Auricular acupressure reduces anxiety and burnout in behavioral healthcare

Olshan-Perlmutter, Michelle; Carter, Kenneth R.; Marx, Jonathan

doi:10.1016/j.apnr.2019.05.011

Cited by 15 publications

(32 citation statements)

References 22 publications

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“…According to the theoretical foundations of TCM, the ears are a microcosm of the human body and connect directly or indirectly to the 12 meridians, the stimulation of which facilitates the internal balance of Qi (energy) flow, which is necessary to maintain and improve health ( Cheng et al, 2015 ; Song et al, 2015 ). The effectiveness of AA in improving sleep quality and reducing stress, pain, fatigue, anxiety, burnout, depressed moods, and systolic blood pressure has been demonstrated in quasi-experimental, randomized controlled trial, systematic review, and meta-analysis of studies on subjects including middle-aged and older women ( Cha et al, 2017 ; Kao et al, 2012 ; Lo et al, 2013 ), women who have given birth by cesarean section ( Kuo et al, 2016 ), nursing students ( Chueh et al, 2018 ), healthcare employees ( Olshan-Perlmutter et al, 2019 ), institutionalized residents ( Chen et al, 1999 ; Reza et al, 2010 ), and patients undergoing treatment for hypertension ( Gao et al, 2020 ), leukemia ( X. R. Liu et al, 2020 ), neck pain ( Lee & Park, 2019 ), chemoradiotherapy ( Chou et al, 2019 ), hemodialysis ( Tsay & Chen, 2003 ; Wu et al, 2018 ), and low back pain ( Yang et al, 2017 ). Some of the previous studies applied AA in combination with acupoint massage (e.g., head, hands, and feet), with the shenmen (heart meridian 7 [HT7]) acupoints on the ears and hands most frequently targeted to improve sleep quality ( Cha et al, 2017 ; Reza et al, 2010 ; Wu et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Hung

Chiang

Wang

2021

Journal of Nursing Research

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Background Women report a higher incidence of sleep problems than men. Few studies addressing the effect of gender on the efficacy of administering auricular acupressure (AA) at shenmen points (heart meridian 7 [HT7]) on sleep quality have been published. Purpose The primary aim of this study was to investigate the effects of a 4-week AA intervention applied at the HT7 points on sleep quality, perceived physical health, and perceived mental health in community-dwelling individuals with poor self-reported sleep quality. Additional analyses were used to evaluate the gender-specific effects of this intervention. Methods A cluster randomized controlled trial with repeated-measures design was used. One hundred seventy-nine eligible participants were randomly assigned to either the AA group ( n = 88; 47 women, 41 men) or the sleep hygiene instruction (SHI) group ( n = 91; 52 women, 39 men). The AA group self-administered acupressure at HT7 on both ears for a 4-week period, whereas the SHI group received an SHI information sheet. Outcome measures included the Pittsburgh Sleep Quality Index (PSQI) and the Short-Form Health Survey-12 Version 2, with data collected at baseline and at 2, 4, and 8 weeks posttest. Results Linear mixed-model analysis revealed that the participants in the AA group experienced significantly greater reductions in mean PSQI global score and the three indices of sleep latency, subjective sleep quality, and daytime dysfunction than the SHI group at 2 and 4 weeks posttest. The improvements in subjective sleep quality and daytime dysfunction remained at 4 weeks posttest in the AA group, but not in the SHI group. The PSQI global score decreased significantly more in men than women in the AA group between baseline and 4 weeks posttest. Conclusions/Implications for Practice: Four weeks of self-administered acupressure at HT7 on both ears is an effective intervention for community-dwelling poor sleepers who are over 45 years old. Moreover, the improvements in subjective sleep quality and daytime dysfunction persist for up to 4 weeks after the end of the intervention. This self-administered acupressure intervention is more effective in men than in women in terms of improving sleep quality. Gender bias is known to influence research results and may lead to inappropriate generalizations. Thus, future studies that are performed to build basic scientific evidence should include considerations of the effects of gender in the study design.

