糖尿病患者に対する呼吸バイオフィードバック訓練が長期的な血糖コントロール指標に与える影響

• Published in: ライフサポート Vol. 30; no. 3; pp. 68 - 74
• Main Authors: 岡田, 節朗, 林, 豊彦, 傳谷, 典子
• Format: Journal Article
• Language: Japanese
• Published: ライフサポート学会 31.08.2018
• Subjects: Biofeedback-based breathing control; Blood glucose level; Diabetes mellitus; Stress management
• ISSN: 1341-9455; 1884-5827
• DOI: 10.5136/lifesupport.30.68

The increase of secreted stress hormone is known to be one of the factors in the increasing blood glucose level of diabetic patients. For such patients, this paper proposed a novel training program including biofeedback-based stress management. Subjects were 15 diabetic patients. The biofeedback-based breathing training was applied to all subjects for 12 weeks of hospitalization and following outpatient clinic. After this intervention, subjects' skin conductance decreased significantly in terms of rate of change before and after the training. Subsequently, medical doctors checked their continuous execution of the exercise and its subjective effects for 12 months. As a control group, 15 diabetic patients who underwent nearly the same training program except the breathing training were employed. Consequently, the average NGSP value of hemoglobin A1c, used as an index of blood-glucose control, remained at a significantly low level (p<0.05) for 12 months after the training in the intervention group, while no statistical difference was observed in the value after 12 months in the control group. The average blood glucose level remained at a significantly low level (p<0.05) for 12 months after the training in the intervention group, while no statistical difference was observed in the value at any time in the control group, exhibiting a trend of an immediate decrease and a subsequent increase. These results suggested a clinical applicability of the proposed training program.