Seyyed-Rasooli Alehe, Salehi Feridoon, Mohammadpoorasl Asghar, Goljaryan Sakineh, Seyyedi Zahra, Thomson Brian
Infectious and Tropical Diseases Research Center, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Drug Applied Research Center, Plastic Surgery, Department of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Burns. 2016 Dec;42(8):1774-1780. doi: 10.1016/j.burns.2016.06.014. Epub 2016 Aug 27.
Anxiety and pain are recognized as major problems of burn patients; because pharmaceutical treatments for controlling anxiety and pain symptoms lead to complications and an increase in health costs, nonpharmacological nursing interventions were considered for this group of patients. This led to the present study aimed at comparing the effect of aromatherapy massage with inhalation aromatherapy for anxiety and pain in burn patients.
This single-blind clinical trial was carried out on 90 patients with burns <20%. Patients were randomly assigned to one of three groups, namely aromatherapy massage, inhalation aromatherapy, and control group. The patients assigned to the aromatherapy massage group received a massage for half an hour using a blend of lavender and almond oils, while a blend of rose and lavender aroma was used for the inhalation aromatherapy group. Spielberger State Anxiety Inventory was used for measuring anxiety and the visual analog scale (VAS) scale was used for measuring pain.
The results showed that three groups were equal in terms of demographics, disease characteristics, and scores of anxiety and pain at the baseline. The mean decreases of anxiety scores were -0.04±5.08, 6.33±12.55, and 6.43±10.60 in the control group, aromatherapy massage group, and inhalation group, respectively (p=0.007). The mean decrease of pain scores were -0.10±0.96, 1.70±1.84, and 0.97±1.56 in the control group, aromatherapy massage group, and inhalation group, respectively (p<0.001).
The study results showed the positive effect of aromatherapy massage and inhalation aromatherapy compared with the control group in reducing both anxiety and pain of burn patients. Therefore, both interventions, which are inexpensive, and noninvasive nursing tasks can be proposed for alleviating anxiety and pain of burn patients.
焦虑和疼痛被认为是烧伤患者的主要问题;由于控制焦虑和疼痛症状的药物治疗会导致并发症并增加医疗成本,因此考虑对这类患者采取非药物护理干预措施。这促成了本研究,旨在比较芳香疗法按摩与吸入式芳香疗法对烧伤患者焦虑和疼痛的影响。
这项单盲临床试验针对90名烧伤面积小于20%的患者开展。患者被随机分为三组,即芳香疗法按摩组、吸入式芳香疗法组和对照组。分配到芳香疗法按摩组的患者使用薰衣草油和杏仁油混合剂接受半小时的按摩,而吸入式芳香疗法组使用玫瑰和薰衣草香味混合剂。使用斯皮尔伯格状态焦虑量表测量焦虑,使用视觉模拟量表(VAS)测量疼痛。
结果显示,三组在人口统计学、疾病特征以及基线时的焦虑和疼痛评分方面相当。对照组、芳香疗法按摩组和吸入组的焦虑评分平均降幅分别为-0.04±5.08、6.33±12.55和6.43±10.60(p = 0.007)。对照组、芳香疗法按摩组和吸入组的疼痛评分平均降幅分别为-0.10±0.96、1.70±1.84和0.97±1.56(p<0.001)。
研究结果表明,与对照组相比,芳香疗法按摩和吸入式芳香疗法在减轻烧伤患者的焦虑和疼痛方面具有积极效果。因此,可以提出这两种既廉价又属于非侵入性护理工作的干预措施,以减轻烧伤患者的焦虑和疼痛。