A Study on the Physiological Diversity of Hand Bathing under Different Conditions

Achieving the best outcomes and ensuring patients are as comfortable as possible are crucial goals for healthcare professionals. Hospital stress has been linked to worsening patient outcomes and so it is important to implement methods for keeping patients calm. Targeting the autonomic nervous system through hand bathing could provide answers. Associate Professor Hajime Nakano and his collaborators at the Faculty of Nursing, Josai International University, Japan, used precise tools to measure the heart rates of patients bathing their hands in waterbaths maintained at carefully controlled temperatures. The researchers used a probe to non-invasively measure brain activation and found that hand bathing decreased sympathetic nervous system activity, increased parasympathetic nervous system activity and produced feelings of relaxation. Nakano and the team conducted another study in which they activated the sympathetic nervous system in volunteers with mental arithmetic and found that hand bathing significantly suppressed the activation. This led them to posit that thermal stimulation has the potential to impact the stress responses in patients and their motivation in a bidirectional manner, which indicated significant possibilities for clinical applications. The researchers are keen to explore how altering the temperature of the hand bath can positively impact patients and an optimum temperature be selected. The team wants to ensure that interventions are tailored to the unique needs of patients and, as such, observed responses under different conditions and collected vast data that has enabled them to consider a research design that accommodated individual differences.