Psychosomatic effects of blanketing in nursing care

Aim Blanketing, which involves covering patients with a blanket in order to maintain their body temperature and privacy and help alleviate the stress that is associated with medical procedures, is a fundamental skill in nursing care. However, the actual therapeutic effects of blanketing have not bee...

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Veröffentlicht in:Japan journal of nursing science : JJNS 2017-04, Vol.14 (2), p.89-102
Hauptverfasser: Tokunaga, Namiji, Fukai, Kiyoko
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container_title Japan journal of nursing science : JJNS
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Fukai, Kiyoko
description Aim Blanketing, which involves covering patients with a blanket in order to maintain their body temperature and privacy and help alleviate the stress that is associated with medical procedures, is a fundamental skill in nursing care. However, the actual therapeutic effects of blanketing have not been adequately investigated. Therefore, the aim of the present study was to clarify the psychosomatic effects of blanketing in nursing care by observing autonomic nervous activity. Methods This single‐cohort, intra‐participant, comparative cross‐over study included 30 healthy female adolescents. Two of the 30 participants were excluded from the analysis. After splitting the participants into blanketing and non‐blanketing groups, the stress and anxiety that patients undergo during nursing care was simulated and the responses were analyzed by using psychological and physiological indicators. The parametric data were analyzed by using a paired t‐test or one‐way ANOVA and the non‐parametric data were analyzed by using the Wilcoxon signed‐rank test. The significance level was
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However, the actual therapeutic effects of blanketing have not been adequately investigated. Therefore, the aim of the present study was to clarify the psychosomatic effects of blanketing in nursing care by observing autonomic nervous activity. Methods This single‐cohort, intra‐participant, comparative cross‐over study included 30 healthy female adolescents. Two of the 30 participants were excluded from the analysis. After splitting the participants into blanketing and non‐blanketing groups, the stress and anxiety that patients undergo during nursing care was simulated and the responses were analyzed by using psychological and physiological indicators. The parametric data were analyzed by using a paired t‐test or one‐way ANOVA and the non‐parametric data were analyzed by using the Wilcoxon signed‐rank test. The significance level was &lt;5%. Results No significant difference was seen between the two groups in vital signs, salivary alpha‐amylase activity, respiratory movement or skin surface temperature. However, the postintervention scores for “Tension–Anxiety” in the Profile of Mood States – Brief Form were significantly lower for the blanketed than the non‐blanketed arm, “sense of ease” and “feeling protected” were significantly higher for the blanketed arm, and in the middle intervention segment, the parasympathetic nervous activity and sympathetic nervous activity were significantly higher and lower, respectively, for the blanketed arm. Conclusion These results suggest that blanketing is effective in relieving psychological stress and promoting a sense of ease among patients who are receiving nursing care.</description><identifier>ISSN: 1742-7932</identifier><identifier>EISSN: 1742-7924</identifier><identifier>DOI: 10.1111/jjns.12138</identifier><identifier>PMID: 27396432</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Analysis of Variance ; Anxiety - therapy ; Autonomic Nervous System ; blanket ; Cross-Over Studies ; Female ; Humans ; Nursing ; Nursing care ; privacy ; psychological strain ; Stress, Psychological - psychology ; Young Adult</subject><ispartof>Japan journal of nursing science : JJNS, 2017-04, Vol.14 (2), p.89-102</ispartof><rights>2016 Japan Academy of Nursing Science</rights><rights>2016 Japan Academy of Nursing Science.</rights><rights>2017 Japan Academy of Nursing Science</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5388-3f7b3d7fd59fa9cf0d95fa613b889b7182a1e84b3239fb6bffe51581e08102633</citedby><cites>FETCH-LOGICAL-c5388-3f7b3d7fd59fa9cf0d95fa613b889b7182a1e84b3239fb6bffe51581e08102633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjjns.12138$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjjns.12138$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27396432$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tokunaga, Namiji</creatorcontrib><creatorcontrib>Fukai, Kiyoko</creatorcontrib><title>Psychosomatic effects of blanketing in nursing care</title><title>Japan journal of nursing science : JJNS</title><addtitle>Jpn J Nurs Sci</addtitle><description>Aim Blanketing, which involves covering patients with a blanket in order to maintain their body temperature and privacy and help alleviate the stress that is associated with medical procedures, is a fundamental skill in nursing care. However, the actual therapeutic effects of blanketing have not been adequately investigated. Therefore, the