臺灣博碩士論文加值系統

熱水足浴是民間經常使用在養生與保健的活動，但缺乏客觀的評估報告。本研究目的是藉由熱
水足浴對中年人心率變異與體溫變化之影響，以觀察熱水足浴對交感神經與副交感神經的影響和了
解熱水足浴前後體溫的變化。
本研究採用交叉性試驗及方便取樣方式，以17 名中年女性自願者作為研究對象。每位研究參
與者進行兩天兩階段的心率變異與體溫測量(耳溫、指溫、紅外線熱影像之指溫與足溫)，第一天不
對參與者進行任何介入措施，而在第二天則進行42°C，20 分鐘的熱水足浴介入措施，採重複測量
的方式收集每5 分鐘心率變異及體溫，研究過程共40 分鐘，資料收集後採SPSS 12.0 for Windows 統
計軟體進行資料處理及統計分析。
研究結果發現熱水足浴可改變心率變異與體溫，研究結果發現在心率變異方面：熱水足浴15
分鐘可降低心率變異中交感神經之低頻活性(P<.05)，並可顯著降低交感神經與副交感神經比值
(P<.01)，與逐漸提高副交感神經之高頻活性；在體溫方面，熱水足浴在研究過程中有效提升體溫
並達統計顯著差異(P<.01)，耳溫最高可提升0.4°C、導線指溫最高可提升3.4°C、紅外線熱影像指
溫提升2°C、足溫提升4.4°C，同時參與者主觀感受亦表達熱水足浴有舒服、放鬆與溫暖的感覺。
研究結果顯示熱水足浴可改變心率變異交感與副交感神經之調控與提升體溫，熱水足浴是一項方便
不具侵入性與副作用達到放鬆與改變身體溫度的方法，建議做為日常生活保健的活動。

Warm footbath is frequently considered by society as a health maintaining and promoting activity.
However, warm footbath lacks objective assessment. The aim of this study is to explore the effects of
warm footbath on heart rate variability and body temperature in the middle women . This will allow the
observation and understanding warm footbaths have on the sympathetic and parasympathetic nervous
systems and its association with body temperature changes.
A cross-over comparison research design and convenience sampling methods were used. Seventeen
middle aged female volunteers were the research subjects. Every subject underwent two-days-two-stages
measurement of heart rate variability and body temperatures (ear temperature, finger temperature, and
infrared thermal imager’s finger and foot temperature). There was no intervention on the first day of
experiment. On the seconda day, 20 minutes of 42°C footbath, heart rate variability and body temperature
measurements were recorded every 5 minutes for a total of 40 minutes. After collection of data, SPSS
12.0 Windows statistical software was used for data processing and statistical snalysis.
The results of this study showed that warm footbath can change heart rate variability and body
temperature. Fifteen minutes of warm footbath can reduce the frequency of sympathetic system activation
(P<0.05)and is a significant reudction of the ratio of sympathetic and parasympathetic nervous system
activation (P < 0.01), with gradual increase of frequency of parasympathetic nervous system activation. In
terms of body temperature, warm footbath can increase body temperature to a statistically significant
degree (P<0.01). Ear temperature can increse by 0.4°C. Finger temperature can increase by 3.4°C.
Infrared thermal finger temperature can increase by 2°C. Feet temperature can increase by 4.4°C.
Moreover, subjects experience relaxing, comfortable, and warm sensations. The results of this study show
that warm footbath can change heart rate variability, parasympathetic activity tended to increase
and sympathetic activity decrease after footbaths, and elevate body temperature. Warm footbath is a
non-invasive method to attain relaxation and body temeprature changes, and it is recommended as a daily
health maintenance exercise.

