The Beneficial Role of Auricular Point Pressure in Insomnia and Anxiety in Isolated COVID-19 Patients

Yueming Luo; Chuanren Ling; Yangchen Liu; Chong Deng; Ana Maria Waaga-Gasser; Minggui Chen; Zehui He; Erhui Chen; Lin Wei; Shimiao Luo; Xiaozhen Gong; Hong Ye; Jing Zhu; Shan Song; Qiuting Wang; Shunmin Li; Martin Gasser; Meizhen Lin

doi:10.1155/2021/6611942

The Beneficial Role of Auricular Point Pressure in Insomnia and Anxiety in Isolated COVID-19 Patients

Evid Based Complement Alternat Med. 2021 Jul 8:2021:6611942. doi: 10.1155/2021/6611942. eCollection 2021.

Authors

Yueming Luo¹, Chuanren Ling², Yangchen Liu², Chong Deng³, Ana Maria Waaga-Gasser⁴, Minggui Chen², Zehui He², Erhui Chen², Lin Wei², Shimiao Luo², Xiaozhen Gong², Hong Ye², Jing Zhu², Shan Song⁵, Qiuting Wang³, Shunmin Li¹, Martin Gasser⁶, Meizhen Lin²

Affiliations

¹ The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.
² The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
³ Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
⁴ Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
⁵ Hunan University of Traditional Chinese Medicine, Changsha, China.
⁶ University of Wuerzburg, Wuerzburg, Germany.

Abstract

Background: Coronavirus disease 2019 (COVID-19) causes psychological distress and can have a negative impact on the general mental health and rehabilitation in affected patients under currently implemented isolation guidelines. Auricular point pressure (APP) as well-established technique in traditional Chinese medicine may help to relieve sleep disturbance and anxiety in COVID-19 patients.

Methods: During the early phase of the epidemic/pandemic, patients were enrolled in this study (02/2020 until 03/2020 n = 84). They were strictly isolated on specific wards at the Hubei Provincial Hospital of Integrated Chinese and Western Medicine in Hubei. The retrospective cohort study design included two groups. Group A patients were treated with an auricular point pressure (APP) in addition to standard intensive care medicine while Group B participants (No-APP) received routine nursing measures alone. Treatment outcome was measured using the St. Mary's Hospital Sleep Questionnaire (SMH) Score and the 7-Item Generalized Anxiety Disorder Scale (GAD-7). Both scores were measured in each patient at baseline and on the discharge day.

Results: The SMH score and sleep status changed in APP patients at the end of the treatment period when compared with No-APP patients (P < 0.01). APP-treated patients demonstrated lower GAD-7 scores than No-APP controls (P < 0.01). Further, no significant differences in safety or adverse events between the APP and No-APP groups were observed.

Conclusion: The results from our snapshot study during the early phase of the SARS-CoV-2 epidemic/pandemic suggest that auricular point pressure could be a simple and effective tool to relieve insomnia and situational anxiety in hospitalized patients suffering from COVID-19 and kept under disconcerting conditions of isolation.