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The effects of Moxibustion Therapy on Chronic Low Back Pain, Daily Living Disability and Sleep Pattern in Elderly Women

뜸요법이 여성노인의 만성요통, 일상생활기능장애 및 수면양상에 미치는 효과

  • 김혜정 (동아보건대학교 간호학과)
  • Received : 2016.05.13
  • Accepted : 2016.07.07
  • Published : 2016.07.31

Abstract

This is a nonequivalent control group non-synchronized experiment research to verify the effect of moxibustion therapy on efficient management of daily living disabilities and sleep patterns in elderly women with chronic low back pain. Total 12 sessions of moxibustion therapy were applied to elderly women(30 subjects in an experimental group and 30 subjects in a control group) in G City once a week for 12 weeks from March 15th to May $31^{st}$ 2015. Then the follow-up study was conducted 2 weeks after the post survey. For moxibustion, was applied to Shen-shu, Ashi point, Ta chang shu, Yang kuan and Yosu. 5 sheets of moxibustion were applied to 7 acupuncture points of Mugeukboyang moxibustion; Zu san li & Chu chi, Chung wan, Chung chi & Shui tao, Fei shu, Kao hung and Tien shu, Wijung respectively and experimental treatment was conducted. For assessing the degree of back pain, Visual Analog Scale(VAS) developed by Scott & Huskisson(1979) was used and for measuring the degree of daily living disability, Oswestry Disability Index, which was developed by Fairbank et al(1980) and translated and revised by Yim, Hyeon-sul et al.(1998), was used. For measuring sleep patterns, the sleep pattern measurement tool developed by Oh, Jin-su, Song, Mi-soon and Kim, Sin-mi(1998) was used. For data analysis, SPSS/WIN 18.0 was employed and Chi-square test, t-test and repeated measures ANOVA were performed. There were significant differences in pain score(F=2510.32, p<.001), daily living disability score(F=1937.82, p<.001) and sleep pattern score((F=15.54, p<.001) of elderly women that were provided with moxibustion therapy, compared to the control group. Therefore, it was found that moxibustion therapy made a positive contribution to reduction in pain and daily living disabilities and improvement in sleep quality. Based on this study finding, there is a need to apply moxibustion therapy to elderly people with chronic low back pain as a nursing intervention in future.

