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However, OSA Factor II (sleep onset and sleep maintenance) results indicated a trend towards amelioration of insomnia for both subjects with the FT. 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不眠に与える灸セルフケアの影響
https://morinomiya.repo.nii.ac.jp/records/98
https://morinomiya.repo.nii.ac.jp/records/983e2f2a22-4e11-45bf-b7af-88fefbeccd75
名前 / ファイル | ライセンス | アクション |
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bmumss_11_87-94.pdf (613.0 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2017-05-17 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 不眠に与える灸セルフケアの影響 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Effects of moxibustion self-care treatment on insomnia | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
堀川, 奈央
× 堀川, 奈央× 大月, 隆史× 鍋田, 智之× HORIKAWA, Nao× OOTSUKI, Takashi× NABETA, Tomoyuki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 【目的】入床前に被験者が行う灸セルフケアが不眠の改善に有効かを検証した。灸セルフケアの部位として、コリを自覚する部位と足部について比較した。 【デザイン】ランダム化単一事例研究法 【被験者】被験者はピッツバーグ睡眠質問票で6点以上を示した成人2名とした。 【介入】足への灸治療(FT)、コリ(肩こり・腰痛)への灸治療(ST)の2種類の介入を比較した。介入の1期間を2週間とし、毎日灸治療を実施した。介入は2週間の無治療(NT)を挟んで各2期間実施し、順序はランダムに割り付けた。灸刺激はFTで左右の太渓穴、太衝穴、足臨泣穴に実施した。STでは、被験者がコリを自覚する部位に片側5か所以内、最大10か所まで実施した。使用した灸は、株式会社セネファ製の無煙灸「せんねん灸の奇跡」とした。 【評価】主な評価はOSA睡眠質問票MA版(OSA)を毎晩記録した。副評価として日本語版エプワース眠気尺度(JESS)を介入の翌日に記録した。各期間の1日に簡易型脳波計を用いて入眠潜時などの指標を記録した。 【分析】FT2期間(4週間)、ST2期間(4週間)を直前のNT(4週間)と比較した。 【結果】2名の被験者ともに、OSAとJESSの両評価において、FT、STともに介入前後で統計的有意差は認められなかった。OSAの因子Ⅱ(入眠と睡眠維持)はFTで2名の被験者ともに改善傾向を示した。因子Ⅴ(睡眠時間)はFT、ST両群で改善傾向を示した。2名のコリに対するVASと各因子では相関は認められなかった。 【考察】本研究の結果、統計的有意差は認められなかったが、灸セルフケアによって睡眠時間および入眠と睡眠維持の改善傾向が認められた。特にFTで改善する傾向が示された。肩コリ・腰痛の改善と各因子の関係は認められなかった。入床前の灸刺激は不眠の症状を改善する可能性が考えられる。部位としては足部を選択することが良いと考えられるが、より質の高い大規模な研究が不可欠と考える。 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: This study determined whether moxibustion self-care treatment conducted by subjects prior to going to bed was effective at ameliorating insomnia, and results were compared between treatment locations comprising the feet and locations with noticeable stiffness. Methods: Design was Randomized single-case.The subjects were two adults who scored six points or higher on the Pittsburgh Sleep Quality Index (PSQI).Two versions of the intervention were compared, i.e. moxibustion treatment on the feet (FT) and moxibustion treatment on areas of stiffness, e.g. shoulder stiffness/back pain (ST). A single intervention period lasted two weeks during which the intervention was performed daily. A two-week period of non-treatment (NT) was inserted after every period of FT or ST, with the order of treatment randomized. The moxa used was smokeless moxibustion.The principal evaluation method used was the OSA sleep inventory MA version, which was filled out nightly. As a secondary evaluation, the Japanese version of the Epworth Sleepiness Scale (JESS) was recorded on the day after the intervention. On day 1 during each experimental period, indices such as latency of sleep onset were recorded using a simple electroencephalograph. Analysis: Two FT periodsand two ST periodswere compared to their immediately preceding NT periods. Results: Pre-post intervention differences were not observed in the subjects using the FT or ST in either OSA or JESS evaluations. However, OSA Factor II (sleep onset and sleep maintenance) results indicated a trend towards amelioration of insomnia for both subjects with the FT. Meanwhile, Factor V (sleep duration) results indicated a trend towards amelioration with both FT and ST. Discussion: The results suggest that nevertheless, it is possible that moxibustion stimulation prior to going to bed ameliorates symptoms of insomnia. |
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書誌情報 |
森ノ宮医療大学紀要 en : Bulletin of Morinomiya University of Medical Sciences 巻 11, p. 87-94, 発行日 2017-03-20 |
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出版者 | ||||||
出版者 | 森ノ宮医療大学 紀要編集部会 |