Auricular therapy using magnetic pearls on sleep: a standardized protocol for the elderly with insomnia

Lorna K.P. Suen RN, BN, MPH, PhD , Thomas K.S. Wong RN, Dip T (N Ed.), B Ed (Soc.), PhD , Albert W.N. Leung B.Sc (Hons), PhD
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引用次数: 15

Abstract

Objective: To examine the effectiveness of a standardized protocol of auricular therapy using magnetic pearls administered for the elderly diagnosed as having insomnia of either ‘excessive’ or ‘deficiency’ in nature.

Design: Pre-test post-test design.

Setting: Twelve hostels for the elderly in Hong Kong.

Subjects: Sixty elderly participants of 60 or above who were all suffering from sleep disturbances provided the data for this study.

Interventions: Auricular therapy using magnetic pearls was administered to selected acupoints of the participants. The treatment protocol consisted of 3-day baseline measurement, 3-week auricular therapy, and 3-day post treatment monitoring.

Outcome measures: Objective sleep parameters using actigraphic monitoring were collected before, during and after the treatment protocol.

Results: Significant improvement in nocturnal sleep time (NST) (F2,118 = 16.17,P < 0.001) and sleep efficiency (SE) (F2,118 = 27.50, P < 0.001) could be found among participants during and after the therapy. No significant difference in the effect of the therapy in terms of SE could be observed between clients with ‘excessive’ and ‘deficiency’ syndrome even when the treatment protocol was standardized (t58 = −0.41, P = 0.69).

Conclusion: A standardized protocol of auricular therapy using magnetic pearls for sleep improvement might be appropriate for the ageing population who are homogenous in terms of age and general health status.

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磁珠耳穴治疗睡眠:老年人失眠症的标准化治疗方案
目的:研究磁珠耳穴治疗的标准化方案对被诊断为“过度”或“不足”失眠症的老年人的有效性。设计:前测后测设计。环境:全港共有十二间长者宿舍。研究对象:60名60岁及以上患有睡眠障碍的老年人为本研究提供了数据。干预措施:使用磁珠对参与者选定的穴位进行耳穴治疗。治疗方案包括3天基线测量、3周耳部治疗和3天治疗后监测。结果测量:在治疗方案之前、期间和之后,使用活动记录仪监测客观睡眠参数。结果:夜间睡眠时间(NST)显著改善(F2,118 = 16.17,P <0.001)和睡眠效率(SE) (F2,118 = 27.50, P <0.001),可以在治疗期间和治疗后的参与者中找到。即使在标准化的治疗方案下,“过量”和“不足”患者的SE治疗效果也没有显著差异(t58 = - 0.41, P = 0.69)。结论:磁珠耳穴治疗改善睡眠的标准化方案可能适用于年龄和总体健康状况同质的老年人群。
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