[[alternative]]The Effects of Aromatherapy Acupressure on Stiffness of Shoulder and Neck among midlife women in community

[[abstract]]社區婦女通常因生活忙碌壓力大導致肩頸僵硬不適但疏於就醫，鮮少有針對社區婦女肩頸僵硬的健康問題深入研究探討其成效。本研究目的:在芳香精油穴位按摩介入對社區婦女肩頸僵硬之質量性成效。本研究採類實驗研究設計。研究對象為新北市新店、中永和區非病理性因素造成肩頸僵硬達三個月以上40~65歲之婦女，以立意取樣方式，收案日期民國108年1月10日至3月30日。量性成效為肩頸僵硬及肩頸穴位(左右兩側之風池穴、肩井穴及膏盲穴)之壓力疼痛閾值，採實驗組每次介入前後之即時成效及比較有無兩週連續介入之實驗組及控制組之累積成效。質性成效為實驗組第二週最後一次按摩後予自我覺察健康改善成效。共收案實驗組32人，控制組35人。實驗組接受芳香精油塗抹及風池穴、肩井穴、曲池穴穴位按摩每次15分鐘，每週三次；控制組不介入任何措施。研究結果：一、即時成效：實驗組介入芳香精油穴位按摩後肩頸僵硬指數平均下降2.22±1.24分，達統計上顯著差異(P<0.001)。肩頸疼痛閾值：左風池穴下降0.11±0.32g、右風池穴下降0.25±0.37g、左肩井穴下降0.18±0.50g、右肩井穴下降0.23±0.33g、左膏盲穴下降0.25±0.33g及右膏盲穴0.14±0.39g，達統計上顯著差異(P<0.001)。二、累積成效：經二週介入措施後，實驗組的肩頸僵硬指數比控制組低1.224分，達統計上顯著差異(P<0.001)。肩頸疼痛閾值之左肩井穴分數降低0.844g，達統計上顯著差異（P<0.001)；其他如左右兩側風池穴、右肩井穴及左右兩側膏盲穴，在第二週分數下降雖不明顯但皆達統計上顯著差異（P<0.001)。結論與建議:芳香精油穴位按摩對中年婦女肩頸僵硬程度有立即性及兩週後累積性成效。在介入措施兩週後實驗組婦女自我覺察肩頸僵硬及背部肌肉緊繃感有改善，在心理靈性方面可以保持心情愉悅及繼續用精油照顧自己。建議在社區推廣芳香精油穴位按摩做為婦女肩頸僵硬的自我照護及保健。[[abstract]]The complains of stiff neck and neck are often happen in community women due to the stress of life and work loadings, however most of them are unwilling to seek medical treatment because of no time to visit physicians. Objectives: The study purpose was to evaluate the qualitative and quantitative effects, after two weeks, of an Aromatherapy acupressure on the neck and neck stiffness among community women. Methods: This study was conducted at New Taipei City, Xindian, Zhongyonghe District communities using a parallel-design, control trial for community women who complained of non-pathological factors causing stiff neck and neck for more than three months and with the age of 40 to 65 years old. The experimental group received Aromatherapy acupressure on acupuncture points of Wind Pool, Well and Cream Blind acupuncture points for 15 minutes each time, three times a week; the control group did not intervene in any measures. The intervention effects were measured by the pressure and pain threshold of the shoulder and neck stiffness and the acupuncture points of the shoulder and neck. The immediate effects of the experimental group were measured before and after each intervention and the cumulative effect of the experimental group and the control group with or without two consecutive weeks of intervention. Qualitative results are self-awareness health improvement results after the last massage in the second week of the experimental group. The intervention effects from the study baseline to a two weeks follow-up by immediate effects and cumulative effects were estimated using t-test and GEE effect model for repeated measures. Results: A total of 32 experimental groups were received and 35 were controlled. Aromatherapy Acupressure intervention had significantly immediate effects on the neck stiffness index decreased (2.22 ± 1.24, P<0.001).Threshold value of shoulder and neck pain: left and right wind pool point had significantly decreased (0.11±0.32g, 0.25±0.37g, P<0.001); left and right shoulder well point had significantly decreased (0.18±0.50g, 0.23±0.33g, P<0.001); left and right shoulder cream blind point had significantly decreased (0.25 ±0.33g, 0.14±0.39g P<0.001). The cumulative effect: After two weeks of intervention, had significantly cumulative effects the experimental group's shoulder and neck stiffness index lower than the control group (1.224, P < 0.001). The left shoulder well point of the shoulder and neck pain threshold had significantly decreased (0.844g P