aim of the present study was to clarify the psychosomatic effects of blanketing in nursing care by observing autonomic nervous activity. Methods This single‐cohort, intra‐participant, comparative cross‐over study included 30 healthy female adolescents. Two of the 30 participants were excluded from the analysis. After splitting the participants into blanketing and non‐blanketing groups, the stress and anxiety that patients undergo during nursing care was simulated and the responses were analyzed by using psychological and physiological indicators. The parametric data were analyzed by using a paired t‐test or one‐way ANOVA and the non‐parametric data were analyzed by using the Wilcoxon signed‐rank test. The significance level was &lt;5%. Results No significant difference was seen between the two groups in vital signs, salivary alpha‐amylase activity, respiratory movement or skin surface temperature. However, the postintervention scores for “Tension–Anxiety” in the Profile of Mood States – Brief Form were significantly lower for the blanketed than the non‐blanketed arm, “sense of ease” and “feeling protected” were significantly higher for the blanketed arm, and in the middle intervention segment, the parasympathetic nervous activity and sympathetic nervous activity were significantly higher and lower, respectively, for the blanketed arm. Conclusion These results suggest that blanketing is effective in relieving psychological stress and promoting a sense of ease among patients who are receiving nursing care.</description><subject>Analysis of Variance</subject><subject>Anxiety - therapy</subject><subject>Autonomic Nervous System</subject><subject>blanket</subject><subject>Cross-Over Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>privacy</subject><subject>psychological strain</subject><subject>Stress, Psychological - psychology</subject><subject>Young Adult</subject><issn>1742-7932</issn><issn>1742-7924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqWw4QNQJDYIKeCx87CXqOJVVYAErC3bsSEhTYqdCPXvcUnpggWzmbs4OjO6CB0DvoAwl1XV-AsgQNkOGkOekDjnJNndZkpG6MD7CmMaGLqPRiSnPEsoGSP65Ff6vfXtQnaljoy1Rnc-am2katl8mK5s3qKyiZre-XXU0plDtGdl7c3RZk_Q6831y_Qunj_e3k-v5rFOKWMxtbmiRW6LlFvJtcUFT63MgCrGuMqBEQmGJYoSyq3KVDidQsrAYAaYZJRO0NngXbr2sze-E4vSa1OHx0zbexEMWQ45xjygp3_Qqu1dE74TBEiSpCmGLFDnA6Vd670zVixduZBuJQCLdZViXaX4qTLAJxtlrxam2KK_3QUABuCrrM3qH5WYzR6eB-k31n58rg</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Tokunaga, Namiji</creator><creator>Fukai, Kiyoko</creator><general>John Wiley &amp; Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Psychosomatic effects of blanketing in nursing care</title><author>Tokunaga, Namiji ; Fukai, Kiyoko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5388-3f7b3d7fd59fa9cf0d95fa613b889b7182a1e84b3239fb6bffe51581e08102633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Analysis of Variance</topic><topic>Anxiety - therapy</topic><topic>Autonomic Nervous System</topic><topic>blanket</topic><topic>Cross-Over Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>privacy</topic><topic>psychological strain</topic><topic>Stress, Psychological - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tokunaga, Namiji</creatorcontrib><creatorcontrib>Fukai, Kiyoko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Japan journal of nursing science : JJNS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tokunaga, Namiji</au><au>Fukai, Kiyoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosomatic effects of blanketing in nursing care</atitle><jtitle>Japan journal of nursing science : JJNS</jtitle><addtitle>Jpn J Nurs Sci</addtitle><date>2017-04</date><risdate>2017</risdate><volume>14</volume><issue>2</issue><spage>89</spage><epage>102</epage><pages>89-102</pages><issn>1742-7932</issn><eissn>1742-7924</eissn><abstract>Aim Blanketing, which involves covering patients with a blanket in order to maintain their body temperature and privacy and help alleviate the stress that is associated with medical procedures, is a fundamental skill in nursing care. However, the actual therapeutic effects of blanketing have not been adequately investigated. Therefore, the aim of the present study was to clarify the psychosomatic effects of blanketing in nursing care by observing autonomic nervous activity. Methods This single‐cohort, intra‐participant, comparative cross‐over study included 30 healthy female adolescents. Two of the 30 participants were excluded from the analysis. After splitting the participants into blanketing and non‐blanketing groups, the stress and anxiety that patients undergo during nursing care was simulated and the responses were analyzed by using psychological and physiological indicators. The parametric data were analyzed by using a paired t‐test or one‐way ANOVA and the non‐parametric data were analyzed by using the Wilcoxon signed‐rank test. The significance level was &lt;5%. 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subjects Analysis of Variance
Anxiety - therapy
Autonomic Nervous System
blanket
Cross-Over Studies
Female
Humans
Nursing
Nursing care
privacy
psychological strain
Stress, Psychological - psychology
Young Adult
title Psychosomatic effects of blanketing in nursing care
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