Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Choi, Sunyeob; Kim, Yeo Ju; Kim, Bomi

doi:10.4040/jkan.21121

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Digital healthcare interventions are transforming healthcare and play a pivotal role in individualizing care by using a patient-centered approach, while simultaneously providing the ability to intervene at a larger scale with a wider, global reach. Other studies have investigated auriculotherapy (the stimulation of ear points) for chronic pain [50][51][52][53][54][55]. Studies specific to APA leveraging technology are lacking; hence, there is value in implementing and testing theory-based interventions to facilitate well-designed trials in larger studies.…”

Section: Discussionmentioning

confidence: 99%

Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain

Kawi,

Yeh,

Grant

et al. 2024

Healthcare

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Background: The existing literature has limited detail on theory-driven interventions, particularly in pain studies. We adapted Bandura’s self-efficacy framework toward a theory-driven, non-pharmacological intervention using auricular point acupressure (APA) and evaluated participants’ perceptions of this intervention on their pain self-management. APA is a non-invasive modality based on auricular acupuncture principles. Methods: We mapped our study intervention components according to Bandura’s key sources of self-efficacy (performance accomplishments, vicarious experience, verbal persuasion, and emotional arousal) to facilitate the self-management of pain. Through a qualitative study design, we conducted virtual interviews at one and three months after a 4-week APA intervention among 23 participants using purposive sampling to describe their experiences in managing their pain based on our theory-driven APA intervention. Results: Using thematic analyses, we found four themes: the enhanced self-management of pain, improved pain outcomes, the feasibility of technology, and the sustainability of APA. Conclusions: Describing how interventions are mapped according to the elements of theoretical frameworks can help to guide intervention development, advance science and knowledge development, and promote the implementation of interventions. As such, using Bandura’s self-efficacy theory as a foundation for the APA intervention, APA was found to be feasible and sustainable, improving self-management, pain intensity, and pain-related outcomes. Participants provided recommendations for the further improvement of this theory-driven intervention.

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Section: Discussionmentioning

confidence: 99%

Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain

Kawi,

Yeh,

Grant

et al. 2024

Healthcare

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The effects of auricular acupressure on blood pressure, stress, and sleep in elders with essential hypertension: a randomized single-blind sham-controlled trial

Kim

Park

2023

European Journal of Cardiovascular Nursing

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Aim Reduction of blood pressure and improvement of stress and sleep disorders in patients with essential hypertension were important factors. Auricular acupressure was an appropriate complementary therapy for the elderly with essential hypertension for whom pharmacological therapy was not available. Methods and results This study was a single-blind, randomized, placebo-controlled study. The experimental group (n = 23) received 8 weeks of auricular acupressure intervention on specific acupoints (superior triangular fossa, Shenmen, kidney, heart, occiput) related to blood pressure, pulse rate, stress, and sleep, whereas the control group (n = 23) received auricular acupressure on nonspecific acupoints. The primary outcomes were the systolic and diastolic blood pressure measured weekly. The secondary outcomes were the pulse rate, heart rate variability, actigraphy measured through Fitbit, and the PSQI were measured before and after the experiment. There were statistically significant differences in systolic blood pressure (F = 5.67, p = .022), diastolic blood pressure (17.53, p < .001), and pulse rate (F = 6.78, p = .013) over time. Stress index (χ2 = 2.12, p = .040) and sleep efficiency (χ2 = 3.57, p = .001) were also significantly different before and after the experiment. However, there was no significant difference in the Pittsburgh Sleep Quality Index. Conclusion The findings showed that auricular acupressure leads to improvements in blood pressure, stress, and sleep in elderly people with essential hypertension. Therefore, auricular acupressure can be used as an alternative nursing intervention for hypertension prevention, stress, and sleep management. Registration WHO ICTRP KCT0007364

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Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism

Sim,

Park

2024

Holistic Nursing Practice

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The physical and psychological health management of nurses is very important not only for individual nurses but also for organizations and patients. However, nurses are exposed to high stress, sleep problems, and high presenteeism. Therefore, this study aimed to examine the effects of auricular acupressure (AA) on nurses’ stress, sleep problems, and presenteeism. This randomized controlled trial encompassed 60 nurses divided into an experimental group (n = 30) and a control group (n = 30). Auricular acupressure using AA stickers with small magnets attached was performed in the experimental group, and a placebo AA using simple AA stickers (without the small magnets) was performed in the control group. The treatment lasted 7 weeks. To confirm the results, stress, sleep quality, and presenteeism were measured at pre- and posttest. There was a statistically significant difference in scores for sleep quality (t = −1.98, P = .047), health problems (z = −2.38, P = .017), and work impairment (t = −4.46, P < .001) between the experimental and control groups at posttest. Auricular acupressure increased sleep quality scores and decreased presenteeism. Auricular acupressure using AA stickers with small magnets attached was effective in improving sleep quality and reducing presenteeism in nurses.

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Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 29 publications

Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain

Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain

The effects of auricular acupressure on blood pressure, stress, and sleep in elders with essential hypertension: a randomized single-blind sham-controlled trial

Effects of Auricular Acupressure on Nurses’ Perceived Stress, Sleep Quality, and Presenteeism

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