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題名：比較不同吸-呼比率之慢速呼吸對門診焦慮患者之影響
書刊名：醫學與健康期刊
作者：劉駿熒／凃冠宇／林秀縵／葉瓊璣
作者(外文)：Liou, Jiunn-ying／Tu, Kuan-yu／Lin, Hsiu-man／Yeh, Chiung-chi
出版日期：2014
卷期：3:1
頁次：頁57-66
主題關鍵詞：心跳變異率；竇性心律不整；吸-呼比率；和諧比率；Heart rate variability；Respiratory sinus arrhythmia；Breathing ratio；Coherence ratio
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:54
  • 點閱點閱:36
目的：臨床上常利用竇性心律不整機制（Respiratory Sinus Arrhythmia; RSA）訓練慢速呼吸技巧，以減緩焦慮感受及生理激發狀態。本研究探討每分鐘呼吸6次的速度下，3：6吸－呼比率相較於5：5吸－呼比率，是否提供更佳之初始訓練效果。方法：受試對象為30位中部某教學醫院具焦慮診斷之精神科門診個案，以心跳變異率（Heart rate variability; HRV）及受試者的主觀感受評估初始訓練效果。結果：兩種吸－呼比率相較各自基準期，正常心跳間距標準差（Standard Deviation of Normal to Normal R Wave; SDNN）、低頻（Log of low-frequency; lnLF）、RSA振幅及和諧比率（Coherence ratio）皆顯著提昇（p ＜ 0.001）心率則顯著降低（p ＜ 0.05）。比較兩吸－呼比率間的差異，僅高頻的變化量（Log of high-frequency; lnHF）達顯著差異（p ＜ 0.05）；主觀感受及其他指標變化量則無顯著差異。結論：本研究證實以每分鐘呼吸6次的速度呼吸，兩種吸－呼比率皆能提昇心跳變異率，但沒有一致的證據支持3：6吸－呼比率相較於5：5吸－呼比率能提供更佳之初始訓練效果。
Objectives. The mechanism of respiratory sinus arrhythmia (RSA) was utilized to train anxious patients to breathe slowly (a breathing rate at 6 breaths/min) to yield greater modulation of autonomic activity. The purpose of this study was to compare the immediate effects of breathing with a 5:5 ratio of inhale-exhale to breathing with a 3:6 ratio of inhale-exhale. Methods. Thirty participants with anxiety disorders operated both breathing ratios, but were randomly assigned to two different sequence groups by a Latin-square design. The Heart rate variability (HRV), heart rate (HR.), respiratory sinus arrhythmia amplitude (RSA amplitude) and coherence ratio were measured and subjects were asked to rate how comfortable they felt when breathing with different breathing ratios to evaluate the immediate effects. Results. The post-hoc comparison of one-way repeated measure ANOVA revealed that both a 3:6 ratio of inhale-exhale and a 5:5 ratio of inhale-exhale had a higher Standard Deviation of Normal to Normal R Wave (SDNN), a lower frequency (lnLF), RSA amplitude and coherence ratio (p ＜ 0.001) as well as a lower HR (p ＜ 0.05), all compared to baseline. Only a 5:5 ratio of inhale-exhale decreased at a higher frequency (lnHF) than the 3:6 ratio of inhale-exhale (p ＜ 0.05). Conclusion. This study confirmed that a breathe rate at 6 breaths per min, either a 3:6 ratio of inhale-exhale or a 5:5 ratio of inhale-exhale can increase SDNN, InLF, RSA amplitude, coherence ratio, and decrease HR. There was no consistent evidence to support that a 3:6 ratio of inhale-exhale caused better immediate effects than a 5:5 ratio of inhale-exhale.
