以心率變異觀測自律神經長期變化趨勢之探討-以研究生長期壓力個案為例

Monitor Autonomic Nervous Trend by Heart Rate Variability- by the case of Graduate Student Long-term Stress

劉千瑜(Chien-Yu Liu)

指導教授 ： 林耀仁

中臺科技大學/管理學院/健康產業管理研究所/碩士(2011年)

https://doi.org/10.6822/CTUST.2011.00038

摘要

相較於傳統社會，現代人所承受的壓力比以前高出許多，面對生活週遭環境的問題，壓力更是難以計數。長期處於高壓力的情境下，會對身體的健康造成不良影響。本研究為探討大專院校研究生長期壓力，利用郭博昭教授所開發HRV自律神經五分鐘心率變異分析儀進行生理訊號量測，並根據先前學者研究，以頻率分析中的總功率、交感神經活性與副交感神經活性、交感神經與交感神經平衡進行分析。同時並透過本研究所建置自律神經健康管理網站，讓受測者可藉觀察自己長期的生理訊號變化，對自己的壓力狀況有所了解而可能去調整生活方式或尋求協助。另外本研究為對照長期量測生理訊號的變化，使用有信效度的職業壓力量表來做比對，觀察兩者之間的差異。
本研究由各個案分析中得知某女研究生因管理網站提醒生理訊號有異常狀況，經由醫師檢測得知該女研究生有心律不整的現象。另一名女研究生正處於壓力負荷過重的狀態下，生理訊號趨勢分析以及量表檢測都反應出此現況。而另一名男研究生雖一切保持正常，但因男研究生有高血壓的情況，所以生理量測數值會有偏低的情況。因此，自律神經管理站以及職業壓力量表都能適時提醒受測者有異常狀況。
本研究透過非侵入式之五分鐘心率變異分析儀與自律神經健康管理網站兩者的結合以及職業壓力量表檢測，來建立壓力管理的服務模型，可適時提醒受測者所需之健康狀況。

關鍵字

長期壓力 ； 心率變異 ； 頻率分析 ； 自律神經健康管理網站

並列摘要

Modern stress today is much higher and un-evaluable than traditional social due to face many issues surrounding the life. A long period of high-stress situations will adversely affect the health of the body. This study studies the long-term stress on universities graduate, using an HRV instrument developed by Professor Terry Bo-Jau Kuo to measure autonomic nervous physiological signal with five minutes of heart rate variability analysis, and bases on previous academic research of frequency analysis in the total power, sympathetic activity and parasympathetic activity, sympathetic and sympathetic analysis of balance. At the same time, we build an autonomic nerves health manage website which helps a subject to be observed by his long-term changes in. To understand his stress conditions may help to adjust lifestyle. Also we use an occupational stress scale with reliability and validity in this study as a control, observed differences from physiological signals.
The case of a female graduate student is remind that whose physiological signals have abnormal conditions, and she is detected by a physician that she has arrhythmia. Another female graduate student is in a state of stress overload, trend analysis of physiological signal detection and scale reflect the status of all. The other male student maintains his physiological signals normal, but the case has high blood stress, so physiological measurements will be the situation of low value. Therefore, autonomic nerves health manage website and occupational stress scale management station can be timely to remind the subjects who had abnormal situation.
Through this study of autonomic nerves health manage website which combines five minutes, non-invasive heart rate variability and autonomic nervous system analyzer, and detection of occupational stress scale, to create a stress management service model, can remind the subject''s state of health requirement on time.

並列關鍵字

Long-term stress ； Heart rate variability ； Frequency analysis ； Autonomic nerves health manage websit

參考文獻

林順萍、黃國禎、陳俊忠、郭博昭 (2006)。太極拳運動對心臟血管機能之影響。中華技術學院學報，34，389-397。

饒文琴、林鴻銓、盛德芳、陳麗妃、何淑娟 (2009)。自主神經失調與心率變異度應用於慢性阻塞性肺疾病患之概念介紹。呼吸治療，8 (1)，43-49。

唐善美、駱麗華、顏妙芬、蔡惟全 (2006)。探討心導管檢查前病人焦慮及心率變異之關係。實證護理，2 (1)，53-60。

吳香宜、吳瑞士(2008)。運動訓練對心率變異度的影響。輔仁大學體育學刊，7，239-252。

陳淑如、蔡月霞、羅映琪、蔡宜珊、鄭綺 (2005)。心率變異度的簡介及護理上的應用。新臺北護理期刊，7 (1)，1-11。