The Efficacy of the Family's Handholding on the Patients

  • Hasuo Hideaki
    Department of Palliative Care, Okayama Saiseikai General Hospital:Department of Psychosomatic Medicine, Kansai Medical University
  • Kanbara Kenji
    Department of Psychosomatic Medicine, Kansai Medical University
  • Abe Tetsuya
    Department of Psychosomatic Medicine, Kansai Medical University
  • Saigusa Mika
    Department of Palliative Care, Okayama Saiseikai General Hospital
  • Ishihara Tatsuhiko
    Department of Palliative Care, Okayama Saiseikai General Hospital
  • Fukunaga Mikihiko
    Department of Psychosomatic Medicine, Kansai Medical University
  • Nakai Yoshihide
    Department of Psychosomatic Medicine, Rakusai Newtown Hospital

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Other Title
  • 家族が患者の手を握る行為の有用性
  • カゾク ガ カンジャ ノ テ オ ニギル コウイ ノ ユウヨウセイ

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It is not rare that the families of the patients whose cognitive functions are deteriorated feel helpless, specially concerning their relationships. We often see the circumstances where the family members are quite close to the patient and holding his or her hands. Therefore, we speculated handholding might lead to the improvement of family's self-efficacy. To elucidate this phenomenon, we objectively evaluated the influence of handholding on the patient's autonomic nerves system. We studied the change in patients' gastric motility under the situation with or without handholding, and the change in family's self-efficacy by explaining the study result. The subjects are 13 patients under enteral nutrition including the terminal stage cancer patients whose cognitive functions are deteriorated. Gastric motility was evaluated by ultrasonography. Family's self-efficacy level was estimated using the Generalized Self-Efficacy Scale. The results are as follows : under the handholding situation, both motility index and gastric emptying rate were significantly greater compared to those without handholding. The explanation of the study result improved family's self-efficacy.

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