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Section: Introductionmentioning

confidence: 99%

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Hung

Chiang

Wang

2021

Journal of Nursing Research

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“…In the following stage, 15 articles 8 - 9 , 12 - 13 , 24 - 34 were listed for full-reading and remained for the synthesis of the evidence ( Figure 2 ). It is noted that four articles included did not contain all the information listed for extraction and, on this occasion, contact was made with the authors via email; one of them 32 provided the requested results, two 13 , 24 reported that it would not be possible to do so, and another one 33 did not answer (after two attempts). Thus, the three articles 13 , 24 , 33 with missing data for the NMA were presented in the narrative synthesis, as recommended by the JBI 17 .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Of the 15 articles included, the publications occurred between 2009 and 2021 8 - 9 , 12 - 13 , 24 - 34 , with 11 (73.3%) 8 , 12 , 24 - 27 , 29 - 32 , 34 research studies developed in Brazil, three (20.0%) 9 , 13 , 33 in the United States of America (USA) and one (6.7%) in Italy 28 . In addition, 10 (66.6%) 8 , 12 , 25 - 31 , 33 are Randomized Clinical Trials (RCTs), four (26.7%) 9 , 13 , 24 , 32 are quasi-experimental studies of the before-and-after type, and one (6.7%) 34 is a multiple case study. Auriculotherapy was applied to 860 participants (sum of all samples of the articles); 10 (66.6%) studies included the Nursing team (8,24-27.29-32,34) , four (26.7%) all categories of health professionals 9 , 14 , 28 , 33 and one (6.7%), only nurses 12 .…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of auriculotherapy for anxiety, stress or burnout in health professionals: a network meta-analysis

Munhoz

Morais

Santos

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to analyze the effectiveness of auriculotherapy, when compared to the control group, placebo or usual treatment for anxiety, stress or burnout in health professionals. Method: a systematic review conducted in nine information sources, being selected experimental or quasi-experimental studies with auriculotherapy intervention in health professionals, compared to control, placebo or usual treatment groups. Descriptive analysis and network meta-analysis by means of direct and indirect comparison. Quality of the outcomes was assessed with the Confidence in Network Meta-analysis. Results: 15 articles were included: 66.6% with Nursing teams and 53.3% with interventions involving semi-permanent needles. The shen men, brainstem, kidney, sympathetic, lung and liver acupoints predominated. There was a reduction in anxiety with semi-permanent needles (CI -8.18, -6.10), magnetic palettes (CI -7.76, -5.54), placebo (CI -5.47, -3.36) and seeds (CI -6.35, -4.05); as well as in stress with semi-permanent needles (CI -37.21, -10.88) and seeds with (CI -28.14, -11.70) and without a closed protocol (CI -36.42, -10.76). Meta-analysis was unfeasible for burnout; however, significant reductions were verified when it was treated with auriculotherapy. Conclusion: Auriculotherapy is effective to reduce anxiety and stress in health professionals; however, this assertion cannot be made in the case of burnout. It was evidenced that workers’ health is favored with the use of auriculotherapy.

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“…APA can effectively relieve the negative emotions of patients [ 38 , 39 ], which may be related to acupoint stimulation of the vagus nerve in the auricular concha. Anatomy of the ear shows that the ear nerves are abundant, which is the organ of the vagus nerve outside [ 35 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Auricular Point Acupressure Combined with Compound Lidocaine Cream to Manage Arteriovenous Fistula Puncture Pain: A Multicenter Randomized Controlled Trial

Wei

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Background. Arteriovenous fistula (AVF) puncture pain is an inevitable problem for maintenance hemodialysis (MHD) patients and may seriously endanger the physical and mental health of patients with MHD. Studies have shown that drug or nondrug measures can reduce AVF puncture pain, but much improvement is needed. When combined with compound lidocaine cream (CLC) in the treatment of AVF puncture pain, auricular point acupressure (APA)—a therapeutic method in which specific points on the auricle of the outer ear are stimulated to treat various disorders of the body—and the therapeutic value and synergistic effects of auriculotherapy merit further investigation. Methods. 120 MHD patients were recruited at blood purification centers in three hospitals between January 2016 and April 2019. After completion of the baseline survey, all patients were randomly divided by the envelope method into a control group, APA group, CLC group, and APA combined with CLC, with 30 subjects per group. The numerical rating scale (NRS) of pain was used to measure the pain before intervention and 1, 4, and 8 weeks after intervention. The State-Trait Anxiety Inventory (STAI), General Comfort Questionnaire (GCQ), blood pressure, and heart rates were obtained before and after the intervention. Results. Pain, anxiety, comfort, blood pressure (BP), and heart rates (HR) of the three groups were better than those of the control group; the difference was statistically significant ( P < 0.05 ). In addition, the APA combined with CLC group was better than the APA group and CLC group, respectively, in those outcomes ( P < 0.05 ). Conclusion. Both APA and CLC can effectively relieve AVF puncture pain, and the combined application has more outstanding effects.

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Auricular acupressure reduces anxiety and burnout in behavioral healthcare

Cited by 15 publications

References 22 publications

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Effectiveness of auriculotherapy for anxiety, stress or burnout in health professionals: a network meta-analysis

Auricular Point Acupressure Combined with Compound Lidocaine Cream to Manage Arteriovenous Fistula Puncture Pain: A Multicenter Randomized Controlled Trial

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