耳穴貼壓於護理實務及實證研究之應用

The Usage of Auricular Acupressure in Clinical Nursing and Evidence-Based Research

耳穴貼壓是依據穴位經絡原理而發展出來的非侵入性物理療法。由於具有非侵入性、操作簡單、容易學習、副作用低等優點，加上可獨立執行，是護理人員在進行症狀護理，以及教導個案自我保健時，可以選擇的處置措施，或是輔助方法。隨著國內外支持其成效的實證性研究逐漸增加，因此也可以是在決定具有科學證據的護理措施時的一個選項。由於我國的護理教育是以西醫為導向，多數護理人員對源自於中國醫學理論的耳穴貼壓方法並不熟悉，因此本文除系統性的介紹耳穴貼壓的定義、理論基礎外，並包括其原則及操作等應用性知識，亦進一步分析進行耳穴貼壓實證性研究時常見的問題，以增進護理人員對耳穴貼壓的了解，並作為臨床應用或發展實證性研究設計時之參考。

Auricular acupressure is a non-invasive physiotherapy that was developed based on the traditional Chinese meridian theory. Because it is non-invasive, simple to implement, and easy to learn, and because it presents minimal side effects and may be executed independently, this therapy may be used as an alternative or auxiliary approach to symptom management as well as to self-care. The increasing support for auricular acupressure from evidence-based research in Taiwan and elsewhere offers the opportunity to include auricular acupressure as a treatment option in evidence-based nursing interventions. Because nursing education in Taiwan is guided by Western medical concepts and principles, most nurses are not familiar with auricular acupressure, which is derived from traditional Chinese medicine. Therefore, this article not only systemically introduces the definition and theoretical basis of auricular acupressure but also includes the principles and application-related knowledge. Furthermore, this article analyzes the common problems encountered in auricular acupressure research in order to improve the familiarity of nurses with this therapy, to provide references for clinical application, and to provide a basis for designing new evidence-based nursing research efforts.