簡易檢索 / 詳目顯示

研究生: 李知瑋
Lee, Chiz-Wei
論文名稱: 以末梢血流訊號量測建構個人化壓力評估及紓壓系統
A Personal Stress Evaluation and Relaxation System Based on Measurement of Photoplethysmography Signal
指導教授: 羅錦興
Luo, Ching-Hsing
楊明興
Young, Ming-Shing
學位類別: 碩士
Master
系所名稱: 電機資訊學院 - 電機工程學系
Department of Electrical Engineering
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 119
中文關鍵詞: 壓力放鬆末梢血流訊號心率變異性自律神經系統情境紓壓
外文關鍵詞: Stress, Relax, PPG, Photoplethysmography, HRV, ANS, Virtual relaxation
相關次數: 點閱:193下載:4
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 世界衛生組織已預估公元2020年,憂鬱症將名列引起失能與早夭的第二疾病。現代人從日常生活中,在生理、心理緊張的狀態之下,容易造成壓力的產生,也持續地累積卻不自覺。有人藉由聆聽音樂或觀賞影片來放鬆,也有人藉由芳香療法來紓壓,但至今判定紓壓效果之工具多使用問卷,而問卷結果受填寫者主觀及給分策略影響,並不客觀。若欲以客觀之生理訊號判別受測者放鬆程度,各文獻多選擇心電訊號,但心電訊號量測仍具一些問題,包含使用濕電極貼片、需三點量測、受測者具電安全性之疑慮…等,現今仍無法簡易且客觀地測知各種紓壓方式對自身放鬆程度的影響。
    本研究設計了一套便於操作且分析迅速的量測流程,藉由收集使用者的末梢血流訊號,替代心電訊號來分析評估使用者的自律神經運作狀態,進而評估使用者之放鬆程度。本研究亦提出一套新的紓壓方法,探討各紓壓方式之間是否具有加成性及受測者喜好是否影響紓壓方式之放鬆效果。
    研究結果發現,末梢血流訊號可評定出受測者放鬆程度的變化,生理訊號中低高頻比和STAI問卷評分相關係數平均達0.82,達高度正相關性;紓壓方式間是否具有加成性部分,本研究同時使用具關聯性之音樂、氣味、及影像對受測者進行紓壓實驗,受測者低高頻比下降44%,優於單純使用音樂的32%;實驗結果也顯示受測者喜好與紓壓方式之放鬆效果具高度正相關性,喜好程度與紓解短期壓力效果之相關係數為0.824,略高於其與紓解長期壓力效果的0.807。
    本研究提出之量測方式改善了固有方式之不便,也解決問卷過於主觀之問題,期望除了有助於放鬆相關領域研究之進行外,也讓社會大眾可隨時掌握自身自律神經運作狀況,並挑選出適合自己的放鬆方式,以達到身心均健康之目的。

    World Health Organization (WHO) estimates that depression will be the number two cause of "lost years of healthy life" worldwide by the year 2020. Nowadays, people experience more nervous conditions than ever, including physical and mental aspects, and they would bring out pressure which might be accumulated if we do nothing to release it. Some people are used to relaxing themselves by listening to music or watching videos, and some choose aromatherapy to relieve stress. Till now most of the studies use questionnaires to judge the levels of the users’ relaxation condition, but it’s not objective because the result would be affected by the users’ subjectivities and grading strategies. As to estimating relaxation condition through physiology signal, most studies choose Electrocardiography (ECG), but the method of collecting ECG signals wouldn’t be convenient enough and its signal is electrical signal, which would make some users have misgivings of the safety as operating such devices. Even though there are numbers of ways to relax, but few people could measure easily the level of relaxation and the physiology influence that the various ways result in.
    This study designs a measure and analysis procedure which is easy to operate and the data could be analyzed rapidly. The system is designed to estimate the users’ regulation conditions of autonomic nervous system (ANS) through analyzing the users’ photoplethysmography (PPG) signals instead of ECG. The study also designs a new therapy of virtual relaxation to study whether different relaxation methods could be integrated or not and if the users’ reception would affect the relaxation results.
