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Effects of Auricular Acupressure on Female College Students with Functional Constipation

이압요법이 기능성 변비를 가진 여대생의 변비 완화에 미치는 영향

  • 민주연 (이화여자대학교 간호대학) ;
  • 박효정 (이화여자대학교 간호대학)
  • Received : 2020.03.23
  • Accepted : 2020.07.03
  • Published : 2020.07.31

Abstract

This study examined the effects of auricular acupressure on female college students with functional constipation to propose auricular acupressure as an effective and evidence-based nursing intervention. This is an experimental study designed with randomization and single-blind in a Sham-control approach. The subjects included 44 female college students with functional constipation whose symptoms met the Rome IV criteria. In this study, five different acupressure sites were applied to each group; the experimental group (n=23) received auricular acupressure on rectum, large intestine, lung, san jiao, and shenmen, whereas the Sham control group (n=21) received acupressure on ankle, helix, tooth, jaw, and external ear. The intervention was implemented once a week for a total of six weeks. After six weeks, the severity of constipation, stool form, and quality of life regarding constipation in the experimental group significantly improved compared to that of the Sham control group (p<.001). Consequently, the study showed that auricular acupressure can be used as an effective nursing intervention to alleviate constipation in female college students.

본 연구는 기능성 변비를 가진 여대생을 대상으로 이압요법을 적용하여 변비 완화에 미치는 효과를 확인하기 위해 수행되었으며, 무작위 배정, 단일 맹검, Sham 대조군 비교 설계를 이용한 실험연구이다. 로마 기준 IV의 기능성 변비에 해당하는 여대생 44명이 참여하였으며, 이압요법은 왕불류행 씨앗을 이용한 이압 스티커를 귀에 부착하고 자극하는 방법으로 1주일 단위로 6회, 즉 6주 동안 시행하였다. 처치군(n=23)에게는 변비와 관련된 귀 반응구역(점)인 직장, 대장, 폐, 삼초, 신문에, Sham 대조군(n=21)에게는 변비와 관련이 없는 귀 반응구역(점)인 발목, 이륜, 치아, 턱, 외이에 이압스티커를 부착하였다. 이압스티커 부착 부위를 하루에 3회, 한 개의 귀 반응구역(점)마다 한 번에 30초 동안, 얼얼한 느낌이 들 정도로 손으로 눌러 자극하도록 대상자를 교육하였다. 이압 스티커는 5일 후에 대상자가 스스로 제거하고 귀를 가볍게 마사지하고 2일간 쉬는 시간을 갖도록 하였다. 6주간 이압요법 적용을 통해 이압요법이 기능성 변비가 있는 여대생의 변비의 정도, 대변 형태, 변비 관련 삶의 질 향상에 효과가 있음을 확인하였다.

