2009年7月16日 星期四

薰衣草精油噴霧吸入對輪班護理人員自主神經功能之影響

薰衣草精油噴霧吸入對輪班護理人員自主神經功能之影響

姓名吳緒慧(Hsu-hui Wu)電子郵件信箱wushe581107@yahoo.com.tw
畢業系所自然醫學研究所(Institute of Natural Healing Science)
畢業學位碩士(Master)畢業時期97學年第2學期
論文名稱(中)薰衣草精油噴霧吸入對輪班護理人員自主神經功能之影響
論文名稱(英)The Effect of Inhalation of Lavender Essential Oils on Autonomic Nervous System Function of the Shift-Working Nurses
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摘要(中)本實驗在了解使用不同薰衣草精油成分沉香醇(linalool)與沉香乙酯(linalyl acetate)之濃度比例,進行噴霧吸入15分鐘後,對輪班護理人員自主神經功能之影響。實驗分別各取沉香醇與沉香乙酯之濃度比例0.67%, 0.90%, 1.16% 及10.48% 精油0.3 mL加入200 mL蒸餾水,進行噴霧吸入實驗。研究對象為嘉義市某區域教學醫院加護病房女性護理人員,共計9名,平均年齡為26±3歲,平均體重為55±10公斤,體脂肪為29±8%,實驗後比較實驗前、後之血壓及心率變異,評估不同濃度比例之薰衣草精油成分對自主神經活性的影響。
  
各組組內以成對樣本t檢定(paired t-test)比較血壓與心率變異值之變化,實驗結果顯示:控制組之心率變異值皆無顯著性差異(p>0.05),實驗組的心跳速率具顯著性下降(p<0.05);總功率、血壓與QRS波,亦具顯著性增加(p<0.05)。因此,本研究結論為薰衣草精油成分中linalyl acetate濃度比例高者,以噴霧吸入15分鐘後,對人體具有生理放鬆的效果。
摘要(英)  This research aims to investigate the effects of different proportion for Lavendula angustifolium essential oils (linalool/linalyl acetate), after inhalation for 15 minutes, on the autonomic nervous system function of nurses working in different shifts. For the study groups, the proportions of linalool/linalyl acetate in Lavendula angustifolium essential oil were 0.67%, 0.90%, 1.16%, and 10.48%, respectively. Eac individual was given 0.3mL of the extract of the above 4 concentrations, mixed with 200 mL of distilled water and then inhaled for 15 minutes. Nine healthy females nurses from CHIA-YI Christian hospital were recruited as the research subjects. Their average age was 26±3 years, average body weight was 55±10 kg and body fat was 29±8 %.
  
  Heart rate variability (HRV) was carried out before and after the inhalation. Results from paired t-tests showed that there was no significant differences (p>0.05) in heart rate variability for the control group. For the study groups, mean heart rate (MHR), was significantly decreased (p<0.05); the total power (ln TP), systolic blood pressure (SBP), and QRS wave were significantly increased (p<0.05). Changes between the four study groups and control group were analysed using Analysis of Covariance (ANCOVA) with Sidak post hoc test. Results showed that there were no significant differences between the study groups and the control group (p>0.05 ). In conclusion, the effect of inhalation of different proportions of Lavendula angustifolium essential oils on the autonomic nervous system function was different. Increasing concentration of linalyl acetate in the Lavendula Angustifolium essential oils was found to reduce the sympathetic nervous system activity and elevate the parasympathetic nervous system activity, which can lead to a physiological relaxation effect.
關鍵字(中)心率變異 芳香療法 薰衣草精油關鍵字(英)aromatherapy heart rate variabilities(HRV) lavender essential oils
論文目次論文口試委員審定書 ..............................i
謝誌 .........................................ii
中文摘要 .....................................iii
英文摘要 ......................................iv
目錄 ...........................................vi
圖次目錄......................................viii
表次目錄........................................ix
中英文縮寫全文對照表...........................x
  
第一章 緒論.............................................1
1.1研究動機 ........................................1
1.2研究目的 ........................................3
1.3 研究假設 .....................................3
  
第二章 文獻回顧 .....................................4
2.1自主神經系統 ..............................4
2.2 心率變異 .................................6
2.3芳香療法 ...................................13
2.4精油 .......................................14
2.5薰衣草 .....................................15
  
第三章 研究方法 ..........................................19
3.1研究設計 .........................................................................................19
3.2研究對象 .........................................................................................19
3.3研究架構 .........................................................................................20
3.4實驗場所...........................................................................................22
3.5實驗設備與方法...............................................................................22
3.6測量之材料與儀器設備...................................................................22
3.7研究過程 .........................................................................................23
3.8資料處理與分析 .............................................................................23
  
第四章 研究結果 .......................................................................................25
4.1 研究對象年齡、體重、體脂肪資料分析..........................................25
4.2 精油噴霧吸入前後對受試者心率變異改變之結果......................27
4.3薰衣草精油吸入前後實驗對受試者心率變異之結果...................42
  
第五章 討論.............................................53
5.1醫護人員在介入薰衣草精油噴霧吸入後,實驗組之心率變異狀況在前、後測有差異.....................53
5.2 醫護人員在介入薰衣草精油噴霧吸入後,實驗組之心率變異狀況與對照組之相關性討論..................59
  
第六章 結論.....................................61
  
第七章 研究限制與建議........................62
  
參考文獻.......................................63
附錄一 受試者基本資料及同意書..............................................73
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口試委員王璧娟 - 委員
辜美安 - 委員
余哲仁 - 指導教授
林俊宏 - 指導教授
口試日期2009-06-25繳交日期2009-07-16

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