Effective intervention in relieving pain based on physiological response to pain

基于对疼痛的生理反应进行有效的缓解疼痛干预

• 批准号: 12672286
• 负责人: SAEKI Yuka
• 金额: $ 1.98万
• 依托单位: Nagano College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672286/
• 关键词: pricking pain; autonomic responses; VAS; cold application; heat application; aromatherapy; music therapy; 体性感覚誘発電位; 疼痛緩和; 疼痛; 温罨法; 冷罨法

This study was designed to determine the palliative effect of some intervention on the sensation of pricking pain based on autonomic responses. Electrical stimulation was applied to the antebrachium of brachium of subjects as an artificial pricking pain. Skin conductance level (SCL) and skin blood flow (BF) at the finger-tip were measured. Pain sensation was evaluated using visual analog scale (VAS). Pain stimulation produced a significant increase in SCL and a significant decrease in BF at the both antebrachium and brachium. Application of cold to the stimulation site using ice-water pack reduced SCL and BF responses, and pain sensation. Application of heat using a hot water bottle caused a significant increase in pain sensation and enhancement of SCL and BF responses. Listening to the music or inhaling the fragrance, which subjects like, tended to reduce SCL and BF responses, but they were smaller than that in cooling. These results suggest that application of cold promotes relief of pricking pain sensation and suppression of autonomic responses, and that application of heat has no such effect. Furthermore, aromatherapy or music therapy might be effective in relieving chronic pain not in pricking pain. It is important that nurses ascertain the type of pain or source of pain and take proper measures for its relief.

本研究的目的是确定一些干预的姑息性影响的感觉刺痛的基础上自主反应。在受试者前臂施加电刺激作为人工刺痛。测量指尖皮肤电传导水平（SCL）和皮肤血流量（BF）。采用视觉模拟评分（VAS）评价疼痛感。疼痛刺激产生了显着增加SCL和BF在前臂和上臂的显着减少。使用冰水包对刺激部位施加冷可降低SCL和BF反应以及疼痛感。使用热水袋加热引起疼痛感的显著增加以及SCL和BF反应的增强。受试者喜欢的听音乐或吸入芳香剂均能降低SCL和BF反应，但其降低幅度小于降温时。这些结果表明，应用冷促进刺痛感的缓解和自主神经反应的抑制，而应用热没有这样的效果。此外，芳香疗法或音乐疗法可能有效地缓解慢性疼痛，而不是刺痛。重要的是，护士确定疼痛的类型或疼痛的来源，并采取适当的措施，以减轻其。

项目成果

M.Nagasaka., M.Tanaka., Y.Saeki., et al.: "Effects of sound on heart rate variability"J. Miyazaki, Prefectural Nurs. Univ.. 1(2). 61-65 (2000)

M.Nagasaka.、M.Tanaka.、Y.Saeki. 等人：“声音对心率变异性的影响”J。

Y.Saeki.: "Aromatherapy"Jap. J. Nursing Arts. 48(2). 4-10 (2002)

Y.Saeki.：“芳香疗法”日本。

佐伯由香: "わかりやすい論文のまとめ方とその注意点"臨床看護. 26・10. 1506-1516 (2000)

佐伯由香：“如何以易于理解的方式总结论文和注意事项”26・10（2000）。

佐伯由香, 永井伸夫: "学会におけるインターネットの利用"臨床看護. 28・9. 1345-1353 (2002)

Yuka Saeki，Nobuo Nagai：“学术会议中互联网的使用”临床护理 1345-1353。

佐伯 由香: "ホルモンとストレス"黒川清、菱沼典子、北村聖編、放送大学教育振興会. 225(194-205) (2001)

Yuka Saeki：“荷尔蒙与压力”Kiyoshi Kurokawa、Noriko Hishinuma、Sei Kitamura（编），日本开放大学教育促进协会 225（194-205）（2001）。