    Study result shows that subjects’ relaxation conditions could be estimated by analyzing their photoplethysmography (PPG) signals, and the average correlation coefficient between LF/HF and STAI questionnaire is 0.82, which represents highly positive relationship. The study integrates relative music, odors, and video to construct visual relaxation therapy, and the experiment results shows that subjects’ LF/HF drops 44%, which is higher than 32%, the result by music therapy. The experiment result also shows highly positive relationship between the subjects’ fondness and the result of the relaxation therapy. The correlation coefficient between fondness and short-term stress relaxation is 0.824, and that between fondness and long-term stress relaxation is 0.807.

    The study provides a new method to obtain subjects’ regulation conditions of ANS, and it not only improves the inconvenience of traditional ECG measurement, but resolves the subjectivity that questionnaires would bring out. We hope that the study would be helpful for future research about relaxation, thereby, people would be able to have their ANS conditions in hand and choose the most suitable method to relax, and finally develop a physically and mentally healthy life.

    第一章 緒論................................1 1-1 研究動機與目的..........................1 1-2 文獻探討...............................4 1-2-1 壓力................................4 1-2-2 心電訊號及心率變異性..................6 1-2-3 末梢血流信號........................11 1-2-4 音樂放鬆............................15 1-2-5 芳香療法............................17 1-3 研究方法 ............................ 19 1-4 章節提要..............................21 第二章 系統設計與測試.......................22 2-1 硬體系統設計...........................22 2-2硬體系統量測模組........................23 2-3系統取樣頻率...........................26 2-4 軟體系統設計..........................27 2-4-1 訊號擷取程式........................28 2-4-2 生理訊號特徵提取.....................29 2-4-3 心率變異性分析.......................39 第三章 實驗設計 .........................44 3-1 實驗系統架構..........................46 3-1-1 實驗(一)..........................46 3-1-2 實驗(二)............................46 3-2 受測者................................48 3-3 實驗場所..............................49 3-4 研究工具..............................50 3-4-1 末梢血流訊號分析.....................50 3-4-2 焦慮量表、憂鬱量表、及喜好程度量表.....52 3-4-3 心理刺激............................54 3-4-4 音樂、影像、精油.....................55 3-4-5 擴香設備............................57 3-4-6 統計工具............................59 3-5 生理訊號量測位置.......................60 3-6 實驗流程與方法.........................61 3-6-1實驗(一)............................61 3-6-2 實驗(二)............................64 第四章 實驗結果............................69 4-1實驗(一)...............................69 4-2 實驗(二)短期紓壓組.....................73 4-3實驗(二)長期紓壓組......................77 第五章 研究結果討論........................81 5-1 研究結果..............................81 5-2 結果討論..............................86 5-2-1 情境紓壓與音樂紓壓之比較.............87 5-2-2 生理參數及問卷.......................88 5-2-3 喜好程度對紓壓效果之影響.............91 第六章 結論...............................93 6-1 研究貢獻..............................93 6-2 未來展望..............................94 參考文獻..................................96 附錄A 受測者對情境的喜好程度量表............103 附錄B 受測者同意書(A).....................105 附錄C 受測者同意書(B).....................108 附錄D 受測者同意書(C).....................111 附錄E STAI焦慮量表.......................114 附錄F 貝克憂鬱量表........................116

    [1] P. J. Rosch, “Job stress: America's leading adult health problem, ” USA    Today, May 1991, pp.42-44.
    [2] T. Hori, T. Katafuchi, S. Take, N. Shimizua, A. Niijimab, “The Autonomic Nervous System as a Communication Channel between the Brain and the Immune System,” Neuroimmunomodulation, Vol.2, No.4, 1995.
    [3] S. Akselrod, D. Gordon, F. A. Ubel, D. C. Shannon, A. C. Berger and R. J. Cohen, “Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control,” Science, Vol.213, No.4504, pp.220-222, 1981.
    [4] S. M. Peng, M. Koo, Z. R. Yu, “Effects of Music and Essential Oil Inhalation on Cardiac Autonomic Balance in Healthy Individuals,” The Journal of Alternative and Complementary Medicine, Vol.15, No.1, 2009.
    [5] 邱安煒, “音樂對腦波及心率變異性的影響,” 台北醫學大學醫學研究所碩士論文, 2004。
    [6] R. S. Herz, “Odor-associative Learning and Emotion: Effects on Perception and Behavior,” Chemistry Senses, Vol.30, No.1, 2005.
