腹式呼吸訓練對於改善冠心病患心率變異性之影響

The Effects of Abdominal Breathing Training on Heart Rate Variability in Coronary Heart Disease Patients

戴如君(Ru-Chun Tai)

指導教授 ： 蔡佩珊

臺北醫學大學/護理學院/護理學研究所/碩士(2010年)

摘要

論 文 摘 要
論文名稱：腹式呼吸訓練對於改善冠心病患心率變異性之影響
研究所名稱：臺北醫學大學護理學研究所
研究生姓名：戴如君
畢業時間：九十八學年度第一學期
指導教授：蔡佩珊 臺北醫學大學護理學研究所 教授
本研究目的旨在探討腹式呼吸訓練對改善冠心症病患的心率變異性
之影響。本研究收案對象為北部某家醫學中心臟內科門診，經醫師轉介
冠心症病人，共收集80位冠心症病人，扣除退出個案共計67位冠心症病
人完整參與此研究，隨機分配成兩組，組一先進行4週居家腹式呼吸訓
練，再接受4週的觀察期，而組二先接受4週的觀察期，再接受4週的腹式
呼吸訓練。腹式呼吸訓練的過程為每日三次，每次10分鐘，共計一個月，
兩組皆先接受基本資料及數據之量測，之後分別在第2週末、第4週末、
第6週末、第8週末再進行資料收集，成效指標為心率變異性、血壓、指
溫及心跳，所得資料以Paired- T test、Analysis of Variance及Repeated
measures analysis of variance進行資料分析與檢定。
研究結果顯示：組一接受腹式呼吸訓練後在成效指標上皆無統計上顯
著差異，組二接受腹式呼吸訓練後，LF/HF有統計上顯著差異(F=2.468, p
= .0048)，以LSD事後檢定發現第五次測量(接受腹式呼吸訓練後)大於第
一次(基準值)測量，但兩組在成效指標比較上皆無統計上顯著差異。
關鍵字:腹式呼吸訓練、冠心病、心率變異性

關鍵字

腹式呼吸訓練；冠心病；心率變異性

並列摘要

Abstract
Title of Thesis: The Effect of Abdominal Breathing Training on Heart Rate
Variability in Coronary Heart Disease Patients
Institution: Graduate Institute of Nursing, Taipei Medical University
Author: Ru-Chun Tai
Thesis directed by: Pei-Shan Tsai, Professor, Graduate Institute of Nursing,
Colledge of Nursing, Taipei Medical University
The purpose of this study was to investigate the effect of abdominal
breathing training on heart rate variability (HRV) in coronary heart disease
(CAD) patients. A total of 67 patients diagnosed with coronary heard disease
were included. The study used a randomized control design. Participants
were randomly assigned to group A or group B. Group A received
home-based abdominal breathing training for 4 weeks, while group B were
on a wait-list during the same period. After the waiting period, group B
received 4 weeks of home-based abdominal breathing training. All
participants practiced abdominal breathing training at home for four weeks,
three times a day, ten minutes each time. All participants were tested at
baseline for HRV, resting heart rate (HR), blood pressure (BP), finger
temperature. Measurements of HRV, resting HR, BP, and finger temperature
were reapeated at Week 2, 4, 6 and 8. Data were analyzed used paired- t test,
analysis of variance (ANOVA) and repeated measures ANOVA.
After completion of a 4-week home-based abdominal breathing training,
HRV did not significantly change over time from baseline. LF/HF increased
significantly at week 8 as compaired with that measured at baseline (F
=2.468, p = .0048). However, the changes in HRV over time were not
significantly different between groups.
In conclusion, 4 weeks of abdominal breathing training did not improve
HRV in CAD patients.
IV
Key Words: Abdominal breathing training, Coronary heart disease, Heart
rate variability

並列關鍵字

Abdominal breathing training； Coronary heart disease；Heart rate variability

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