Kudo Yukiko, Sasaki Makiko, Kikuchi Yukiko, Sugiyama Reiko, Hasebe Makiko, Ishii Noriko
Akita University Graduate School of Health Sciences, Akita, Japan.
Faculty of Health Sciences, Hokkaido University of Science, Hokkaido, Japan.
Jpn J Nurs Sci. 2019 Jan;16(1):88-100. doi: 10.1111/jjns.12216. Epub 2018 Jun 19.
The present study was conducted in order to clarify the effects of a warm hand bath at 40°C for 10 min on the blood flow in the shoulder, skin and deep body temperature, autonomic nervous activity, and subjective comfort in healthy women.
The study's participants were 40 healthy adult women who were randomly assigned to either a structured hand bath first and no hand bath second (Group A) or to no hand bath first and a hand bath second (Group B). The blood flow in the shoulder, skin and deep body temperature, autonomic nervous activity, and subjective comfort then were recorded in all the participants.
A repeated-measures ANOVA revealed no significant difference in the blood flow in the right shoulder or deep body temperature between groups. The skin temperature of the hands, forearms, and arms was significantly increased, but not of the face and upper back. The skin temperature of the forearms was maintained at 0.5°C-1°C higher for 30 min in the hand bath group, compared with the no hand bath group. The hand bath group had a significantly higher heart rate while bathing and a significantly lower parasympathetic nerve activity level during bathing. No significant difference was seen in the sympathetic activity level between groups. The hand bath group had a significantly higher subjective comfort level.
Hand baths can improve the level of subjective comfort and increase the heart rate and might affect autonomic nervous activity. The skin temperature of the forearms was maintained for 30 min in the hand bath group.
本研究旨在阐明40°C温水浴10分钟对健康女性肩部血流、皮肤及深部体温、自主神经活动和主观舒适度的影响。
该研究的参与者为40名健康成年女性,她们被随机分为两组,一组先进行有组织的手部沐浴,第二次不进行手部沐浴(A组),另一组第一次不进行手部沐浴,第二次进行手部沐浴(B组)。然后记录所有参与者的肩部血流、皮肤及深部体温、自主神经活动和主观舒适度。
重复测量方差分析显示,两组之间右肩部血流或深部体温无显著差异。手部、前臂和手臂的皮肤温度显著升高,但面部和上背部的皮肤温度未升高。与未进行手部沐浴的组相比,手部沐浴组前臂的皮肤温度在30分钟内保持高出0.5°C - 1°C。手部沐浴组在沐浴时心率显著更高,沐浴期间副交感神经活动水平显著更低。两组之间交感神经活动水平未见显著差异。手部沐浴组的主观舒适度水平显著更高。
手部沐浴可提高主观舒适度水平,增加心率,并可能影响自主神经活动。手部沐浴组前臂的皮肤温度保持了30分钟。