Abstract: In clinical practices, it is common that while facing the unknown progress of their disease, palliative care patients may easily feel anxious and depressed. These types of reactions are a cause of psychosomatic diseases and may also influence treatment results. However, the purpose of palliative care is to provide relief from all kinds of pains. Therefore, how to make patients more comfortable is an issue worth studying. This study adopted the “bio-psycho-social model” proposed by Engel and applied spontaneous breathing training, in the hope of seeing patients’ psychological state changes caused by their physiological state changes, improvements in their anxious conditions, corresponding adjustments of their cognitive functions, and further enhancement of their social functions and the social support system. This study will be a one-year study. Palliative care outpatients will be recruited and assigned to the experimental group or the control group for six outpatient visits (once a month), with 80 patients in each group. The patients of both groups agreed that this study can collect their physiological quantitative data using an HRV device before the first outpatient visit. They also agreed to answer the “Beck Anxiety Inventory (BAI)”, the “Taiwanese version of the WHOQOL-BREF questionnaire” before the first outpatient visit, to fill a self-report questionnaire after each outpatient visit, and to answer the “Beck Anxiety Inventory (BAI)”, the “Taiwanese version of the WHOQOL-BREF questionnaire” after the last outpatient visit. The patients of the experimental group agreed to receive the breathing training under HRV monitoring during the first outpatient visit of this study. Before each of the following three outpatient visits, they were required to fill a self-report questionnaire regarding their breathing practices after going home. After the outpatient visits, they were taught how to practice breathing through an HRV device and asked to practice it after going home. Later, based on the results from the HRV data analyses and the pre-tests and post-tests of the “Beck Anxiety Inventory (BAI)”, the “Taiwanese version of the WHOQOL-BREF questionnaire”, the influence of the breathing training in the bio, psycho, and social aspects were evaluated. The data collected through the self-report questionnaires of the patients of both groups were used to explore the possible interfering factors among the bio, psycho, and social changes. It is expected that this study will support the “bio-psycho-social model” proposed by Engel, meaning that bio, psycho, and social supports are closely related, and that breathing training helps to transform palliative care patients’ psychological feelings of anxiety and depression, to facilitate their positive interactions with others, and to improve the quality medical care for them.
Abstract: The autonomic nervous system has a regulatory
structure that helps people adapt to changes in their environment by
adjusting or modifying some functions in response to stress, and regulating involuntary function of human organs. The purpose of this
study was to investigate the effect of combined stimulation, both
far-infrared heating and chiropractic, on the autonomic nervous system
activities using thermal image and heart rate variability. Six healthy subjects participated in this test. We compared the before and after
autonomic nervous system activities through obtaining thermal image
and photoplethysmogram signal. The thermal images showed that the
combined stimulation changed subject-s body temperature more
highly and widely than before. The result of heart rate variability
indicated that LF/HF ratio decreased. We concluded that combined
stimulation activates autonomic nervous system, and expected other
possibilities of this combined stimulation.
Abstract: Heart-s electric field can be measured anywhere on
the surface of the body (ECG). When individuals touch, one person-s
ECG signal can be registered in other person-s EEG and elsewhere
on his body. Now, the aim of this study was to test the hypothesis
that physical contact (hand-holding) of two persons changes their
heart rate variability. Subjects were sixteen healthy female (age: 20-
26) which divided into eight sets. In each sets, we had two friends
that they passed intimacy test of J.sternberg. ECG of two subjects
(each set) acquired for 5 minutes before hand-holding (as control
group) and 5 minutes during they held their hands (as experimental
group). Then heart rate variability signals were extracted from
subjects' ECG and analyzed in linear feature space (time and
frequency domain) and nonlinear feature space. Considering the
results, we conclude that physical contact (hand-holding of two
friends) increases parasympathetic activity, as indicate by increase
SD1, SD1/SD2, HF and MF power (p
Abstract: Diabetes mellitus (DM) is frequently characterized by
autonomic nervous dysfunction. Analysis of heart rate variability
(HRV) has become a popular noninvasive tool for assessing the
activities of autonomic nervous system (ANS). In this paper, changes
in ANS activity are quantified by means of frequency and time
domain analysis of R-R interval variability. Electrocardiograms
(ECG) of 16 patients suffering from DM and of 16 healthy volunteers
were recorded. Frequency domain analysis of extracted normal to
normal interval (NN interval) data indicates significant difference in
very low frequency (VLF) power, low frequency (LF) power and
high frequency (HF) power, between the DM patients and control
group. Time domain measures, standard deviation of NN interval
(SDNN), root mean square of successive NN interval differences
(RMSSD), successive NN intervals differing more than 50 ms (NN50
Count), percentage value of NN50 count (pNN50), HRV triangular
index and triangular interpolation of NN intervals (TINN) also show
significant difference between the DM patients and control group.