Asazawa Kyoko, Kato Yoshihiro, Yamaguchi Atsuko, Inoue Asako
Department of Nursing, Tokyo Healthcare University, Tokyo, Japan.
Maternity Ward ,Tokyo Medical Center, Tokyo, Japan.
Int J Community Based Nurs Midwifery. 2017 Oct;5(4):365-375.
Early in the postpartum period, mothers are often nervous and tired from the delivery, breast-feeding and caring for a new-born. The aim of this study was to evaluate the process and outcome of using aromatherapy treatments to increase relaxation and decrease fatigue for mothers during the first to the seventh day of the postpartum period.
This non-randomized controlled study with a quasi-experimental one-group pretest-posttest design was used to evaluate scores in relaxation and fatigue before and after the intervention. Aromatherapy hand treatments were performed on a purposive sample of 34 postpartum mothers in Tokyo, Japan, from May to July 2016. The single treatment included a choice of one of five essential aroma oils through hand and forearm massage. Relaxation and fatigue were measured by self-administered valid and reliable questionnaires. Wilcoxon signed-rank test was conducted to analyze the data before and after the intervention. The software programs SPSS, v. 23.0 (SPSS, Tokyo), was used to analyze the data, with the significance level set at 5%.
Valid responses were obtained from 29 participants. A comparison of the scores before and after aroma treatment intervention indicated that the participants' relaxation scores increased significantly (P<0.001) and fatigue scores were significantly reduced (P<0.001). The majority of participants (77.8%) were satisfied with the treatment.
The aroma treatments significantly improved relaxation and reduced fatigue for mothers in the early puerperal period and were well received. Therefore, a larger study using a pretest-posttest random control trial is recommended.
在产后早期，母亲们往往因分娩、母乳喂养和照顾新生儿而感到紧张和疲惫。本研究的目的是评估在产后第1天至第7天使用芳香疗法来增强母亲放松感并减轻疲劳的过程及效果。
本非随机对照研究采用类实验性单组前后测设计，以评估干预前后的放松和疲劳得分。2016年5月至7月，对日本东京34名产后母亲的目的样本进行了芳香疗法手部治疗。单次治疗包括通过手部和前臂按摩从五种香薰精油中选择一种。通过自行填写的有效且可靠的问卷来测量放松和疲劳程度。采用Wilcoxon符号秩检验分析干预前后的数据。使用SPSS 23.0软件程序（SPSS，东京）进行数据分析，显著性水平设定为5%。
获得了29名参与者的有效回复。香薰治疗干预前后得分比较表明，参与者的放松得分显著提高（P<0.001），疲劳得分显著降低（P<0.001）。大多数参与者（77.8%）对治疗感到满意。
芳香疗法显著改善了产褥早期母亲的放松状态并减轻了疲劳，且受到好评。因此，建议采用前后测随机对照试验进行更大规模的研究。
