Journal List > Korean J Women Health Nurs > v.19(4) > 1089449

Choi and Kim: Effects of Aromatherapy on Stress, Sleep, Nausea and Vomiting during Patient Controlled Analgesia Treatment of Patients with Hysterectomy

Abstract

Purpose

The purpose of study was to examine effects of aromatherapy on stress, sleep, nausea and vomiting of women after laparoscopic hysterectomy.

Methods

The participants were 60 women who had laparoscopic hysterectomy: experiment group for aromatherapy (n=30) and control group for routine care (n=30). The experimental group received inhalation aromatherapy for 5 minutes, twice; the first was done right after the operation, the second was at 9 pm before sleep on the same day--while the control group had no inhalation. Data were collected from July to September, 2012 at G hospital.

Results

The degree of psychological stress was not significantly different between two groups (t=-1.96, p= .054). Yet, there were significant differences between two groups for degree of physiological stress (t=-3.20, p= .002), the level of cortisol (t=-2.01, p= .049), the score of sleep status (t=2.47, p= .016), the score of sleep satisfaction (t=2.43, p= .018), and the score for nausea and vomiting (t=-2.58, p= .012).

Conclusion

Inhalation aromatherapy using the mixed oil of lavender, mandarin, and marjoram was effective in decreasing the level of physiological stress, cortisol, and the score for nausea and vomiting, and also allowed the participants to have a better sleep. Therefore, inhalation aromatherapy could be effective in improving the quality of life of these women during recovery.

Figures and Tables

Table 1
Homogeneity test for Baseline Characteristics of the Participants (N=60)
kjwhn-19-211-i001

Exp.=experimental group; Cont.=control group.

Fisher's exact test.

Table 2
Comparison of Scores of Psychological Stress, Physiological Stress, Urine Cortisol (µg/day) between Two Groups after Treatment (N=60)
kjwhn-19-211-i002

Exp.=experimental group; Cont.=control group.

Table 3
Comparison of Scores of Sleep Status and Sleep Satisfaction between Two Groups after Treatment (N=60)
kjwhn-19-211-i003

Exp.=experimental group; Cont.=control group.

Table 4
Comparison of Scores of Nausea and Vomiting between Two Groups after Treatment (N=60)
kjwhn-19-211-i004

Exp.=experimental group; Cont.=control group.

Notes

This manuscript was a part of the first authors' master thesis.

References

1. Buckle J. The role of aromatherapy in nursing care. Nurs Clin North Am. 2001; 36:57–72.
2. Cha HS, Kim MY, Moon DH. Effects of stress relief by aromatherapy among the nurses in operating theater. J Korean Soc Cosmetol. 2012; 18:623–631.
3. Choi EM, Lee KS. Effects of aroma inhalation on blood pressure, pulse rate, sleep, stress, and anxiety in patients with essential hypertension. J Korean Biol Nurs Sci. 2012; 14:41–48.
crossref
4. Han SH, Ro YJ, Hur MH. Effects of aromatherapy on menstrual cramps and dysmenorrhea in college student woman: A blind randomized clinical trial. J Korean Acad Adult Nurs. 2001; 13:420–430.
5. Hong SJ, Lee EJ. Cost analysis of post operative pain management for surgical patients using PCA. J Korean Acad Fundam Nurs. 2013; 20:137–146.
crossref
6. Jager W, Buchbauer G, Jirovetz L, Fritzer M. Percutaneous absorption of lavender oil from a massage oil. J Soc Cosmet Chem. 1992; 43:49–54.
7. Jo MJ. The effects of aroma inhalation on stress, fatigue, mood, and vital signs of the nurses in the operating rooms. J Korean Acad Adult Nurs. 2010; 22:153–160.
8. Jung ES, Lee BS. Effects of aroma oil inhalation on nausea·vomiting and anorexia in cancer patients receivingchemotherapy. J Korean Acad Adult Nurs. 2004; 16:135–145.
9. Kim JS, Lee JR, Jun YS, Kim BR, Park CM. The effects of aromatherapy on stress related hormones. J Korean Soc Cosmetol. 2009; 15:1452–1462.
10. Kim NH. The effects of aromatherapy to reduce nausea·vomiting and pain in patients receiving transcatheter arterial chemoembolization. Seoul: Kyunghee University;2010. Unpublished master's thesis.
11. Kim OJ, Kim KH, Park KS. The effect of aroma inhalation on stress, anxiety and sleep pattern in patients with hemodialysis. Clin Nurs Res. 2007; 13:99–111.
12. Kim YJ, Kim JY, Choi IR, Kim MW, Rhodes V. The index of nausea, vomiting, and retching (Korean translation). J Korean Acad Adult Nurs. 2000; 12:278–284.
13. Lee SO, Hwang JH. Effects of aroma inhalation method on subjective quality of sleep, state anxiety, and depression in mothers following cesarean section delivery. J Korean Acad Fundam Nurs. 2011; 18:54–62.
14. Naito Y, Tamai S, Shingu K, Shindo K, Matsui T, Segawa H, et al. Responses of plasma adrenocorticotropic hormone, cortisol, and cytokines during and after upper abdominal surgery. Anesthesiology. 1992; 77:426–431.
crossref
15. National Health Insurance Corporation. The Statistics of Major Operation. 2012. Retrieved December 30, 2012. from http://www.nhis.or.kr/portal/site/main/MENU_WBDDG0207/.
16. Oh HK. Aromatherapy handbook. Seoul: Yang Moon Press;2002.
17. Oh JA, Kim HJ, Park JH. Effect of aroma therapy on anxiety, blood pressure and pulse of uterine leiomyoma patients before surgery. Korean J Women Health Nurs. 2008; 14:28–35.
18. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. J Korean Acad Nurs. 1998; 28:563–572.
19. Park SY. Stress scale. Gwangju Public Health Center;1999. 11:p. 84.
20. Rhodes VA, McDaniel RW. The index of nausea, vomiting, and retching: A new format of the index of nausea and vomiting. Oncol Nurs Forum. 1999; 26:889–894.
21. Selye H. Stress and the general adaptation syndrome. Br Med J. 1950; 1:1383–1392.
crossref
22. Watcha MF, White PE. Postoperative nausea and vomiting: It's etiology, treatment, and prevention. Anesthesiology. 1992; 77:162–184.
23. Weissman C. The metabolic response to stress: An overview and update. Anesthesiology. 1990; 73:308–327.
24. Won SJ, Chae YR. The effects of aromatherapy massage on pain, sleep, and stride length in the elderly with knee osteoarthritis. J Korean Biol Nurs Sci. 2011; 13:142–148.
TOOLS
Similar articles