期刊論文
1.Song, H. S.、Lehrer, P. M.(2003)。The Effects of Specific Respiratory Rates on Heart Rate and Heart Rate Variability。Applied Psychophysiology and Biofeedback，28(1)，13-23。  new window
2.Lehrer, P. M.、Vaschillo, E.、Vaschillo, B.(2000)。Resonant Frequency Biofeedback Training to Increase Cardiac Variability: Rationale and Manual for Training。Applied Psychophysiology and Biofeedback，25(3)，177-191。  new window
3.Lehrer, P.、Smetankin, A.、Potapova, T.(2000)。Respiratory Sinus Arrhythmia Biofeedback Therapy for Asthma: A Report of 20 Unmedicated Pediatric Cases Using the Smetankin Method。Applied Psychophysiology and Biofeedback，25(3)，193-200。  new window
4.Chernigovskaya, N. V.、Vachillo, E. G.、Petrash, V. V.、Rusanovskii, V. V.(1991)。Voluntary control of the heart rate as a method of correcting the functional state in neurosis。Human Physiology，16(2)，105-111。  new window
5.Del Pozo, J. M.、Gevirtz, R. N.、Scher, B.、Guarneri, E.(2004)。Biofeedback treatment increases heart rate variability in patients with known coronary artery disease。American Heart Journal，147(3)，545。  new window
6.劉駿史、涂冠宇(2013)。The effects of slow breathing ratios in autonomic activations--in the case of anxious group。台灣健康醫院學會雜誌，10-14。  延伸查詢new window
7.Brinar, V.、Brzovic, Z.、Papa, J.、Malojcic, B.、Dawidowsky, K.(1997)。Autonomic Dysfunction in Patients with Multiple Sclerosis。Collegium Antropologicum，21(2)，493-497。  new window
8.Schaffer, S.、Yucha, C. B.(2004)。Relaxation & pain management: The relaxation response can play a role in managing chronic and acute pain。American Journal of Nursing，104(8)，75-76。  new window
9.McCraty, R.、Atkinson, M.、Tomasino, D.、Bradley, R. T.(2009)。The Coherent Heart Heart-Brain Interactions, Psychophysiological Coherence, and the Emergence of System-Wide Order。Integral Review: A Transdisciplinary and Transcultural Journal，5(2)，10-115。  new window
10.Lehrer, P.、Carr, R. E.、Smetankine, A.(1997)。Respiratory Sinus Arrhythmia Versus Neck/Trapezius EMG and Incentive Inspirometry Biofeedback for Asthma: A Pilot Study。Applied Psychophysiology and Biofeedback，22(2)，95-109。  new window
11.Berntson, G. G.、Bigger, J. T.、Eckberg, D. L.(1997)。Heart rate variability: Origins, methods, and interpretive caveats。Psychophysiology，34(6)，628-648。  new window
12.(1996)。Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology。European Heart Journal，17(3)，354-381。  new window
13.Hasson, D.、Ametz, B. B.(2005)。Validation and findings comparing VAS vs. Likert scales for psychosocial measurements。Intemational Electronic Joumal of Health Education 2005，8，178-192。  new window
14.車先蕙、盧孟良、陳錫中、張尚文、李宇宙(20060700)。中文版貝克焦慮量表之信效度。臺灣醫學，10(4)，447-454。new window  延伸查詢new window
15.Flynn, D.、van Schaik, P.、van Wersch, A.(2004)。A comparison of multi-item likert and visual analogue scales for the assessment of transactionally defined coping function。European Joumal of Psychological Assessment，20(1)，49-58。  new window
會議論文
1.Tu, K. Y.、Liou, J. Y.(2012)。The immediate effects of the first session of abdominal breathing training among patients with anxious mood。The 20th lntemational Conference on Health Promoting Hospitals & Health Services。  new window
2.涂冠宇、劉駿漿(2014)。心跳變異率生理回饋與腹式呼吸生理回饋運用於焦慮症個案之成效初探之先驅研究。台灣臨床心理學年會。台北：台灣大學公共衛生學院。  延伸查詢new window
學位論文
1.Vaschillo, E. G.(1984)。Dynamics of slow-wave cardiac rhythm structure as an index of the functional state of an operant(博士論文)。Leningrad State University，Leningrad。  new window
圖書
1.Beck, A. T.、林真一(2000)。貝克焦慮量表指導手冊。臺北市：中國行為科學社。  延伸查詢new window
2.Stevens, J. P.(2002)。Applied multivariate statistics for the social sciences。Mahwah, NJ：Lawrence Erlbaum Associates。  new window
 
 
 
 
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