고혈압 노인여성의 혈압, 혈중지질 및 생리적 지수에 대한 수지요법의 효과

The Effects of Hand Moxibustion and Hand Press Pellet on Blood Pressure, Blood Lipids and Blood Cell Components in Aged Women with Essential Hypertension

  • 신유선 (부산가톨릭대학교 간호대학) ;
  • 김은하 (부산가톨릭대학교 간호대학)
  • Shin, Yoo-Sun (College of Nursing, Catholic University of Pusan) ;
  • Kim, Eun-Ha (College of Nursing, Catholic University of Pusan)
  • 투고 : 2011.03.11
  • 심사 : 2011.05.25
  • 발행 : 2011.06.30

초록

Purpose: The purpose of this study was to evaluate the effects of hand moxa and hand press pellet on blood pressure, blood lipids and blood cell components in elderly women. Methods: This study was conducted as a quasi-experiment with none equivalent control group pre-post test design. The participants were elders who had essential hypertension. There were 18 members in the experimental group and 20 members in the control group. The experimental group received hand moxibustion and hand press pellet 3 times a week for 12 weeks. The results were analyzed using $x^2$ test, t-test, Fisher's exact test and repeated measures ANOVA with the SPSS/WIN program. Results: There were significant decreases in blood pressure in the experimental group compared to the control group. No significant difference was observed in total triglyceride, LDL cholesterol and HDL cholesterol between the two groups. Differences in hemoglobin and hematocrit were not significant either. However, there were significant increases in RBC in the experimental group after the intervention. Conclusion: The results suggest that combined hand therapy contributes to the decrease of blood pressure among the elderly with hypertension. Therefore combined hand therapy is recommended as a complementary nursing intervention strategy for the elderly with essential hypertension.

