Journal List > J Korean Acad Community Health Nurs > v.29(2) > 1100757

Chang and Park: Effects of Auricular Acupressure Therapy on Musculoskeletal Pain, Depression and Sleep of the Elderly in Long-term Care Facilities



The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities.


The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects).


After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time (x2=23.89, p<.001) and degree of depression on time and group (x2=37.42, p<.001, U=122.0, p<001) and degree of sleep on time (x2=33.62, p<.001). Thus, the suggested hypothesis is partially supported.


Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.


1. Ministry of Health & Welfare. Current status of welfare facilities for the elderly in 2017. [internet]. Sejong: MOHW;2017. [cited 2018 Jan 25]. Available from:.
2. Ferrell BA. The management of pain in long-term care. The Clinical Journal of Pain. 2004; 20(4):240–243.
3. Jung KH, Oh YH, Kang EN, Kim JH, Sun WD, Oh MA, et al. 2014 Actual condition survey of elderly. Policy Report. Sejong City: Ministry of Health and Welfare;2014. December. Report No.: 11-1352000-001426-12.
4. Lee YM. Influence of behavioral and psychological symptoms on pain in nursing home residents with cognitive impairment. Journal of Korea Society for wellness. 2016; 11(1):107–116.
5. Moon SH, Hong Son GR. Predictors of depression among older adults in long-term care facilities. Journal of Korean Gerontological Nursing. 2015; 17(2):65–75.
6. Lee YM. Relationship among pain, depression and activities of daily living in nursing home residents. Journal of the Korea Academia-Industrial Cooperation Society. 2014; 15(11):6728–6738.
7. Lee JY, Moon YS. Effects of chronic pain and social support on depression and suicide in the elderly. Journal of Digital Cover-gence. 2015; 13(10):445–458.
8. Kim EH, Lee JW. A study on activity of daily living, perceived health status, depression of elderly to types of residency (in home and in institution). Journal of The Korean Data Analysis Society. 2009; 11(1):183–197.
9. Kim JI. Health conditions, activities of daily living, depression, sleep and cognitive functions of the elderly at care facilities and their related factors. Journal of The Korea AcademiaIn-dustrial cooperation Society. 2016; 17(11):463–473.
10. Lee DK. Clinical approach to elderly insomnia. Korean Journal of Clinical Geriatrics. 2013; 14:1–10.
11. Kim R. Pharmacological treatment of sleep disorders in elderly. Journal of Korean Association for Geriatric Psychology. 2003; 7(1):11–22.
12. Yoon SR, Kim TH. Park SW, Yoon BW, Cho E, Park JS. A study on differences of sleep quality among the community-dwelling, long-term care facility, and hospitalized elderly people. Koran Journal of Research in Gerontology. 2015; 24:149–168.
13. Kim JS, Kang S, Mun VN. A comparison of sleep habits and sleep disorder between institutionalize elderly and community dwelling elderly. Chonnam Journal of Nursing Science. 2007; 12(1):129–142.
14. Cho HJ, Cho SJ. A study of application of alternative medicine to the care of the aged with chronic diseases: Focusing on the nursing homes for the aged. Intentional Journal of Complementary, Integrative and Alternative Medicine. 2007; 3(2):179–193.
15. Sok SR. A comparative study on the applied effects of auricular acupressure therapy on insomnia in the elderly by Sasangin constitution: Based on Tae Yin In, So Yang In, and So Yin In. Journal of Korean Academy of Community Health Nursing. 2009; 20(3):327–334.
16. Moon HJ, Kim KB, Sok SH, Hong KH. A literature review about application of an auricular acupuncture therapy for independent oriental medical nursing intervention development. Journal of East-West Nursing Research. 1999; 4(1):66–76.
17. Park KS, Ha EH, Kim YN, Kwon SJ, Ru LJ, Song JH, et al. The effect of ear reflexotherapy on back pain of working women in middle age. Journal of Muscle and Joint Health. 2010; 17(1):14–24.
18. Yeo YM, Chong MS. The effect of auricular reflexology therapy in musculoskeletal disease. The Journal of Korean Academy of Medical Gi-gong. 2009; 11(1):221–235.
19. Kim JY. The effects of auricular acupressure on stress, depression, anxiety in institutionalized children in Korea. [dissertation]. [Seoul]: Chung-Ang University;2014. p. 116.
20. Park YK. Effect of auricular acupressure therapy on stress and depression in middle age women. [dissertation]. [Seoul]: Kyung Hee University;2015. p. 86.
21. Lee YH, Kim SY. Effects of auricular acupressure therapy on insomnia in hemodialysis patients. The Korean Journal of Rehabilitation Nursing. 2007; 10(1):21–28.
22. Lee JO, Kwon YS. Effects of auriculotherapy on sleep disorders in the elderly. Journal of East-West Nursing Research. 2009; 15(1):1–8.
23. Cleeland CS, Ryan KM. Pain assessment: Global use of the brief pain inventory. Annals, Academy of Medicine Singapore. 1994; 23(2):129–138.
24. Yun YH, Mendoza TR, Heo DS, Yoo T, Heo BY, Park HA, et al. Development of a cancer pain assessment tool in Korea: A validation study of a Korean version of the brief pain inventory. Oncology. 2004; 66(6):439–444.
25. Yesavage JA, Sheikh JI. 9/Geriatric depression scale(GDS) recent evidence and development of a shorter version. Clinical Gerontologist. 1986; 5(1-2):165–173.
26. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association. 1996; 35(2):298–307.
27. Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing & Health. 1987; 10(3):155–163.
28. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing. 1998; 28(3):563–572.
29. Cho CS. A healthy society through the auricular acupressure therapy. Gyeonggi: Solbooks;2015. p. 214.
30. Kim SJ, Choi MS, Sung KW. Variables affecting competency of nurses in nursing homes. Journal of Korean Gerontological Nursing. 2010; 12(1):29–39.

Figure 1.
Meridian point for auricular acupressure therapy.
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