Effects of Hand Acupuncture Therapy on Sleep Quality in Sleep Disrupted Adults - Verification by Polysomnography and Cerebral Blood Flow Test -

수지요법이 수면장애를 가진 성인의 수면의 질에 미치는 효과 - 수면다원검사 및 뇌혈류 검사를 통한 검증 -

  • 황은희 (이화여자대학교 간호과학대학)
  • Published : 2007.12.31

Abstract

Purpose: The purpose of this study was to identify the effects of hand acupuncture therapy on sleep quality by means of a sleep questionnaire, polysomnography and a cerebral blood flow test in $30{\sim}59$ year old adults. Methods: The study was a sham controlled design. Twenty-two adults were assigned to the pellet stimulating group (11) or sham group (11). The pellet stimulating group received hand acupuncture therapy using New Seoam Press Pellets number 1 for 4 weeks. On the other hand, the sham group used the same Adhesive tape in terms of shape, size and quality as New Seoam Press Pellets number 1 for 4 weeks. A Transcranial Doppler Ultrasonography and Carotid Duplex Ultrasonography examination were used for evaluating cerebral blood flow. Data was analyzed using the SPSS 12.0 version program with $X^2-test$, Fisher's exact test and Mann Whitney U-test. Results: In the pellet stimulating group, subjective sleep quality significantly improved more than that of the sham group. Among the sleep indices of the polysomnography, total sleep time and sleep latency of the sham group significantly improved. The cerebral blood flow test didn't show any differences. Conclusion: These results suggest that hand acupuncture therapy is effective for subjective sleep improvement only, not polysomnographical sleep indices and cerebral blood flow.

Keywords

References

  1. Bae, H. J. (2003). Risk factors for asymptomatic intracranial cerebral atherosclerosis. Unpublished doctoral dissertation, Korea University, Seoul
  2. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res, 28, 193-213 https://doi.org/10.1016/0165-1781(89)90047-4
  3. Chen, M. L., Lin, L. C., Wu, S. C., & Lin, J. G. (1999). The effectiveness of acupressure in improving the quality of sleep of institutionalized residents. J Gerontol, 54A(8), M389-M394
  4. Choi, S. A., & Son, Y. H. (1998). Diagnostic values of transcranial doppler ultrasound detecting high-grade carotid stenosis. J Korean Neurol Assoc, 16(6), 781-787
  5. Chun, W. J. (2005). A study on the effects of hand acupuncture therapy on the insomnia, quality of sleep and depression of middle-aged women. Unpublished master's thesis, Ewha Womans University, Seoul
  6. Clark, C., Dupont, R., Lehr, P., Yeung, D., Halpern, S., Golshan, S., & Gillin, C. (1998). Is there a relationship between delta sleep at night and afternoon cerebral blood now, assessed by HMPAO-SPECT in depressed patients and normal control subjects?: Preliminary data. Psychiatry Res, 84, 89-99 https://doi.org/10.1016/S0925-4927(98)00049-3
  7. Draker, C. L., Jefferson, C., Roehrs, T., & Roth, T. (2006). Stress-related sleep disturbance and polysomnographic response to caffeine. Sleep Med, 7, 567-572 https://doi.org/10.1016/j.sleep.2006.03.019
  8. Hwang, E. H. (2004, April). Insomnia, overload of brain function: definition and cause of insomnia. Powerbrain, 15, 34-35
  9. Jang, H. K. (2000). Study of sleep patterns and sleep disorders in university hospital family practice. Unpublished master's thesis, Dong-A University, Pusan
  10. Kang, J. H., Lee, S. H., Kwon, S. S., Kim, Y. K., Kim, K. H., Song, J. S., Park, S. H., Moon, H. S., & Park, Y. M. (2006). Analysis of sleep questionnaires of patients who performed over-night polysomnography at the university hospital. Tuberc Respir Dis, 60(1), 76-82 https://doi.org/10.4046/trd.2006.60.1.76
  11. Kim, G. D. (1998). A study on quality of sleep and emotional health status in the elderly. Unpublished master's thesis, Kyungpook National University, Daegu
  12. Kim, O. S., Kim, A. J., Kim, S. H., Baeg, S. H., & Yang, G. M. (2003). Fatigue, depression and sleep in young adults and middle-aged. J Korean Acad Nurs, 37(1), 72-80
  13. Kuboyama, T., Hori, A., Sato, T., Mikani, T., Yamaki, T., & Ueda, S. (1997). Changes in cerebral blood flow velocity in healthy young men during overnight sleep and while awake. Electroencephalogr Clin Neurophysiol, 102, 125-131 https://doi.org/10.1016/S0921-884X(96)95054-7
  14. Kurji, A., Debert, C. T., Whitelaw, W. A., Rawling, J. M., Frayne, R., & Poulin, M. J. (2006). Differences between middle cerebral artery blood velocity waveforms of young and postmenopausal women. Menopause, 13(2), 303-313 https://doi.org/10.1097/01.gme.0000177905.94515.24
  15. Kwon, J. H., Kwon, S. U., Kim, J. S., Bae, H. J., & Kim, J. S. (2002). Factors related to temporal window failure in Korean. Korean J Stroke, 4(2), 105-110
  16. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing medical research & statistical analysis(3rd ed.). Seoul: Soomoonsa
  17. Lee, J. H. (2001). Duplex ultrasonography of the carotid artery and vertebral artery. Korean J Stroke, 3(1), 40-46
  18. Lee, J. R. (2005). Effects of aromatherapy and foot reflex massage on stress, depression, and sleep patterns of the institutionalized elderly. Unpublished doctoral dissertation, Kyungpook National University, Daegu
  19. Lee, S. H. (2004). Effect of seven points of CVA acupuncture on cerebral blood flow. Unpublished master's thesis, Woosuk University, Wanju
  20. Lee, T. G., & Yoon, S. S. (2001). Normal findings of transcranial doppler. Korean J Stroke, 3(1), 7-13
  21. Min, S. K. (2006). Modern psychiatry(5th ed.). Seoul: Ilchokak
  22. Park, E. J. (2007). The effect of auricular acupressure on sleep, serotonin, TNF-$\alpha$ & 1L-6 of hemodialysis patients. Unpublished doctoral dissertation, Gyeongsang National University, Jinju
  23. Park, K. H. (2004). The change of cerebral blood flow before and after treatment of koryo hand therapy. Paper presented at The 17th Korean-Japanese Koryo Hand Acupuncture Symposium, Seoul
  24. Perlis, M. L., Giles, D. E., Mendelson, W. B., Bootzin, R. R., & Wyatt, J. K. (1997). Psychophysiological insomnia: The behavioural model and a neurocognitive perspective. J Sleep Res, 6, 179-188 https://doi.org/10.1046/j.1365-2869.1997.00045.x
  25. Schmidt-Trucksass, A., Grathwohl, D., & Schmid, A. (1999). Structural, functional, and hemodynamic changed of the common carotid artery with age in male subjects. Arterioscler Thromb Vase Biol, 19, 1091-1097 https://doi.org/10.1161/01.ATV.19.4.1091
  26. Song, R. H. (2004). The effect of foot reflexo-massage on the sleep, depression and physiological index of elderly. Unpublished doctoral dissertation, Chungnam National University, Daejeon
  27. The Korean Neurosurgical Society (1998). Neurosurgery. Seoul: Joongangcopy Co
  28. Tsay, S. L., & Chen, M. L. (2003). Acupressure and quality of sleep in patients with end-stage renal disease-a randomized controlled trial. Int J Nurs Stud, 40, 1-7 https://doi.org/10.1016/S0020-7489(02)00019-6
  29. Yi, H. R. (2005). Development of the sleep quality scale. Unpublished doctoral dissertation, Ewha Womans University, Seoul
  30. Yoo, T. W. (2006). Koryo hand acupuncture volume. Seoul: Eum-Yan-Maek-Jin Publishing