在宅ケアで活用できる『温罨法を併用した手のマッサージ法』の生理的・心理的効果  [in Japanese] Physiological and Psychological Effects of Hand Massage Combined with a Hot Compress that Can Be Used in Home Care  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 平原 優美 Hirahara Yumi
    • 首都大学東京大学院人間健康科学研究科看護科学域博士後期課程|日本訪問看護財団あすか山訪問看護ステーション Doctoral Course, Department of Nursing Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University|Japan Visiting Nursing Foundation Asukayama Visit Nursing Station
    • 河原 加代子 Kawahara Kayoko
    • 首都大学東京大学院人間健康科学研究科看護科学域 Graduate School of Human Health Sciences, Tokyo Metropolitan University
    • 早野 貴美子 Hayano Kimiko
    • 防衛医科大学校医学教育部看護学科防衛看護学講座 Defense Nursing Division of Nursing, National Defense Medical College
    • 習田 明裕 Shuda Akihiro
    • 首都大学東京大学院人間健康科学研究科看護科学域 Graduate School of Human Health Sciences, Tokyo Metropolitan University

Abstract

 本研究は, 在宅ケアで活用できる『温罨法を併用した手のマッサージ法』 (以下, 温罨法マッサージ法) の生理的・心理的効果の確認を目的とした. 対象は地域住民6名 (平均年齢50.2±3.3歳) とし, 事前研修を受けた看護師6名が温罨法マッサージ法を実施した. 測定方法は自律神経活動指標に加速度脈波測定器 (TAS9VIEW) を使用し心拍変動解析による高周波成分 (以下, HF) と, 低周波成分 (LF) とHFの比 (以下, LF/HF) を採用した. 主観的評価には日本語版POMS短縮版 (以下, POMS) を使用した. 結果, HFは温罨法マッサージ法開始直後から100%をこえ1分後138.4%に上昇しその後温罨法マッサージ法実施中, 実施後も上昇が継続した. LF/HFは直後から1分後約69.5%となり8分後まで低下が継続した. POMSでは前後に有意な差はみられず「緊張-不安」がやや減少し「活気」が上昇する傾向を確認するにとどまった. 温罨法マッサージ法は実施10分間程度で副交感神経の活動を上昇するケアであることが示唆された.

 The purpose of this study was to verify the relaxation effects of hand massage combined with a hot compress (hot compress massage), which can be used in home care. The subjects were 6 local residents (mean age, 50.2±3.3 years, and hot compress massage was applied by 6 nurses who had previously received training in this technique. Measurements were made using an acceleration pulse wave measuring device (TAS9VIEW), and the indices of autonomic nervous system activity were the high frequency component (HF), the low frequency component (LF), and the ratio of the two (LF/HF) obtained from analysis of heart rate variability. Mood was evaluated using the Profile of Mood States Brief Form Japanese Version (POMS). The results showed that HF exceeded 100% immediately after the start of hot compress massage, and a 138.4% increase persisted from care after the start. LF/HF decreased immediately after the start until approximately 5 min after the start 69.5% (<i>P</i><0.05), after which the decrease persisted. There were no significant differences in POMS before and after hot compress massage, but Tension-Anxiety showed a slight decrease and Vigor showed a tendency to increase. Hot compress massage takes about 8 min to administer, and the results of this study suggest that it is a form of care in which parasympathetic nervous activity functions significantly.

Journal

  • Japanese Journal of Nursing Art and Science

    Japanese Journal of Nursing Art and Science 17(0), 71-79, 2018

    Japanese Society of Nursing Art and Science

Codes

  • NII Article ID (NAID)
    130007437450
  • Text Lang
    JPN
  • ISSN
    1349-5429
  • Data Source
    J-STAGE 
Page Top