足部マッサージと腹式呼吸が患者の不眠と随伴症状に及ぼす効果―面接による情報分析をもとに

The Effects of Foot Massage and Abdominal Breathing for the Patients with Insomnia and Accessory Symptoms

要旨

　本研究は足部マッサージと腹式呼吸の介入による不眠と随伴症状に及ぼす効果を明らかにすることを目的とした．対象者は不眠と随伴症状のある外来患者11名で，ベットに仰臥位にさせ，15分間の足部マッサージを実施，最初の5分間は，腹式呼吸を実施するよう指示した．また，この前後に面接を行い，主な症状の変化について聴取した．これを1週ごとに3回行った．研究期間を通して，対象者には就寝時に腹式呼吸を行うよう依頼した．その結果，入眠困難および「熟眠感がない」がそれぞれ全員，8人で改善された．随伴症状に関しては，頭痛で7人，「表情が固い」で7人，活動性低下で全員改善された．本研究の結果から，不眠と随伴症状に対する足部マッサージと腹式呼吸の介入効果が示唆された．

Abstract

　The aim of the present study was to clarify the effects of intervention by foot massage and abdominal breathing on insomnia and accessory symptoms. Eleven outpatients with insomnia and accessory symptoms, the subjects of the present study, were massaged on the foot for 15 minutes in the supine position on a bed. They were instructed to breathe abdominally for the first 5 minutes during the massage. Those massages were conducted three times at intervals of one week. Throughout the study period, I asked the patients to breathe abdominally before going to bed. The difficulty in falling asleep and in getting sound sleep among the patients was reduced in all and 8 subjects, respectively. Headaches, tenseness, and inactivity among the patients with accessory symptoms were alleviated in 7, 7 and all subjects, respectively. The results of the present study suggested the effectiveness of the intervention by foot massage and abdominal breathing for patients with insomnia and accessory symptoms.