References

  1. Ministry of Health & Welfare, "2011 Survey of the Elderly", 2012.
  2. L. H. Ann, F. E. Amanda, "Pain a ssessment and management in persons with dementia", Nursing Clinics of North America, Vol. 39, No. 3, pp. 593-606. 2004. DOI: http://dx.doi.org/10.1016/j.cnur.2004.02.013 https://doi.org/10.1016/j.cnur.2004.02.013
  3. H. S. Yang, K. W. Lee, "Comparison of the Balance Relations Between Healthy Subjects and Patients With Chronic Low Back Pain" Physical Therapy korea, Vol. 9, No. 2, pp 1-17, 2002.
  4. G. H. Nam. "A Study on Self-Care Agency and Quality of Life among the Elderly with Chronic Pain", Unpublished master's thesis, Chungang University, Seoul, 2012.
  5. K. Bingefors, & D. Isacson, "Epidemiology, co-morbity and impaction Health related quality of life of self-reported headache and musculoskeletal pain-Agender perspective", European Journal of Pain, Vol. 8, pp. 435-450, 2004. DOI: http://dx.doi.org/10.1016/j.ejpain.2004.01.005 https://doi.org/10.1016/j.ejpain.2004.01.005
  6. S. L. Edmond, & D. T. Felson, "Function and back symptoms in older adults. Journal of the America Geriatric Society, Vol. 51, pp. 1702-1709, 2003. https://doi.org/10.1046/j.1532-5415.2003.51553.x
  7. J. M. Jacobs, R. Hammerman-Rozenberg, J. Stessman, "Longevity and chronic back pain in older people", Journal of the America Geriatric Society, Vol. 53. No.9, pp. 1636-1637. 2005. DOI: http://dx.doi.org/10.1111/j.1532-5415.2005.53487_5.x https://doi.org/10.1111/j.1532-5415.2005.53487_5.x
  8. A. Faas, "Exedrcise Which Ones are Worth Trying for Which Patient and When?", Spine, Vol. 21, No. 24, pp. 2874-2878, 1996. DOI: http://dx.doi.org/10.1097/00007632-199612150-00016 https://doi.org/10.1097/00007632-199612150-00016
  9. S. Heo, K. Son, S. J. Lee, "Design of the Interspinous Process Fixator Using Bjomechanical Analysis for the Treament of Degenerative Lumbar Spinal Stenosis", Journal of the Korean Society for Precision Engineering, Vol. 1, pp. 425-425, 2005.
  10. S. H. Cho, Y. R. Han, N. J. P, "A study of psychometric Characteristics and pain behaviors in low back pain patients", J. of Korean Acad, Vol. 20, No. 2, pp. 313-323, 1996.
  11. K. S. Hyun, "The Analysis of Research Trend about Management of Low Back Pain", The Korean Journal of Rehabilitation Nursing, Vol. 1, No.1, pp. 51-60, 1998.
  12. K. O. Jin, "A Study on the Pain, Depression, Life Satisfaction of the Chronic Low Back Pain Patients Department on Nursing", Unpublished master's thesis, Han Yang University, Seoul. 2008.
  13. S. M. Kim, J. J. Oh, M. S. Song, "Sleep Pattern and Related Factors Among Communityd Welling Elderly", The Seoul Journal of Nursing, Vol. 1, No. 1, pp. 24-38, 1997.
  14. E. Gustafsson, U. "Nurses Notes on Sleep Pattern in Patients Undergoing Coronary Artery Bypass Surgery: A Retro Spective Evalution Of Patients Records", Journal of Advanced Nursing, Vol. 20, pp. 331-336. 1994. DOI: http://dx.doi.org/10.1046/j.1365-2648.1994.20020331.x https://doi.org/10.1046/j.1365-2648.1994.20020331.x
  15. A. S. Don, E. Carragee, "A Brief Overview of Evidence-Informed Management of Chronic Low Back Pain With Surgery", The Spine Journal, Vol. 8, No. 1, pp. 258-265. 2008. DOI: http://dx.doi.org/10.1016/j.spinee.2007.10.027 https://doi.org/10.1016/j.spinee.2007.10.027
  16. E. B. Kim, "A Study on Uses of the Complementary Therapies in Patients with Low Back Pain", Graduate School of Education Yonsei University, Seoul. 2003.
  17. J. S. Park, S. J. Kwon, Y. S. Kwon, "The Effects of Dogbi(st35) & Sulan Moxibustion on Knee Joint Pain, Range of Motion and Discomfort during ADL in the Aged", Journal of Korean Academy of Nursing. Vol. 36, No. 1, pp. 189-196, 2006. https://doi.org/10.4040/jkan.2006.36.1.189
  18. H. S. Woo, Y. H Lee, C. H. Kim " The review and study trend of moxibution" The Journal of Korean Acupuncture & Moxibustion Socitey, Vol. 19, No. 4, 2002.
  19. H. S. Ryu, "The Effects of Moxibustion Therapy on Chronic Back Pain and Disability of Daily Living Activities in Elderly men", The Graduate School of Chung-Ang University, Seoul, 2013.
  20. B. G. Park "Effects of an Acupuncture Program on Activities of Daily Living, Depression, and Life Satisfaction in the Institutionalized Elderly People", Korean Society Gerontological Social Welfare, Vol. 40, pp. 249-285, 2008.
  21. M. H. Doh, "Effects of the Moxibustion Therapy on the Pain Decrease and Joint Recovery with Degenerative Arthritis of Knee", Department of Physical Therapy Graduate of Rehabilitation Science Daegu University, Daegu, 2008.
  22. J. Scott, & E. C. Huskisson, "Vertical or Horizontal Visual Analogue Scales". Annals of the Rheumatic Diseases, Vol. 38, No. 6, pp. 0003-4967. 1979.
  23. H. K. Hyoung, "Effects of a Strengthening Program for the Lower Back in Elderly Women with Chronic Low Back Pain", Department of Nursing The Graduate School Yonsei University, Seoul, 2006.
  24. J. Fairbank, J. Couper, J. B. Davies, & J. P. O'Brien. "The Oswestry Low Back Pain Disability Questionnaire", Physiotherapy, Vol. 66, No. 8, pp. 271-273, 1980.
  25. H. S. Im, J. M. Lee, S. G. Kim, " About back pain classroom, Korean Industrial Health Association, Vol. 125, pp. 4-11, 1998.
  26. Y. S. Park, "The Effects of Exercise combined with Taping Therapy on the Intersity of Chronic Back Pain, Daily Living Disability and Depression in Elderly Women with the Chronic Low Back Pain", unpublished Master's thesis, korea University, Seoul, 2013.
  27. J. J. Oh, M. S. Song, S. M. Kim, "Development and Validation of Korean Sleep Scale A", Journal of Korean Academy of Nursing, Vol .28, No. 3, pp. 563-572, 1998. https://doi.org/10.4040/jkan.1998.28.3.563
  28. N. S. Kim, "Theory and practice of moxibution" Seowondang, 1998.
  29. M. J. Kim, "Principles of Moxibution and Its Effects on Health", Yne Korean Journal of stress research, Vol. 13, No, 4, pp 265-272, 2005.
  30. G. W. Yu, S. Min, J. K. Park, J. H. Kim, G. G. Kang, "The Effects of Moxibustion on Cornell Medical Index in the Elderly", Journal of East-West Nursing Research, Vol. 13, No. 2, pp. 79-91, 2007.
  31. J. Lee, "An introduction of medical", Daesung Moonhwasa, 528.
  32. J. H. Kang, S. J. Kim, J. W. Park, S. Y. Hong, I. J. Yoon, D. S. Heo, "The Clinical Report on the 3 Cases of Sciatica Treated on Direct Moxibustion", Journal of pharmacopuncture, Vol. 10, No. 2, pp. 139-146, 2007. https://doi.org/10.3831/KPI.2007.10.2.139
  33. S. Y. Bae, "Health Effect by Acupuncture and Moxibustion", unpublished Master's thesis, Kosin University, Pusan. 2012.
  34. Y. O. Lee, "Effects of Hand Moxibustion Therapy on Elders" Shoulder Pain, ADL and Sleep Disturbance", unpublished Master's thesis, Keimyung University, Daegu, 2009