致謝..........................................................................................................................................................Ⅰ
中文摘要..................................................................................................................................................Ⅱ
英文摘要..................................................................................................................................................Ⅲ
目錄..........................................................................................................................................................Ⅴ
表目錄......................................................................................................................................................Ⅶ
圖目錄......................................................................................................................................................Ⅷ
第一章 緒論............................................................................................................................................1
第一節 研究背景與重要性.............................................................................................................1
第二節 研究目的.............................................................................................................................2
第三節 研究假設.............................................................................................................................2
第四節 研究概念架構.....................................................................................................................2
第二章 文獻查證....................................................................................................................................4
第一節 老化之體溫調節.................................................................................................................4
第二節 老化之足部變化.................................................................................................................5
第三節 熱水足浴.............................................................................................................................6
第四節 熱水足浴相關研究...........................................................................................................10
第五節 心率變異性與臨床研究...................................................................................................13
第六節 紅外線熱影像原理及應用...............................................................................................17
第三章 研究方法..................................................................................................................................19
第一節 研究設計...........................................................................................................................19
第二節 研究對象與場所...............................................................................................................19
第三節 研究步驟及流程...............................................................................................................20
第四節 研究工具...........................................................................................................................24
第五節 研究倫理...........................................................................................................................25
第六節 資料統計與分析方法.......................................................................................................26
第四章 研究結果..................................................................................................................................27
第一節 參與者人口學基本資料分析...........................................................................................27
第二節 熱水足浴介入與無介入心跳與血壓變化分析...............................................................27
第三節 熱水足浴介入與無介入心率變異分析...........................................................................27
第四節 熱水足浴介入與無介入體溫變化分析...........................................................................28
第五節 參與者對熱水足浴的主觀感受分析...............................................................................29
第六節 研究假設檢定...................................................................................................................30
第五章 討論............................................................................................................................................52
第一節 參與者人口學基本資料...................................................................................................52
第二節 熱水足浴介入與無介入心跳血壓的影響.......................................................................52
第三節 熱水足浴介入與無介入心率變異的影響.......................................................................53
第四節 熱水足浴介入與無介入體溫的影響...............................................................................54
第五節 參與者對熱水足浴的主觀感受的影響...........................................................................56
第六章 結論與建議................................................................................................................................57
第一節 結論..................................................................................................................................57
第二節 研究限制...........................................................................................................................57
第三節 護理上的應用與建議.......................................................................................................57
參考文獻..................................................................................................................................................59
中文文獻..........................................................................................................................................59
英文文獻..........................................................................................................................................62
附件一：研究同意書...............................................................................................................................66
附件二：研究問卷..................................................................................................................................69
附件三：實驗記錄表...............................................................................................................................70
表目錄
表2- 1 綜合熱水足浴相關研究.................................................................................................................11
表2- 1 綜合熱水足浴相關研究(續) ..........................................................................................................12
表4- 1 參與者基本資料............................................................................................................................32
表4- 2 參與者過去病史與生活型態........................................................................................................32
表4- 3 熱水足浴介入與無介入血壓變化................................................................................................33
表4- 4 熱水足浴介入與無介入心跳測量值............................................................................................33
表4- 5 熱水足浴介入與無介入心率變異測量值....................................................................................34
表4- 6 熱水足浴介入與無介入心率變異前測相互比較........................................................................35
表4- 7 熱水足浴介入與無介入體溫前測相互比較................................................................................35
表4- 8 熱水足浴介入與無介入體溫測量值............................................................................................36
表4- 9 熱水足浴介入與無介入導線指溫與紅外線熱影像指溫............................................................37
圖目錄
圖1- 1 研究架構圖.....................................................................................................................................3
圖3- 1 研究步驟.......................................................................................................................................21
圖3- 2 實施流程圖....................................................................................................................................22
圖4- 1 熱水足浴介入與無介入心跳變化................................................................................................38
圖4- 2 熱水足浴介入與無介入LF 變化.................................................................................................39
圖4- 3 熱水足浴介入與無介入HF 變化.................................................................................................40
圖4- 4 熱水足浴介入與無介入TP 變化.................................................................................................41
圖4- 5 熱水足浴介入與無介入LF/HF 變化...........................................................................................42
圖4- 6 熱水足浴介入17 位參與者耳溫變化..........................................................................................43
圖4- 7 熱水足浴介入與無介入耳溫變化................................................................................................44
圖4- 8 熱水足浴介入17 位參與者導線指溫變化..................................................................................45
圖4- 9 熱水足浴介入與無介入導線指溫變化........................................................................................46
圖4- 10 熱水足浴介入17 位參與者熱影像指溫變化............................................................................47
圖4- 11 熱水足浴介入與無介入紅外線熱影像指溫變化......................................................................48
圖4- 12 熱水足浴介入與無介入導線指溫與熱影像指溫比較..............................................................49
圖4- 13 熱水足浴介入17 位參與者熱影像足溫變化............................................................................50
圖4- 14 熱水足浴介入與無介入熱影像足溫變化..................................................................................51

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