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迷走神经生物反馈干预改善乌克兰被迫移民健康结局的概念验证研究

Vagal Nerve Biofeedback Intervention for Improving Health Outcomes Among Ukrainian Forced Migrants: A Proof-of-Concept Study.

作者信息

Gidron Yori, Levy Einav, Ryder Chen Hanna, Shaul Sharon, Sirota Rita, Atias Drorit

机构信息

Faculty of Welfare and Health Sciences, University of Haifa, Haifa 3103301, Israel.

Department of Social Work, Tel-Hai College, Qiryat Shmona 1220800, Israel.

出版信息

Int J Environ Res Public Health. 2025 Mar 28;22(4):515. doi: 10.3390/ijerph22040515.

Abstract

BACKGROUND

The ongoing conflict in Ukraine has forced numerous migrants into neighboring countries, many suffering from pre-existing or newly acquired physical and mental health conditions. Addressing these complex challenges in humanitarian settings requires innovative, evidence-based interventions that are cost-effective and easy to administer. Drawing upon research highlighting the vagus nerve's role in regulating well-being, we hypothesized that vagal nerve activation could offer a promising therapeutic approach.

METHOD

We conducted a proof-of-concept study in which 21 Ukrainian forced migrants were trained in a biofeedback-guided paced breathing intervention designed to stimulate the vagus nerve and promote self-regulation of stress response systems. Changes in pain perception, perceived stress, blood pressure, and heart rate were assessed before and after the vagal breathing intervention using a -test. Correlations were examined at baseline.

RESULTS

Statistically significant improvements were observed in all measures except systolic blood pressure, providing preliminary evidence for the efficacy of vagal nerve activation in alleviating stress-related health symptoms.

CONCLUSIONS

This study demonstrates the feasibility and therapeutic potential of a vagal nerve-activating intervention in a humanitarian setting. These findings warrant replication in larger, controlled trials. If substantiated, this low-cost, scalable intervention could help mitigate health burdens among forced migrant populations worldwide.

摘要

背景

乌克兰持续的冲突迫使大量移民涌入邻国,许多人患有先前存在的或新出现的身心健康问题。在人道主义环境中应对这些复杂挑战需要创新的、基于证据的干预措施,这些措施要具有成本效益且易于实施。基于强调迷走神经在调节幸福感中作用的研究,我们假设迷走神经激活可能提供一种有前景的治疗方法。

方法

我们进行了一项概念验证研究,对21名乌克兰被迫移民进行了生物反馈引导的节律性呼吸干预训练,该干预旨在刺激迷走神经并促进应激反应系统的自我调节。在迷走神经呼吸干预前后,使用t检验评估疼痛感知、感知压力、血压和心率的变化。在基线时检查相关性。

结果

除收缩压外,所有测量指标均观察到具有统计学意义的改善,这为迷走神经激活在减轻与压力相关的健康症状方面的有效性提供了初步证据。

结论

本研究证明了在人道主义环境中进行迷走神经激活干预的可行性和治疗潜力。这些发现值得在更大规模的对照试验中进行重复验证。如果得到证实,这种低成本、可扩展的干预措施可以帮助减轻全球被迫移民群体的健康负担。

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本文引用的文献

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Health Risks During Ukrainian Humanitarian Crisis.乌克兰人道主义危机期间的健康风险。
Risk Manag Healthc Policy. 2022 Sep 22;15:1775-1781. doi: 10.2147/RMHP.S375021. eCollection 2022.

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