키워드

참고문헌

  1. Cha, C. Y. (2002). A study of the influences of hand acupunture on the obesity index of middle-aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
  2. Cho, S. H. (2010). Effects of moxibustion on physiological and autonomic nervous symptoms in adults with prehypertension. Journal of Korean Academy Nursing, 40 (5), 686-694. https://doi.org/10.4040/jkan.2010.40.5.686
  3. Cohen, G. (1990). Lessons from longitudinal studies of mentally ill and mentally healthy elderly: A17 year perspective. In M. Bergener & S. I. Finkel (Eds.), Clinical and scientific psychogeriatrics (pp. 76-81). New York: Springer.
  4. Farhat, M. Y., Lavigne, M. C., & Ramwell, R. W. (1996). The vascular protective effects of estrogen. Journal of the federation of American Societies for Experimental Biology, 10, 615-624.
  5. Guyton, A. C., & Hall, J. E. (2000). Text book of medical physiology (10th ed.). Sprinapore: W. B. Saunders.
  6. Hong, Y. J., & Oh, D. J. (2010). The effects on elderly women's blood cell and lipids by the regular physical activity and administering melatonin. Journal of Korean Physical Education Association for Girls and Woman, 24 (2), 39-52.
  7. Jung, H. Y. (1997). A study on the effect of moxibustion stimulus hand GOT, GPT, glucose and cholesterol in the blood of the human body. Unpublished master's thesis, Korean National of Sports University, Seoul.
  8. Kaplan, N. M., & Opie, L. H. (2006). Controversies in hypertension. Lancet, 367 , 168-176. https://doi.org/10.1016/S0140-6736(06)67965-8
  9. Kim, H. J., Jung, H. Y., & Cho, K. J. (2001). The effects of prolonged palm acupuncture and heating stress on blood lipid profiles. The Korean Journal of School Physical Education, 11 (2), 25-33.
  10. Kim, J. I. (1994). Effect of aquatic exercise program with selfhelp group activities and strategies for promoting selfefficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. Unpublished doctoral dissertation, Seoul National University, Seoul.
  11. Kim, L. W., & Zhu, J. (2010). Acupunture for essential hypertension. Alternative Therapies in Health and Medicine, 16, 18-29.
  12. Kim, W. S. (1998). A study on the effects of the hand bioenergy therapy and hand acupuncture therapy on the blood pressure. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kwon, H. J. (2009). The effect of 12 weeks combined exercise program on blood lipids and cardiovascular disease risk factor in the elderly women. Journal of Korean Physical Education Association for Girls and Women, 23 (4), 1-12.
  14. Kwon, N. H. (2004). The effect of moxa therapy on the decreasing of blood pressure in essential hypertension. Unpublished master's thesis, Kwan-dong University, Gangneung.
  15. Lee, E. H. (2006). The effects of directed moxibustion on ambulatory blood pressure with patients of essential hypertension. Unpublished master's thesis, Pochon CHA University, Pochon.
  16. Lee, J. B., & Kim, Y. K. (2010). The relation between factors restricting and promoting female elder's practice of exercise. Korean Journal of Sport Psychology, 21 (2), 175-186.
  17. Lee, J. H. (2007). The effect on the change of blood pressure of the hand moxa and hand press pellet -in the field of seogeum therapy-. Unpublished master's thesis, Kyonggi University, Suwon.
  18. Lee, S. B., & Park, S. K. (2003). Effect of exercise on the blood pressure regulation hormone in old essential hypertension. Journal of Sport and Leisure Studies, 20 , 1307-1315.
  19. Lim, N. Y., & Yi, Y. J. (2003). The effects of Koryo hand acupuncture on the patients with chronic low back pain. Journal of Korean Academy Nursing, 33 (1), 79-86.
  20. Ministry of Health and Welfare (2008, December 30). 2007 National nutrition & health survey. Retrieved September 28, 2009, from http://knhanes.cdc.go.kr/include/IFrameNull.jsp
  21. Morris, J. N., Everitt, M. G., Pollard, R., Chave, S. P. W., & Smmence, A. M. (1980). Vigorous exercise in leisure-time protection against coronary heart disease. Lancet, 2, 1207-1220.
  22. Park, E. J. (2004). A study on the effects of the hand therapy on clinical nurses' fatigue. Unpublished master's thesis. Ewha Womans University, Seoul.
  23. Park, S. Y., & Sunwoo, S. (2003). The effects of elastic band training on blood pressure, blood lipids concentration and ADL of elderly women by hypertensive for 10 weeks. The Korean Journal of School Physical Education, 13 (2), 115-127.
  24. Safar, M. E., Levy, B. I., & Struijker-Boudier, H. (2003). Current perspectives on arterial stiffness and pulse pressure in hypertension and cardiovascular disease. Circulation, 107 (22), 2864-2869. https://doi.org/10.1161/01.CIR.0000069826.36125.B4
  25. Shin, H. S., & Song, Y. A. (2006). Effects of Koryo hand therapy on menopausal symptoms and blood lipid levels in middle-aged women. Korean Journal of Women Health Nursing, 12 (4), 291-300.
  26. Stoyioglou, A., & Jaff, M. R. (2004). Medical treatment of peripheral arterial disease. Journal of Vascular Interventional Radiology, 15 , 1197-1207. https://doi.org/10.1097/01.RVI.0000137978.15352.C6
  27. The National Statistical Office (2010, September 29). 2010 Statistics for Aging. Retrieved October 4, 2010, from http://www.bokjiro.go.kr/data/statusView.doc
  28. Williams, W. J. (1995). Hematology in the aged. In F. Beutler, M. A. Lictman, B. S. Coller & T. J. Kipps (Eds.), Williams hematology (5th ed.) (pp. 72-77). New York: McGrew-Hill.
  29. Yoo, T. W. (2003). A study of Koryo hand acupuncture. Seoul: Yin and Yang Press.
  30. Yoo, T. W. (2007). Seogeum therapy lecture. Seoul: Koryo Hand Acupuncture Press.