碩士 / 南華大學 / 自然生物科技學系自然療癒碩士班 / 106 / Background and Purpose: The causes of tinnitus are complex and difficult to determine. Common ailments caused by tinnitus such as insomnia, anxiety, restlessness, depression and helplessness create many stress and negative emotions. The current method of medical treatment of tinnitus include anti-depressants, sedatives and vitamin B, etc., while others such as sound masking or desensitization therapy are designed to gradually adapt the patient to tinnitus. Yoga pranayama uses respiration breathing techniques to improve the respiratory system, improve sleep quality, reduce anxiety and prevent bipolar disorder and stabilize the nervous system and emotions. The purpose of this study was to investigate the effects of yoga pranayama on tinnitus, anxiety and insomnia caused by chronic tinnitus.
Materials and Methods: A single group, pre-test and post-test study was conducted on patients with chronic tinnitus from a hospital in southern Taiwan. A total of 12 tinnitus patients participated in this study. The study spanned over a 16-week period, which was divided into two phases. The first phase included a 60-min yoga lesson given by an instructor once a week for 12 consecutive weeks; the second phase required the patients to practice yoga with a CD audio guide at home for 4 consecutive weeks. Data were collected before the participants began their yoga lessons, as well as after completing phase 1 and phase 2. Assessment tools included STAI-S, STAI-T, the Tinnitus Functional Index, the Pittsburgh Sleep Quality Index, and interviews with the participants. Data were analyzed using the Friedman test, in which the effect of intervention was mainly based on the time effect.
Results: A total of 11 tinnitus patients completed the experiment. The results of the Friedman test showed that as the time period increased, the scores for functional index, emotional index, severity index, and overall tinnitus distress decreased at pre-test (T1), yoga exercise (T2), and CD audio yoga exercise (T3), in which significant differences were observed between the different phases. Results from the STAI-S survey showed significant differences in positive emotion, negative emotion, and overall anxiety as the time participants spent practicing yoga exercises increased, whereas significant differences in positive emotions were only observed in the STAI-T results. Results also showed that state anxiety, trait anxiety, and tinnitus distress scores decreased as the time practicing yoga increased. These findings indicated that yoga exercises reduced anxiety and tinnitus distress. However, yoga exercises did not significantly improve sleep quality and tinnitus severity.
A positive correlation was found between tinnitus distress and anxiety (r = 0.862, P = 0.001). In addition, positive correlations were also observed between state anxiety, tinnitus distress, and sleep quality (r = 0.741, P = 0.009；r = 0.823, P =0.002). Results also showed that as a reduction in tinnitus distress occurred over time, both state anxiety and sleep quality also improved. This study demonstrated that yoga exercises can be used to reduce tinnitus distress and anxiety, as well as patients' overall living quality.
| Identifer | oai:union.ndltd.org:TW/106NHU00067001 |
| Date | January 2018 |
| Creators | SUN, SHU-MIN, 孫淑敏 |
| Contributors | CHEN, CHIU-YUAN, CHEN, CHIA-MIN, 陳秋媛, 陳嘉民 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 127 |
Page generated in 0.0016 seconds