A Study on Analysis Development of Nursing Skills Based on Human Signs.-Discussion of Scientific Evidence and Effective Method of the Bed Bath

本研究旨在探讨生理因素对床浴护理技巧的影响。研究对象为40 ~ 49岁女性4名，20 ~ 29岁女性14名。受试者在实验室内（25℃，60%相对湿度）保持仰卧位。在平均压力为6.12-7.14 kgf/cm^2的情况下，用抹布擦拭受试者前臂三个方向（由外周到中心、由中心到外周以及两个方向轮流擦拭）。观察了35℃、43℃和50℃热敷30秒和60秒的三种热效应。连续记录给药前5分钟至给药后20分钟的血压、皮肤血流量、皮肤温度。实验结果如下：三种擦拭方向在生理指标上没有差异，但每次擦拭对人体都有刺激作用。这三个方向对血压、血流和皮肤温度都有一定的影响，不仅从外周到中心对循环有影响，而且从中心到外周和两个方向都有影响。三热给药对人体也有刺激作用。血压和血流量随温度的变化而变化。生理上的影响在青年组和老年组之间存在差异，这一结果可能与热感觉的年龄差异有关

The purpose of this study was to investigate the scientific evidences to the bed bath nursing skill by the physiological influences. The subjects were 4 females aged 40-49 years old and 14 females aged 20-29 years old. Subjects kept their supine position on the bed in the experimental room (25℃and 60% relative humidity). Three wiping directions (from periphery to center, from center to periphery and by turn both direction) were applied on the subject's fore-arm with dray-towel under the average pressure as 6.12-7.14 kgf/cm^2. Three thermal effects ( 35℃,43℃,and 50℃) by hot-pack administrated for 30 and 60 seconds were observed. The blood pressure, the skin blood flow, the skin temperature were recorded from 5 minutes before administration to 20minuts after administration continuously. The results were as follows.1.There is no difference among three wiping directions on the physiological indicators, but each wiping has the effect of stimuli for human body.2.The three directions caused some influences on blood pressure, blood flow, and skin temperature, not only from periphery to center which believed the effect to circulation but also from center to periphery and by turn both direction.3.Three Thermal administration were also has the effect of stimuli for human body.4.The blood pressure and blood flow indicated different change by each temperature.5.The physiological influences recognized the differences between the young and elder groups, this result would be related to the age-difference on the thermal sensation