Hur Myung Haeng, Han Sun-Hee
School of Nursing, Eulji University, chunggu, Daejeon, Korea.
Taehan Kanho Hakhoe Chi. 2004 Feb;34(1):53-62. doi: 10.4040/jkan.2004.34.1.53.
This study was designed to verify the effect of aromatherapy on a postpartum mother's perineal healing.
The research design was a clinical trial. The methods of aromatherapy were applied sitz bath or soap application using essential oils with Lavender, Myrrh, Neroli, Rose, Grapefruit, Mandarin, Orange, and Roman Chamomile. The subjects of this experiment were postpartum mothers who delivered vaginally with an episiotomy. They were allocated to one of three groups; the aroma-sitz bath group, aroma-soap application group or control group. To evaluate the effect of aromatherapy, the perineal healing status was measured using the REEDA scale and smears of episiotomy wound were obtained. The data were analyzed by repeated measures of ANOVA, ANCOVA, chi2-test, and multiple response analysis via SPSS program.
The REEDA scale was significantly low in the experimental group at postpartum 5th and 7th days (P=.009, P=.003), respectively. Most were observed 'few'(5-10 bacteria per field) bacteria in the smears of episiotomy wound. The one bacteria was identified in the 50.8% of subjects in pretest and two bacteria in the 60.3% in posttest. Most frequently identified bacteria were Escherichia coli and Enterococcus faecalis.
In conclusion, these findings indicate that postpartum aromatherapy for perineal care could be effective in healing the perineum perineal care could be effective in healing the perineum.
本研究旨在验证芳香疗法对产后母亲会阴愈合的效果。
研究设计为临床试验。芳香疗法的方法为使用含有薰衣草、没药、橙花、玫瑰、葡萄柚、柑橘、橙子和罗马洋甘菊的精油进行坐浴或制成肥皂使用。本实验的受试者为经阴道分娩并进行会阴切开术的产后母亲。她们被分为三组之一：芳香坐浴组、芳香肥皂使用组或对照组。为评估芳香疗法的效果，使用REEDA量表测量会阴愈合状况，并获取会阴切开术伤口的涂片。数据通过SPSS程序进行重复测量方差分析、协方差分析、卡方检验和多重反应分析。
在产后第5天和第7天，实验组的REEDA量表得分显著较低（分别为P = 0.009，P = 0.003）。在会阴切开术伤口涂片中，大多数观察到“少量”（每视野5 - 10个细菌）细菌。在预测试中，50.8%的受试者检测到一种细菌，在测试后60.3%的受试者检测到两种细菌。最常鉴定出的细菌是大肠杆菌和粪肠球菌。
总之，这些发现表明产后会阴护理的芳香疗法对会阴愈合可能有效。
