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耳穴貼壓對護理人員睡眠品質改善之成效

Effect of Auricular Acupressure on Improving Sleep Quality in Nurses

摘要


Background: Nurses have generally poor sleep quality due to inadequate rest. Such may impact negatively on physical and mental health as well as social interactions and work performance. Purpose: This study was designed to explore the effects of auricular acupressure on sleep quality in nurses. Methods: This study, which used a quasi-experimental design, targeted nurses working at a medical center in central Taiwan who scored above 5 on the Pittsburgh Sleep Quality Index (PSQI). One hundred and six qualified participants were randomly assigned to either an experimental or control group. Those in the experimental group received auricular acupressure for six weeks and those in the control group received no intervention. Main outcome indexes were measured using the PSQI and heart rate variability (HRV). Results: After six weeks of auricular acupressure intervention, the PSQI score of the experimental group had greater declined from 9.34 (pre-test) to 5.57 (post-test, a 40.4% reduction). The control group saw a smaller reduction of 14.6% (declining from 9.15 pre-test to 7.81 post-test, p<.001). Differences between experimental and control group HRV data were statistically insignificant. Conclusions/Implications for practice: Shift work was identified as a factor that may exacerbate poor sleep quality. The auricular acupressure intervention was found effective in improving sleep quality. This study provided significant evidence in favor of the efficacy of employing auricular acupressure to the improvement of sleep quality in nurses.

並列摘要


Background: Nurses have generally poor sleep quality due to inadequate rest. Such may impact negatively on physical and mental health as well as social interactions and work performance. Purpose: This study was designed to explore the effects of auricular acupressure on sleep quality in nurses. Methods: This study, which used a quasi-experimental design, targeted nurses working at a medical center in central Taiwan who scored above 5 on the Pittsburgh Sleep Quality Index (PSQI). One hundred and six qualified participants were randomly assigned to either an experimental or control group. Those in the experimental group received auricular acupressure for six weeks and those in the control group received no intervention. Main outcome indexes were measured using the PSQI and heart rate variability (HRV). Results: After six weeks of auricular acupressure intervention, the PSQI score of the experimental group had greater declined from 9.34 (pre-test) to 5.57 (post-test, a 40.4% reduction). The control group saw a smaller reduction of 14.6% (declining from 9.15 pre-test to 7.81 post-test, p<.001). Differences between experimental and control group HRV data were statistically insignificant. Conclusions/Implications for practice: Shift work was identified as a factor that may exacerbate poor sleep quality. The auricular acupressure intervention was found effective in improving sleep quality. This study provided significant evidence in favor of the efficacy of employing auricular acupressure to the improvement of sleep quality in nurses.

被引用紀錄


楊思憶、吳宗憲、王敏家、陳芳婷、潘怡如(2015)。薰衣草芳香療法對女性護理人員睡眠品質改善成效探討護理暨健康照護研究11(2),99-108。https://doi.org/10.6225/JNHR.11.2.99
樊君儀、黃秀霖、陳嬿如、胡麗霞、蔡淑合、洪世欣(2015)。應用耳穴按壓改善癌症病人之睡眠困擾護理暨健康照護研究11(1),3-12。https://doi.org/10.6225/JNHR.11.1.3
劉千滋、賴榮年、戈依莉(2016)。應用耳穴貼壓改善產婦睡眠之成效護理雜誌63(2),39-48。https://doi.org/10.6224/JN.63.2.39
鄭睿芬、羅琦、曾雅玲(2015)。耳穴貼壓於護理實務及實證研究之應用護理雜誌62(6),20-26。https://doi.org/10.6224/JN.62.6.20
孫嘉玲(2011)。癌症病人睡眠品質的評估與其光暴露之相關性〔博士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-3107201116511800

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