetal group and 37 samples of control group which were random-assigned as 60 years-over elderly people who lived in seoul. Data were collected from November, 1999 to February, 2000. The tools used in the study were the auricular acupuncture pressure therapy for decreasing of insomnia, the scale of sleepness and self- satisfaction scale. The auricular acupuncture pressure therapy used in this study is a sort of the auricular acupuncture to decrease insomnia and self-satisfaction of sleep by pressured on applied auricular acupncture of upper auricular blood acupuncture site of insomnia. Data was analied by SPSS stastistics program. Conclusively, sleepness and self- satisfaction of sleep were measured higher in experimental group which applied this auricular acupuncture pressure therapy than control group which not applized(p=.000). Therefore, the auricular acupuncture pressure therapy can decrease frequent insonmia of elderly and increase self satisfaction of sleep, processingly can improve quality of life in the late stage. Futhermore, it can be developed as independent oriental nursing intervention

• Journal of Sasang Constitutional Medicine
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• v.28 no.4
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• pp.350-360
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• 2016

Objective The aim of this study was to report significant improvement of primary insomnia in a Soyangin Cold-related diarrhea accompanied by abdominal pain Symptomatic pattern Patient. Methods The patients were diagnosed with Soyangin Cold-related diarrhea accompanied by abdominal pain Symptomatology(身寒腹痛亡陰證) and treated with Hyungbangjihwang-tang(荊防地黃湯). The primary outcome measures for this study were condition of sleep using a questionnaire with Pittsburgh Sleep Quality Index (PSQI) Secondary outcome assessment included change of original symptoms such as patient's digestion, sweating and feces. Result The symptoms of primary insomnia improved by the end of the a treatment period without side effect. original symptoms were also changed. Conclusions This result show Hyungbangjihwang-tang(荊防地黃湯) can be used to treat primary insomnia in a Soyangin Cold related Mangeum Symptomatic Pattern accompanied by abdominal pain Symptomatology(身寒腹痛亡陰證). Meaning and process of primary insomnia are different according to Sasang Constitutions.