이압요법이 중⋅노년의 안구건조증에 미치는 효과
The Effects of Auricular Acupressure Therapy on Middle-aged and Old Adults’ Dry Eye Syndrome
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본 연구는 이압요법이 안구건조증의 증상완화에 미치는 효과를 평가하고자 시행된 비동등성 대조군 유사 실험연구이다. 대상자는 B광역시 P구에 성당 2개소와 복지관 2개소의 40세 이상의 성인을 대상으로 안구표면질환지수(OSDI) 설문지와 눈물막파괴시간(TBUT)을 측정하여 안구건조증으로 진단된 대상자를 선정하였으며 최종 실험군 29명과 대조군 27명이 포함되었다. 이압요법은 주 1회 8주 동안 성당과 복지관에서 연구자에 의해 실시되었고 후반부에는 교육과 훈련을 통해 자가간호가 가능하도록 하였다. 자료수집 기간은 2017년 8월 28일부터 10월 30일까지였으며, 수집된 자료는 SPSS 20.0 프로그램을 이용하여 분석한 결과 8주간 이압요법을 실시한 실험군은 실시하지 않은 대조군에 비해 시간이 경과하면서 안구건조증의 주관적 증상이 완화되고, 눈물막파괴시간(TBUT)이 증가하여 안구건조증의 완화에 효과가 있었다. 따라서 이압요법은 안구건조증 대상자의 증상완화를 위한 효과적인 간호중재임을 확인하였다.
Abstract
Purpose: This study aimed to examine the effect of auricular acupressure therapy on reducing the ocular symptoms and signs for dry eye syndrome. Methods: The participants who were aged ≥ 40 years old and met the inclusion criteria of the ocular surface disease index score ≥ 13 and a tear film break-up time ≤ 10 seconds were enrolled into the two groups: experimental group (n=29) and control group (n=27). Experimental group received auricular acupressure therapy for 8 weeks. Seed stickers were applied to the eye, liver and tubercle point of each ear once a week. Data were collected at pre and 4 and 8 weeks after the treatment and analysed the efficacy of intervention by repeated measures ANOVA. Results: There were significant differences in the ocular surface disease index, standard patient evaluation of eye dryness and a tear film break-up time in both eyes at 8 weeks after the treatment between the two groups. Conclusion: The findings indicate that the auricular acupressure therapy may be helpful for relieving symptoms of dry eye as a nursing intervention. In addition, it could also be utilized as a self-care practice using proper education and training.
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