    [7] 施嫈瑜、李明濱、李世代、郭聖達, “Stress and Health: Pathophysiological Reactivity,” 北市醫學雜誌, Vol.1, No.1, pp.17-24, 2004。
    [8] C. E. Basch, T. B. Kersch, “Adolescent perceptions of stressful life events,” Health Education,Vol.17, No.3, pp.4-7, 1986.
    [9] A. Pan, O. I. Okereke, Q. Sun, G. Logroscino, J. E. Manson, W. C. Willett, A. Ascherio, F. B. Hu, K. M. Rexrode, “Depression and Incident Stroke in Women,” Stroke , Vol.42, pp. 2770-2775, 2011.
    [10] E. Wooltorton, “Paroxetine (Paxil, Seroxat): increased risk of suicide in pediatric patients,” Canadian Medical Association Journal, Vol. 169, No.5, pp.446, 2003.
    [11] FDA Drug Safety Communication: Abnormal heart rhythms associated with high doses of Celexa (citalopram hydrobromide), US FDA, 2011.
    [12] 圖片取自http://en.wikipedia.org/wiki/Electrocardiography, cited on 30 May, 2012, Electrocardiography Waves and intervals.
    [13] S. D. Kreibig, “Autonomic nervous system activity in emotion: A review, ” Biological Psychology, Vol.84, pp.394-421, 2010.
    [14] K. Shimizu, Y. Arai, N. Hirose, T. Yonemoto, Y. Wakida, “Prognostic significance of heart rate variability in centenarians,” Clinical and experimental hypertension, Vol. 24, No.1-2 , pp.91-97, 2002.
    [15] D. S. Sheps, D. Sheffield, “Depression, anxiety, and the cardiovascular system: the cardiologist's perspective,” Journal of Clinical Psychiatry, Vol.62, pp.12−16, 2001.
    [16] 陳高揚、郭正典、駱惠銘, “心率變異度:原理與應用,” 中華民國急救加護醫學會雜誌, Vol.11, No.2,pp.47-58,2000。
    [17] 唐善美、顏妙芬、蔡惟全、駱麗華, “探討心導管檢查前病人焦慮及心率變異之關係,” 護理暨健康照護研究, Vol.2, No.1, pp.53-60, 2006。
    [18] R. G. Maunder, G. R. Greenberg, R. P. Nolan, W. J. Lancee, A. H. Steinhart, J. J. Hunter, “Autonomic response to standardized stress predicts subsequent disease activity in ulcerative colitis,” European Journal of Gastroenterology & Hepatology, Vol.18, pp.413-420, 2006.
    [19] J. G. Webster, “Design of Pulse Oximeters,” Institute of Psychiatry,1997.
    [20] 圖片取自http://streamlineautomation.biz/site/, cited on 31 May, 2012, Streamline Automation.
    [21] H. Jafarzadeh, P. A. Rosenberg, “Pulse Oximetry: Review of a Potential Aid in Endodontic Diagnosis,” Journal of Endodontics, Vol.35, pp.329-333, 2009.
    [22] 陳耀勳, “心率、PPG和非侵入脈搏波信號之相關性研究,” 逢甲大學自動控制工程學系碩士論文, 2005。
    [23] M. Nitzan, H. Boer, S. Turivnenko, A. Babchenko, D. Sapoznikov, “Power spectrum analysis of the spontaneous fluctuations in the photoplethysmographic signal,” Journal of Basic and Clinical Physiology and Pharmacology, Vol.5, pp.269–276, 1994.
    [24] Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology, “Heart rate variability. Standards of measurement, physiological interpretation, and clinical use,” Circulation, Vol.93, pp.1043-1065, 1996.
    [25] K. Nakajima, T. Tamura, H. Miike, “Monitoring of heart and respiratory rates by photoplethysmography using a digital filtering technique,” Medical Engineering and Physics, Vol.18, No.5, pp.365-372, 1996.
    [26] http://www.musictherapyworld.net/WFMT/Home.html, cited on 30 May, 2012, 音樂療法世界聯盟組織.
    [27] M. H. Thaut, W. B. Davis, “The influence of subject-selected versus experimenter-chosen music on affect, anxiety, and relaxation,” Journal of Music Therapy, vol.30, pp.210, 1993.
