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KMID : 0388320230300040509
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 4 p.509 ~ p.518
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Effects of Auricular Acupressure Therapy on Psychological Factors, Sleep Quality, and Salivary Cortisol Levels in South Korean Older Adults in the Community: A Single-blind, Randomized Controlled Trial
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Yoon Hyeong-Yeong
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Abstract
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Purpose: This study aimed to investigate the effects of auricular acupressure (AA) therapy on psychologicalfactors, sleep quality, and salivary cortisol levels in community-dwelling older adults.
Methods: This was asingle-blind, randomized, placebo-controlled comparative pretest-posttest study that applied AA for three weeks.
The experimental group received AA on the shenmen, sympathetic, subcortical, and adrenal areas, while thecontrol group received acupuncture in four areas along the helix. Nineteen participants were assigned to theexperimental group and 21 to the control group. All participants were community-dwelling seniors aged 65 yearsor older who had an Insomnia Severity Index score of 8 or higher and experienced psychological stress. Depression, anxiety, and stress were measured using the Korean version of the Depression Anxiety Stress Scalefor psychological factors, and the Korean version of the Pittsburgh Sleep Quality Index and morning salivarycortisol levels were measured to evaluate sleep quality.
Results: Statistically significant differences were observedbetween the groups for depression (t=5.56, p<.001), anxiety (t=3.53, p=.001), and stress (t=3.55, p=.001). ThePSQI (t=4.72, p<.001) and salivary cortisol levels (z=-4.21, p<.001) showed statistically significant differencesbetween the groups.
Conclusion: AA demonstrated its effectiveness as an intervention for addressing complexsymptoms in community-dwelling older adults. It was found to alleviate depression, anxiety, and stress, enhancesleep quality, and reduce salivary cortisol levels.
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KEYWORD
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Acupressure, Aged, Depression, Sleep quality
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