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Effect of handholding on heart rate variability in both patients with cancer and their family caregivers

A randomized crossover study

Bibliographic Data

ID19536584
AuthorsHiroko Sakuma (Kansai Medical University), Hideaki Hasuo (0000-0001-8094-9029, Kansai Medical University, corresponding author), Mikihiko Fukunaga (Kansai Medical University)
Year2021
Volume15
Issue1
Pages14-14
Publication date2021-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBioPsychoSocial Medicine (JOURNAL)
Journal identifiersISSN: 1751-0759 • E-ISSN: 1751-0759
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s13030-021-00217-y
PMID34556144
OpenAlexW3201398447
LanguageEN
Citations received2
References cited22

BACKGROUND: Many family caregivers of patients with cancer feel guilty about self-care. A meaningful relationship with patients reduces such negative feelings and functions as self-care for family caregivers. Moreover, handholding improves autonomic functions in non-cancer patients. However, the effects of handholding on both patients with cancer and family caregivers remain unknown. METHODS: We evaluated the effects of handholding on heart rate variability (HRV) in patients with cancer and their family caregivers. This randomized crossover study divided patients with cancer and their family caregivers into two trial groups: Handholding trial (the family caregiver holds the patient's hand for five minutes) and Beside trial (the family caregiver stays beside the patient without holding their hand). The study included 37 pairs of patients with cancer who received treatment in the cancer department of a university hospital in Japan and their family caregivers (n = 74). The primary end-point was the change in HRV before and during the intervention. RESULTS: The median performance status of the patients was 3. An interaction was observed between trials in the standard deviation of the normal-to-normal interval (SDNN) of HRV for family caregivers (F = 7.669; p = 0.006), and a significant difference in time course was observed between the trials (before p = 0.351; during p = 0.003). No interaction was observed between trials in the SDNN for patients (F = 0.331; p = 0.566). Only a main effect in time course (F = 6.254; p = 0.014) was observed. SDNN increased significantly during the intervention in both trials (Handholding trial: p = 0.002, Beside trial: p = 0.049). CONCLUSIONS: Handholding improves autonomic functions of family caregivers and may function as self-care for family caregivers. TRIAL REGISTRATION: UMIN000020557 . Registered on January 15, 2016

Alternative medicine · Blood pressure · Cancer · Crossover study · Family caregivers · Feeling · Heart rate · Heart rate variability · Physical therapy · Randomized controlled trial · Cancer survivorship and care · Heart Rate Variability and Autonomic Control · Medicine · Music Therapy and Health · Nursing · Psychology · Internal Medicine

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  • Heart Rate Variability

    Task Force of the European Society of Cardiology the North A Electrophysiology•Circulation•1996

  • Heart rate variability

    Marek Malik, J Thomas Bigger et al.•European Heart Journal•1996

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Unique citing works2
Citations per year0.67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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