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The Effect of Human Relationship on the Experimentally Evoked Pain Threshold

人际关系对实验诱发疼痛阈值的影响

基本信息

批准号：
07672548
负责人：
FUKAI Kiyoko
金额：
$ 1.47万
依托单位：
KAWASAKI UNIVERSITY OF MEDICAL WELFARE
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1996
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672548/
关键词：
client-nurse relationship experimentally evoked pain threshold pain response analgesic nursing care sex difference 対人関係評価

项目摘要

1. This study confirmed that the Client-Nurse Relationship Scale (Fukai & Sugita, 1994) is a reliable and valid tool that accurately assesses relationships between not only patient and nurse but also other human relationships.2. The pain threshold induced during cold stimulation of the skin was higher when there was rapport between the investigator and the subject. This indicated that the pain tolerance threshold during cold stimulation is affected by human relationships. ACTH,beta-endorphin, Adrenaline and Noradrenaline in the blood serum temporarily increased during the stress induced analgesia by cold stimulation. This tendency was more pronounced when there was rapport between the investigator and the subject.3. The pain tolerance threshold was higher in males than females during electrical stimulation. There was no significant difference in the threshold between the two female groups, those who knew and those who did not know the investigators. The responses in local sweat volume and heart rate indicated that the greater the human interaction during nursing care, the greater the autonomic nervous reaction. These responses also suggested that patients were more nervous when care was administered by nurses of the opposite sex or strangers. Likewise, care was more effective when patient and nurse were the opposite sex or were acquainted with each other.4. The authors plan to study the differences of pain thresholds and the effects of analgesic nursing care in persons with and without chronic pain using experimentally induced pain. The investigation also will include differences between sexes and human relationships.

1. 本研究证实，客户-护士关系量表（Fukai & Sugita，1994）是一种可靠且有效的工具，不仅可以准确评估患者与护士之间的关系，还可以准确评估其他人际关系。2．当研究者和受试者之间关系融洽时，皮肤冷刺激引起的疼痛阈值更高。这表明冷刺激时的疼痛耐受阈值受到人际关系的影响。冷刺激应激镇痛时血清中ACTH、β-内啡肽、肾上腺素、去甲肾上腺素暂时升高。当研究者和受试者之间关系融洽时，这种趋势更加明显。3．电刺激时男性的疼痛耐受阈值高于女性。认识调查者和不认识调查者的两个女性组之间的阈值没有显着差异。局部出汗量和心率的反应表明，护理期间人际互动越多，自主神经反应越大。这些反应还表明，当异性或陌生人的护士进行护理时，患者会更加紧张。同样，当患者和护士是异性或彼此熟悉时，护理会更有效。4。作者计划使用实验诱发的疼痛来研究患有和不患有慢性疼痛的人的疼痛阈值的差异以及镇痛护理的效果。调查还将包括性别和人际关系之间的差异。