2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/38554Sleep is a vital and restorative human function. However, the prevalence of sleep difficulties is increasing in current society that accounts for 11.7%~32.5% of adults involved. Studies showed that decreased parasympathetic nervous activity and increased sympathetic nervous activities were associated with insomnia. Chinese auricular therapy that combines the Meriadian theory and nerve distributions in the auriculae may have effects on melatonin secretion and autonomic nervous system balance, hence to improve sleep quality in middle age adults. This three-year study will use a three-group, randomized controlled experimental design to examine the effects of two auricular therapies on autonomic nervous function, melatonin secretion, and sleep quality in middle age adults with sleep disturbances (n=40 in each group). Subjects will be recruited from flyers and randomly assigned to three groups: the control group (CG), the auricular pressure therapy (APT), and the auricular massage exercise (AME). Each subject will receive a 3-week intervention according to their groups. Outcomes of melatonin, autonomic nervous function heart rate variability, and sleep quality will be compared before, during and after intervention. In the first year, all devices will be tested and calibrated, protocol of sleep research will be developed, and subjects will be enrolled for sleep study (expect 10 subjects in each group). The second year will consider as the data collecting year (expect 20 subjects in each group). In the third year, more subjects will be recruited (expect 10 subjects in each group), sleep data will be scored. Melatonin, heart rate variability, and sleep data will be analyzed for final report and publication. Study results will provide evidence for Chinese medicine auricular therapy as well as developing non-invasive sleep interventions for those who suffer from poor sleep.睡眠是一項重要且能恢復人體能量的活動，然而在現代社會，失眠的 發生率越來越高，約有11.7%~32.5%的成年人承受失眠之苦。研究顯示失眠 者其副交感神經活動減少、而交感神經活動增加。傳統中醫之耳穴按壓治 療結合中醫臟腑調和理論與神經學中耳穴區域佈滿副交感神經，可能可以 調和自主神經功能而促進睡眠。本研究為三年期研究計畫，使用隨機分派 實驗性研究設計，檢測兩種耳穴按壓方式對有睡眠困難之成年人(n=40/每 組)之自主神經功能、melatonin分泌、與睡眠品質之成效。研究個案從海 報招募而來，並隨機分成三組: 控制組、耳穴按壓治療組、及耳穴按摩運 動組。每一位研究個案依據其組別接受3星期的耳穴按壓治療措施。研究結 果將比較治療措施前、中、後之Melatonin、自主神經功能心律變異性、與 睡眠品質之成效。第一年主要之工作為測試研究機器，建立睡眠研究室標 準，開始收集研究樣本生理資料並給予耳穴按壓處置(預計10位個案/組)， 第二年為資料收集年(預計20位個案/組)。第三年將收集更多個案(預計10 位個案/組)，並分析melatonin、自主神經功能心律變異性、與睡眠資料。 研究結果提供中醫耳穴治療之實證資料，並發展非侵入性的睡眠處置。研 究結果可提供處置成年人睡眠障礙的參考。成年人睡眠melatonin耳穴治療自主神經功能adultsleepmelatoninauricular therapyautonomic nervousfunctionProject