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1 Vol. 13 No Λ1 Λ2 Λ3 Λ1 Λ4 Λ5 Λ ±0.03ml/min/100g mean±se 0.24±0.03ml ±0.06ml 31.73±1.64 ffi C 33.26±0.94 ffi C ±0.56 ffi C 8.7 ffi C 70.29±2.62beats/min 65.86±2.13beats/min 65.14±1.83beats/min 84.79±3.53mmHg 82.43±2.26mmHg, 83.29±2.39mmHg r =0.54,p<0.05. M.Snyder 1) 2 8) 9 11) 12) 13) 14) Λ1 Λ2 Λ3 Λ4 Λ5 Λ

2 56 15) ± ) ALF21 2 C ThermovisionCRP570 JPEG ES H ffi C 60% Bonferroni/Dunn pearson Mean±SE ffi C ffi C 5

3 足底のタッチングによる末梢循環動態と主観的反応の変化 表 タッチングによる末梢血流量 耳朶 の変化 表 図 タッチングによる末梢皮膚温度の変化 タッチングによる末梢皮膚温度の変化 注 図中の矢印はタッチング期間を示す は事例を示す! " ング直後 タッチング終了 分後で比較し図 に示 末梢皮膚温度との相関をみると 図 に示す如く した 有意な相関関係が認められた また 側腹部臍高でも有意な相関関係が認められた 血圧と心拍数の変化! " 血圧の変化を平均血圧でみると表 に示す如く タッチング直後に低下し 徐々に回復傾向にあった タッチングによる主観的反応 心拍数の変化は表 に示す如く タッチング直後に タッチングによる主観的反応をみると 表 にみ 減少傾向は観察されたが いずれも有意差は認めら られる如く 足のだるさが取れた 安心が得られ れなかった た 眠気を感じた リラックスができた などの 肯定的反応が得られた そして 否定的反応は全く 末梢血流量と末梢皮膚温度との関係 計測開始 分後から 分間の耳朶の末梢血流量と 見られなかった しかし 表 に示す如く 実験に よる外的要因が被験者へ与えた影響とし て 動作

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6 Snyder M Weiss S Effects of Differential Touch on Nervous System Arousal of Patients Recovering from Cardiac Disease Heart & Lung Adomat R and Killingworth A Care of the Critically ill Patient/the Inpact of Stress on the Use of Touch in Intensive Therapy Units Journal of Advanced Nursing

7 Barnett K A Theoretical Construct of the Concepts of Touch as They Relate to Nursing Weiss SJ The Language of Touch Nursing Research Estabrooks CA Touch / A Nursing Strategy in the Intensive Care Unit Heart & Lung Touch

8 62 Effect on Peripheral Hemodynamics of Soothing Touch to the Soles of the Feet Yoshiko FUTOYU, Tetuya TANIOKA, Haruo KOBAYASI, Keiko TAKEDA, Yoshie EBATA, Yoshihiro KAI and Yoshio INOUE (Accepted Jun. 5, 2003) Key words : touching, peripheral blood flow (PBF), skin surface temperature (sst), heart rate (hr), systemic blood pressure (sbp) Abstract The purpose of this study was to examine the effect of soothing touch to the soles of feet on peripheral hemodynamics. Seven female subjects participated in the study that included responding to a questionnaire after the experiment. Peripheral blood flow(pbf),skin surface temperature(sst), heart rate(hr) and systemic blood pressure(sbp) were measured before, during and after five minutes of touching the sole. The results were as follows: 1) PBFs in the right earlobe were 0.22 ± 0.03 ml/min/100g(mean ± SE), 0.24 ± 0.03 and 0.24 ± 0.06, respectively; 2) SSTs in the palmof the hand were ± 1.64, ± 0.94 and ± 0.56; 3) HRs measured by electrocardiogram were ± 2.62 beats/min, ± 2.13 and ± 1.83; 4) SBPs were ± 3.53 mmhg, ± 2.26 and ± The differences in PBF and SST were statistically significant(r=0.54, p < 0.05). All subjects responded that they were comfortable after the touching procedure. Increase in SST may have been due to peripheral vasodilatation fromthe touching. Correspondence to : Yoshiko FUTOYU Department of Nursing, Faculty of Medical Welfare Kawasaki University of Medical Welfare Kurashiki, , Japan (Kawasaki Medical Welfare Journal Vol.13, No.1, )

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