A Study on Changes of Hand Caring on Individuals with Mental Disorder Using Autonomic Activity and Psychological Indexes about Anxiety and Interpersonal Distance

• Watanabe Kumi

  School of Nursing, Faculty of Medicine, Kagawa University

• Kunikata Hiroko

  Department of Nursing, Kagawa Prefectural University of Health Sciences

• Miyoshi Makoto

  Faculty of Health Sciences, Kobe University Graduate School of Health Sciences

Bibliographic Information

Other Title

• 精神障害者へのハンドケアリング前後の変化
• 自律神経活動および不安，対人距離の心理的指標から

Abstract

In this study, we performed hand massage on individuals with mental disorder, based on a soft-touch skin contact method developed by us. In addition, we elucidated the changes before and after the intervention using autonomic activity indices, such as heart rate variability and amylase, and psychological indices, such as anxiety, the degree of relaxation, the level of fatigue, desire for conversation and the sense of intimacy. The subjects were 10 individuals with mental disorder living in a community (mean age 56.7±14.9 years) who underwent 15 min of face-to-face hand massage in a sitting position following loading with the Uchida–Kraepelin test. A comparative analysis conducted for each index before and after the intervention revealed a significant decrease in the heart rate and a significant increase in pNN50 after the intervention. The State-Trait Anxiety Inventory (STAI) score showed significant decreases in both state and trait anxieties after the intervention, and a subjective evaluation using the Visual Analog Scale (VAS) showed a significant reduction in the level of fatigue alone. Desire to converse with and the sense of intimacy toward the practitioner was increased by ≥50% following the intervention. No significant difference in salivary α-amylase was observed between the state at rest and before and after the intervention. In addition to enhancing the parasympathetic activity and causing a reduction in anxiety and subjective fatigue, our study indicates that hand massage has a favourable effect on psychological distance from the practitioner and has nurse–patient relationships forming of possible applications.

Journal

• Journal of Japan Academy of Nursing Science

  Journal of Japan Academy of Nursing Science 35 (0), 146-154, 2015

  Japan Academy of Nursing Science

Keywords

• hand massage
• relaxation
• HRV analysis
• psychiatric nursing
• pre-experimental study

Details

• CRID: 1390001204792288768
• NII Article ID: 130005108237
• DOI: 10.5630/jans.35.146
• ISSN: 21858888
• ISSN: 02875330
• Web Site: https://www.jstage.jst.go.jp/article/jans/35/0/35_201518/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016262644
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed