靈氣對產生職業倦怠的健康照護專業人員在心率變異性,血中皮質醇濃度和體溫的立即性影響

Biol Res Nurs. 2011 Oct;13(4):376-82. doi: 10.1177/1099800410389166. Epub 2011 Aug 5. Immediate effects of reiki on heart rate variability, cortisol levels, and body temperature in health care professionals with burnout. 
靈氣對產生職業倦怠的健康照護專業人員在心率變異性,血中皮質醇濃度和體溫的立即性影響 

Burnout is a work-related mental health impairment comprising three dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Reiki aims to help replenish and rebalance the body's energetic system, thus stimulating the healing process. The objective of this placebo-controlled, repeated measures, crossover, single-blind, randomized trial was to analyze the immediate effects of Reiki on heart rate variability (HRV), body temperature, and salivary flow rate and cortisol level in health care professionals with burnout syndrome (BS). Participants included 21 health care professionals with BS, who were asked to complete two visits to the laboratory with a 1-week interval between sessions. They were randomly assigned the order in which they would receive a Reiki session applied by an experienced therapist and a placebo treatment applied by a therapist with no knowledge of Reiki, who mimicked the Reiki treatment. Temperature, Holter ECG recordings (standard deviation of the normal-to-normal interval [SDNN], square root of mean squared differences of successive NN intervals [RMSSD], HRV index, low frequency component [LF], and high frequency component [HF]), salivary flow rate and cortisol levels were measured at baseline and postintervention by an assessor blinded to allocation group. SDNN and body temperature were significantly higher after the Reiki treatment than after the placebo. LF was significantly lower after the Reiki treatment. The decrease in the LF domain was associated with the increase in body temperature. These results suggest that Reiki has an effect on the parasympathetic nervous system when applied to health care professionals with BS. 
摘要 職業倦怠是與工作有關的精神健康受損,包括三個方面:情緒衰竭,人格解體,個人成就減少。靈 氣旨在幫助補充和重新平衡身體的能量系統,從而刺激療癒過程。這個安慰劑對照(包含重複措施, 交叉,單盲,隨機試驗)的目標為的是分析靈氣對產生職業倦怠症候群(BS)的健康照護專業人員的 心率變異性(HRV),體溫,唾液流量和皮質醇水平的立即影響。參與者包括 21 個有 BS 的醫療保 健專業人員,他們被要求在一個星期內完成對此實驗的兩次訪問。他們被隨機分配接受一節由經驗 豐富的治療師施予靈氣療法,或由沒有靈氣知識的人模仿靈氣治療師進行安慰劑治療。再由評估者 用盲測方式對所分配組別進行前測和後測,包括溫度,Holter ECG(24 小時心電圖)記錄,正常竇性 心搏間隔的標準差[SDNN],連續 NN 間隔差值的平方總和的均方根[RMSSD],HRV 指數(心率變異 分析),低頻指標[LF]和高頻指標[HF],唾液流速和皮質醇水平。結果 SDNN 和體溫分別為靈氣治 療後明顯高於安慰劑組。LF 經過靈氣治療後顯著降低。LF 的減少與身體的溫度增加有關。這些結 果顯示靈氣對職業倦怠的健康照護專業人員的副交感神經系統產生影響。 補充說明: HRV:心律變動性分析(heart rate variability)是一種評估自主神經系統功能的重要方法。

SDNN (standard deviation of all normal to normalintervals):正常竇性心搏間期之標準差,目前建議的 比較基準是 5 分鐘或 24 小時,為整體心律變動性的指標。 

RMSSD (The square root of the mean of the sum of the squares of differences between adjacent NN intervals)︰正常心跳間期差值平方和的均方根,為短程心 律變動性的指標。 LF/HF 代表低高頻功率比:反應交感/副交感神經平衡的指標或代表交感神經調控的指標。 

吳貞霏 

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