Kunikata Hiroko, Watanabe Kumi, Miyoshi Makoto, Tanioka Tetsuya
Department of Nursing, Faculty of Health Sciences, Kagawa Prefectural University of Health Sciences, Kagawa, Japan.
J Med Invest. 2012;59(1-2):206-12. doi: 10.2152/jmi.59.206.
This study examined the effects of hand massage on autonomic activity, anxiety, relaxation and sense of affinity by performing it to healthy people before applying the technic in actual clinical practice. Findings were showed below: 1) the significant increase in the pNN50 and the significant decrease in the heart rate meant the intervention of massage increased the autonomic nervous activity, improved the parasympathetic nerve activity and reduced the sympathetic nerve activity. This means the subjects were considered to be in a state of relaxation. 2) Salivary α amylase has been reported as a possible indicator for sympathetic nerve activity. In this study, there was no significant difference in the salivary α amylase despite a decrease after massage. 3) State anxiety score is temporal situational reactions while being in the state of anxiety and this score decreased significantly after massage. 4) The level of willingness to communicate with other person and the sense of affinity toward the massage-performer had a positive change of 70 percent. From this, it can be considered that a comfortable physical contact between a patient and a nursing profession, who are in a supported-supportive relationship, leads to an effect of shortening the gap in their psychological distance.
本研究在实际临床实践中应用该技术之前,对健康人群进行手部按摩,以检验其对自主神经活动、焦虑、放松及亲和感的影响。结果如下:1)pNN50显著增加且心率显著降低,这意味着按摩干预增加了自主神经活动,改善了副交感神经活动并降低了交感神经活动。这表明受试者被认为处于放松状态。2)唾液α淀粉酶已被报道为交感神经活动的一个可能指标。在本研究中,尽管按摩后唾液α淀粉酶有所下降,但并无显著差异。3)状态焦虑评分是处于焦虑状态时的即时情境反应,按摩后该评分显著降低。4)与他人交流的意愿程度以及对按摩执行者的亲和感有70%的正向变化。由此可以认为,处于支持与被支持关系中的患者与护理人员之间舒适的身体接触,会产生缩短他们心理距离差距的效果。