Keywords

References

  1. Chu H, Zhong L, Li H, Zhang X, Zhang J, et al., "Epidemiology characteristics of constipation for general population, pediatric population, and elderly population in China", Gastroenterology Research and Practic, Vol.2014, pp.1-11, 2014. DOI: https://doi.org/10.1155/2014/532734
  2. Cottone C, Tosetti C, Disclafani G, Ubaldi E, Cogliandro R, et al., "Clinical features of constipation in general practice in Italy", United European Gastroenterology Journal, Vol.2, No.3, pp.232-238, 2014. DOI: https://doi.org/10.1177/2050640614527283
  3. Jun DW, Lee OY, "Prevalence of Functional Constipation and Self-Reported Constipation" Journal of Neurogastroenterology and Motility, Vol.12, No.2, pp.181-182, 2006.
  4. The Korean Society of Neurogastroenterology and Motility, Constipation, p.272, Medbook, 2013.
  5. Drossman DA, Hasler WL, "Rome IV-functional GI disorders: Disorders of gut-brain interaction", Gastroenterology, Vol.150, No.6, pp.1257-1261, 2016. DOI: https://doi.org/10.1053/j.gastro.2016.03.035
  6. Lee TH, "Non-pharmacologic Treatment for Elderly Constipation: Lifestyle Modification", Korean journal of clinical geriatrics, Vol.19, No.1, pp.16-22, 2018. DOI: https://doi.org/10.15656/kjcg.2018.19.1.16
  7. Schmidt FM, de Gouveia Santos VL, de Cassia Domansky R, Neves JM, "Constipation: Prevalence and associated factors in adults living in Londrina, southern Brazil", Gastroenterology Nursing, Vol.39, No.3, pp.204-11, 2016. DOI: https://doi.org/10.1097/SGA.0000000000000224
  8. Kim SK, Lee CR, "Comparison of the Dietary Factors between Normal and Constipation Groups by Self-reported Constipation in Female College Students", Korean Journal of community nutrition, Vol.16, No.1, pp.23-36, 2011. DOI: https://doi.org/10.5720/kjcn.2011.16.1.23
  9. Ly SY, Shin JR, "Dietary Habits and Factors Related to Lifestyles in Constipated Female Students", Korean Journal of community nutrition, Vol.8, No.5, pp.675-688, 2003.
  10. Jung SJ, Chae SW, Sohn HS, Kim SB, Rho JO, et al., "Actual Status of Constipation and Life Factors Affecting Constipation by Diagnosis of Rome in Female University Students in Korea", Journal of Nutrition and Health, Vol.44, No.5, pp.428-442, 2011. DOI: https://doi.org/10.4163/kjn.2011.44.5.428
  11. Korea Centers for Disease Control and Prevention. Men in their thirties and women in their twenties tend not to practice health behavior [Internet]. Korea Centers for Disease Control and Prevention. c2013 [cited 2013 Nov 4], Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=140&CONT_SEQ=293213 (accessed Aug. 17, 2019)
  12. Kim DH, Myung SJ, Yand DH, Yoon IJ, Seo SY, et al, "Characteristics of Korean Patients with Constipation Who Visited a Tertiary Referral Center", The Korean Journal of Internal Medicine, Vol.84, No.1, pp. 49-61, 2013. DOI: https://doi.org/10.3904/kjm.2013.84.1.49
  13. Cheon JH, Yoon IJ, Myung SJ, Byeon JS, Ko JE, et al., "Use of Constipation Remedies not Prescribed by Physician - A Study of Patients at a Constipation Clinic", Journal of Neurogastroenterology and Motility, Vol.13, No.1, pp.45-52, 2007.
  14. Sharma A, Rao S, "Constipation: Pathophysiology and current therapeutic approaches", Handbook of Experimental Pharmacology, Vol.239, pp.59-74, 2017. DOI: https://doi.org/10.1007/164_2016_111
  15. Kwon SJ, Park JS, "Analysis of Korean Nursing Research on Auricular Acupuncture and Ear Acupressure Therapy", Research Institute of Nursing Science, Keimyung University, Vol.15, No.1, pp.103-114, 2011.
  16. Lee JO, Kim SJ, Kim JS, Park HH, Ear Acupressure Therapy, p.201, Korea-China Self-Healing Power Association, 2010.
  17. Li MK, Lee TF, Suen KP, "Complementary effects of auricular acupressure in relieving constipation symptoms and promoting disease-specific health-related quality of life: A randomized placebo-controlled trial", Complementary Therapies in Medicine, Vol.22, No.2, pp.266-277, 2014. DOI: https://doi.org/10.1016/j.ctim.2014.01.010
  18. Jing, X., Liu, J., Wang, C., Ji, M., Chen, X., Mei, Y., & Zhu, Q. R., "Auricular acupressure is an alternative in treating constipation in leukemia patients undergoing chemotherapy: A systematic review and meta-analysis", Complementary Therapies in Clinical Practice, Vol.31, pp.282-289, 2018. DOI: https://doi.org/10.1016/j.ctcp.2018.03.005
  19. Oleson, T, Auriculotherapy manual, p.572, Elsevier Ltd, 2014.
  20. Frank, B. L., Auricular medicine and auricular therapy, p.292 , AuthorHouse, 2007.
  21. McMillan SC, Williams FA, "Validity and reliability of the constipation assessment scale", Cancer Nursing, Vol.12, No.3, pp.183-188, 1989. DOI: https://doi.org/10.1097/00002820-198906000-00012
  22. Yang S, "Effects of fluid intake, dietary fiber supplement and abdominal muscle exercise on antipsychotic drug-induced constipation in schizophrenics", Journal of Catholic Medical College, Vol.45, pp.1501-1514, 1992.
  23. Heaton KW, Radvan J, Cripps H, Mountford RA, Braddon FE, et al., "Defecation frequency and timing, and stool form in the general population: A prospective study", Gut, Vol.33, No.6, pp.818-824, 1992. DOI: http://dx.doi.org/10.1136/gut.33.6.818
  24. Marquis P, De La Loge C, Dubois D, McDermott A, Chassany O, "Development and validation of the patient assessment of constipation quality of life questionnaire", Scandinavian Journal of Gastroenterology, Vol.40, No.5, pp.540-551, 2005. DOI: https://doi.org/10.1080/00365520510012208
  25. Shin J, Park H, "Effects of auricular acupressure on constipation in patients with breast cancer receiving chemotherapy: A randomized control trial", Western Journal of Nursing Research, Vol.40, No.1, pp.67-83, 2018. DOI: https://doi.org/10.1177/0193945916680362
  26. Xie A, Niu M, Chan Y, "Effect observation for acupressure therapy for chemotherapy-induced gastrointestinal reaction in adults with acute leukemia", Journal of Nurses Training, Vol., No., pp. Vol.31, pp.488-491, 2016.
  27. Lee EK, Kim OH, Choi EJ, "Effect of Acupressure on Constipation for Hemodialysis Patients", Journal of the Korean Data Analysis Society, Vol.17, No.2, pp.1031-1044, 2015.
  28. Wu X, Tzeng Y, "Effect of magnetic auricular point therapy on constipation in patients with leukemia", Journal of Chinese and Foreign Medical Research, Vol.13, pp.34-36, 2015.
  29. Yang LH, Duan PB, Du SZ, Sun JF, Mei SJ, et al., "Efficacy of auriculotherapy for constipation in adults: A systematic review and meta-analysis of randomized controlled trials", Journal of Alternative and Complementary Medicine, Vol.20, No.8, pp.590-605, 2014. DOI: https://doi.org/10.1089/acm.2013.0324
  30. Choi H, "Management of Constipation", Journal of Neurogastroenterology and Motility, Vol.16, pp.59-65, 2005.