Research in Community and Public Health Nursing

Original Articles

Effects of Auricular Acupressure on Joint Pain, Range of Motion, and Sleep in the Elderly with Knee Osteoarthritis: Min Jin Jang, Yun Mi Lim, Hyo Jung Park; J Korean Acad Community Health Nurs. 2019;30(1):79-89. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.79

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PURPOSE
The purpose of this paper is to determine effects of auricular acupressure on knee pain, range of motion, and sleep in the elderly with knee osteoarthritis.
METHODS
This is an experimental study designed with randomization and single-blind in a placebo-control approach. The subjects included the elderly with knee osteoarthritis who were using an elderly welfare facility. In each of the groups, 28 subjects were assigned. For the experimental group, auricular acupressure was applied to five pressure points related to the pain caused by osteoarthritis and sleep. In the case of the placebo-control group, auricular acupressure was applied to other five points than the former. The intervention lasted eight weeks. In order to examine intervention effects of auricular acupressure, joint pain, Pressure Pain Thresholds (PPTs), and extension and flexion range of motion (ROM) were measured weekly. As for the pre- and post-examinations, pain, sleep quality, and the time-by-sleep stage of the patients with knee osteoarthritis were measured.
RESULTS
The VAS scores in the experimental group with auricular acupressure significantly decreased through time (p<.001) and WOMAC also significantly decreased (p<.01) compared with the placebo-control group. However, there were no significant differences in PPTs. The flexion (p<.01) and extension (p<.001) ROMs measured for eight weeks improved over time. Meanwhile, sleep quality improved significantly after the intervention termination (p<.01), but there was no significant difference found in the time-by-sleep stage.
CONCLUSION
Auricular acupressure applied for eight weeks was found to be effective in reducing joint pain, improving knee ROM, and improving sleep quality in patients with degenerative knee arthritis.

Citations

Citations to this article as recorded by

The Effects of Auricular Acupressure on Menopausal Symptoms, Stress, and Sleep in Postmenopausal Middle‐Aged Women: A Randomized Single‐Blind Sham‐Controlled Trial
Bomi Kim, Hyojung Park
Journal of Midwifery & Women's Health.2024; 69(1): 41. CrossRef
The Effect of Auricular Acupressure on Urinary Incontinence, Quality of Life, and Sleep Quality in Elderly Women with Stress Urinary Incontinence
Yeonjin Kim, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 203. CrossRef
Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
Hye-Ja Gu, Oi-Sun Lee
International Journal of Environmental Research and Public Health.2023; 20(4): 3101. CrossRef
The Effects of Auricular Acupressure on Low Back Pain, Neuropathy and Sleep in Patients with Persistent Spinal Pain Syndrome (PSPS): A Single-Blind, Randomized Placebo-Controlled Trial
Yunmi Lim, Hyojung Park
International Journal of Environmental Research and Public Health.2023; 20(3): 1705. CrossRef
Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Sun Yeob Choi, Yeo Ju Kim, Bomi Kim
Journal of Korean Academy of Nursing.2022; 52(1): 4. CrossRef
Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
Yunhee Park, Hyun Jung Yun
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67. CrossRef
The effects of auricular acupressure on the sleep of the elderly using polysomnography, actigraphy and blood test: Randomized, single-blind, sham control
Juyon Min, Bomi Kim, Hyojung Park
Complementary Therapies in Clinical Practice.2021; 45: 101464. CrossRef
The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
Ju Hee Lee, Hyojung Park
Journal of Korean Gerontological Nursing.2021; 23(2): 117. CrossRef
Effect of Auricular Acupressure on Sleep and Pruritus in Patients Undergoing Hemodialysis
Yun Yi Bang, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 141. CrossRef
The Effects of Auricular Acupressure on Joint Pain and Shoulder Range of Motion in Older Adults
Bomi Kim, Hyojung Park
Korean Journal of Adult Nursing.2020; 32(3): 261. CrossRef

The Level of Pain, Gait Speed, and ROM in Community-dwelling Older Adults with Knee Joint Pain: Kye Ha Kim, Jin Min Lee; J Korean Acad Community Health Nurs. 2017;28(2):156-164. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.156

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Abstract PDF

PURPOSE
The purpose of this study is to investigate the level of pain, gait speed, and ROM (Range of motion) in community-dwelling older adults with knee joint pain.
METHODS
A convenience sample of 160 participants living in G city were recruited. Elderly people who suffer from knee joint pain with a pain level â‰¥5 during the last one year on a visual analogue scale were included in the study. The data were collected from June to August 2016. All statistical analyses were performed using IBM SPSS ver. 22.0.
RESULTS
Participants' pain was 6.81 by VAS. The mean gait speed was 13.9 sec/10m. The ROM of left knee and right knee were 54.06Â° and 56.50Â°, respectively. The level of pain was different according to gender (t=-4.87, p<.001), economic status (t=3.51, p=.032), diseases (t=5.23, p<.001), diagnosis of arthritis (t=3.86, p<.001), region of knee joint pain (F=9.30, p<.001), duration of pain occurrence (F=13.82, p<.001), and limp (F=3.58, p<.001). The level of knee joint pain and gait speed had significant correlations.
CONCLUSION
The gait speed in older adults is an important variable that should be taken into account in the assessment of their level of knee joint pain.

Citations

Citations to this article as recorded by

The impact of low back pain and disability on frailty levels in older women: longitudinal data from the BACE-Brazil cohort
Vitor Tigre Martins Rocha, Amanda Aparecida Oliveira Leopoldino, Bárbara Zille de Queiroz, Renata Antunes Lopes, Silvia Lanziotti Azevedo da Silva, Juliano Bergamaschine Mata Diz, Daniele Sirineu Pereira, Leani Souza Máximo Pereira
European Geriatric Medicine.2023; 14(1): 181. CrossRef

The Effects of Group Movement Training on Psychophysiological Variables and the Range of Motion in the Institutionalized Elderly: Boo Deuk Suh; J Korean Acad Community Health Nurs. 2009;20(4):403-411. Published online December 31, 2009

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Abstract PDF: PURPOSE
The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly.
METHODS
This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through chi2-test, t-test and ANCOVA using SPSS/WIN program.
RESULTS
The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement.
CONCLUSION
The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

Change in the Sensation of the Arms, the Range of Motion in the Shoulders and Depression in Breast Cancer Patients: Suk Jeong Lee, Si Ja Chon, Young Sook Roh, Young Mi Park; J Korean Acad Community Health Nurs. 2008;19(3):398-407. Published online September 30, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to examine the association among change in the sensation of the arms, the range of motion in the shoulders and depression in breast cancer patients.
METHOD
This is a descriptive study on correlation. The participants were 132 patients who had been diagnosed with breast cancer and had mastectomy at a university hospital, and had participated in a breast cancer self-help group. The degree of depression was assessed by SCL-90-R scores. Collected data were analyzed with SPSS 12.0 for Windows.
RESULTS
The participants complained of 'heaviness' as the most frequent and serious symptom of change in the sensation of the arms. 'Completely zip up the dress with a back-fastening zipper' was the most difficult motion of the shoulders. Participants who were in a worse stage of disease were in a worse condition in shoulder functions, and on a higher degree of depression. The degree of change in sensation and shoulder functions showed a positive correlation with each other, and both of them showed a negative correlation with the degree of depression.
CONCLUSION
Sensation and motion change in the arms and the shoulders were common phenomena that affected depression in patients who had mastectomy. Nurses should consider not only depression but also discomfort of the arms and the shoulders for patients with mastectomy.

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