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差异触摸对心脏病康复患者神经系统唤醒的影响。

Effects of differential touch on nervous system arousal of patients recovering from cardiac disease.

作者信息

Weiss S J

机构信息

School of Nursing, University of California, San Francisco 94143-0608.

出版信息

Heart Lung. 1990 Sep;19(5 Pt 1):474-80.

PMID:2170296
Abstract

Previous research suggests that the neural properties of certain types of touch as well as their perceived significance to the disease state may be related to heightened activation of the nervous system. In this study the effects of different types of touch on nervous system arousal were examined in 59 adult patients who were receiving treatment for coronary artery disease. They were exposed to a standardized protocol that systematically varied the neural properties and procedural nature of the touch received. Measures of cardiovascular reactivity (heart rate and rhythm data as well as blood pressure measurements) and state anxiety were used as indexes of arousal. The results indicated that all types of touch evoked heart rate deceleration in contrast to both baseline and verbal conditions. However, there were no differential effects related to either the neural properties or procedural nature of touch. Diastolic blood pressure and state anxiety were also lower as a result of the touch. No changes were observed for systolic blood pressure or heart rhythm. In general, findings suggested that touch served to reduce arousal rather than to produce negative psychophysiologic consequences for recovery.

摘要

先前的研究表明,某些类型触觉的神经特性及其对疾病状态的感知意义可能与神经系统的激活增强有关。在本研究中,对59名接受冠状动脉疾病治疗的成年患者进行了不同类型触觉对神经系统唤醒影响的研究。他们接受了标准化方案,该方案系统地改变了所接受触觉的神经特性和操作性质。心血管反应性测量(心率和节律数据以及血压测量)和状态焦虑被用作唤醒指标。结果表明,与基线和言语条件相比,所有类型的触觉都能引起心率减速。然而,触觉的神经特性或操作性质均未产生差异效应。由于触觉,舒张压和状态焦虑也较低。收缩压或心律未观察到变化。总体而言,研究结果表明,触觉有助于降低唤醒水平,而不会对康复产生负面心理生理后果。

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