某區域醫院護理人員耳穴貼壓對其失眠之成效探討

The Effectiveness of Auricular-Acupuncture in the Treatment of Insomnia in Nurses at a Regional Hospital

10.6225/JEBN.1.4.283

王秀香(Hsiu-Hsiang Wang)；郭益莉(Yi-I Kuo)；李綉彩(Hsiu-Tsai Lee)；鍾聿琳(Ue-Lin Chung)；吳素綿(Suh-Mian Wu)；孫嘉玲(Jia-Ling Sun)

失眠 ； 耳穴貼壓 ； 護理人員 ； insomnia ； auricular-acupuncture ； nurse

實證護理

1卷4期（2005 / 12 / 01）

283 - 291

繁體中文

本研究之目的是探討耳穴貼壓療法對護理人員失眠之成效。研究設計採準實驗研究之兩組前後測設計。樣本取自某區域教學醫院的急診及加護病房護理人員，收案條件為符合匹茲堡睡眠品質量表總分5分以上之護理人員，共收得實驗組27名，控制組28名。實驗組給予王不留行籽貼壓神門、心穴、皮質下、枕穴箏耳穴，控制組則未採任何措施。首先於實驗組右耳耳穴貼上王不留行籽並教導按壓耳穴的方法，為期一週之後，每隔一週則再換至另一耳，共貼壓四週。研究工具為中文版匹茲堡睡眠品質量表。研究結果顯現實驗組睡眠品質比控制組顯著改善，匹茲堡睡眠品質量表分數實驗組由9.52下降至5.81（下降程度38.97%)，控制組由8.71下降至8.0（下降程度8.15%)，因此耳穴貼壓似乎可以改善護理人員睡眠品質。

This study employed a quasi-experimental design to study how ”auricular-acupuncture” affects quality of sleep. The Pittsburgh Sleep Quality Index (PSQI) (Chinese version) was employed as the study's primary research tool, which was administered to emergency room and intensive care unit nurses working at a local teaching hospital. Respondents who returned a score of 5 or higher on the PSQI were included in the sample population. The sample population of 55 nurses was then segregated into a subgroup of 27, who received auricular-acupuncture implants at the four critical pressure points on the ear (i.e., shenmen, xin, pizhixia and shen), and a subgroup of 28 the control), on whom no treatment regime was implemented. The treatment subgroup was taught how to press the critical points on the ear and fitted with auricular seeds inserted into three points on the right ear. Auricular seeds were kept in place for exactly one week, at which time the procedure was repeated for the same three points on the left ear. The treatment cycle was repeated to give a total treatment time of four weeks. An important finding of this study was the reduction in the sleeping quality score from 9.52 to 5.81 for the group that received the implants. Their reduction was significantly greater than that achieved by the control group (which fell from 8.71 to 8.0). Results support the argument that auricular-acupuncture can play a positive role in the improvement of sleep quality.