    [28] S. B. Hanser, S. C. Larson, A. S. O'Connell, “The effect of music on relaxation of expectant mothers during labor,” Journal of Music Therapy, Vol.20, pp.50-58, 1983.
    [29] 林莉萱, “探討術前音樂對體外震波碎石術病患的影響,” 台北醫學大
    學醫學研究所碩士論文, 2003年。
    [30] H. J. Trappe, “The effects of music on the cardiovascular system and cardiovascular health,” Heart, Vol.96, pp.1868-1871, 2010.
    [31] M. Iwanaga, A. Kobayashi, C. Kawasaki, “Heart rate variability with repetitive exposure to music,” Biological psychology, Vol.70, 2005.
    [32] V. Hohler, “Sport and music,” Sport Science Review, Vol.12, pp.41-44, 1989.
    [33] R. L. Isaacson, “Limbic system,” Wiley Online Library, 1974.
    [34] 孫嘉玲、張元貞、宋梅生、黃美瑜、王秀香、郭素青, “芳香療法於癌症病患之應用, ” 安寧療護雜誌, Vol.9, No.3, pp.253-263, 2004。
    [35] 曾月霞, “芳香療法於護理之應用,” 護理雜誌, Vol.52, No.4, pp.11-15, 2005。
    [36] K. M. Chang, C. W. Shen, “Aromatherapy Benefits Autonomic Nervous System Regulation for Elementary School Faculty in Taiwan,” Evidence-Based Complementary and Alternative Medicine, Vol.2011, 2011.
    [37] S. Howard, B. M. Hughes, “Expectancies, not aroma, explain impact of lavender aromatherapy on psychophysiological indices of relaxation in young healthy women,” British Journal of Health Psychology, Vol.13, pp.603-617, 2007.
    [38] R. Braunschweig、溫佑君, “精油圖鑑,” 商周出版, 2003。
    [39] 圖片取自http://www.nonin.com/index, cited on 30 May, 2012, Nonin Medical Inc.官方網站.
    [40] S. Salivahanan, A. Vallavaraj, C. Gnanapriya, “數位訊號處理,” 美商麥格羅, 2002。
    [41] 杜德銘、洪崇嶺、黃柄森、陳德煒, “水下音響信號頻譜特徵之萃取與識別,” 中正嶺學報, Vol.32, No.2, 2004。
    [42] 張志豪, “強健性和鑑別力語音特徵擷取技術於大詞彙連續語音辨識
    之研究,” 國立臺灣師範大學資訊工程研究所碩士論文, 2005。
    [43] C. D. Spielberger, R. L. Gorsuch, P. R. Lushene, P. R. Vagg, A. G. Jacobs, “Manual for the State-Trait Anxiety Inventory (Form Y),” Consulting Psychologists Press, 1983.
    [44] 許淳惠, “不同依附型態之醫學院與非醫學院學生在死亡焦慮及害怕個人死亡歸因上之差異,” 成功大學行為醫學研究所碩士論文,2002。
    [45] 陳心怡, “貝克憂鬱量表第二版中文版指導手冊,” 中國行為科學社, 1995。
    [46] A. T. Beck, R. A. Steer and G. K. Brown, “Manual for the Beck Depression Inventory—II,” Psychological Corporation, 1996.
    [47] M. H. Bement, A. Weyer, M. Keller, “ Anxiety and stress can predict pain perception following a cognitive stress,” Physiology & Behavior, Vol.101, pp.87-92, 2010.
    [48] C. Y. Wu, “Evaluation of Depression Prevalence in Workers in Noisy Environment,” 中華職業醫學雜誌, Vol.17, No.4, pp.261-265, 2010.
    [49] 影片取自https://www.worldnaturevideo.com/, cited on 30 May, 2012, World Nature Video.
    [50] 影片取自http://www.youtube.com/user/roder59, cited on 30 May, 2012, 使用者帳號roder59.
    [51] 影片取自http://www.hanazakura.jp/, cited on 30 May, 2012, Press media Company.
    [52] 李文媛、蔡慈皙、葛偉芬, “芳香療法實證學,” 社團法人德芳亞太研究發展協會, 2011。

    下載圖示 校內:立即公開
    校外:立即公開
    QR CODE