Şentürk Arzu, Tekinsoy Kartın Pınar
Department of Nursing, Niğde Zübeyde Hanım School of Health, Niğde Ömer Halisdemir University, Niğde, Turkey (Dr Şentürk); and Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey (Dr Tekinsoy Kartın).
Holist Nurs Pract. 2018 Nov/Dec;32(6):324-335. doi: 10.1097/HNP.0000000000000292.
Sleep and anxiety problems occur in hemodialysis (HD) patients due to physical symptoms, lifestyle changes, and psychosocial changes. To remove these sleep and anxiety problems, lavender oil inhalation is one of the nonpharmacological treatment options with less adverse effects than pharmacological methods. The purpose of this study was to determine the effect of lavender oil application via inhalation pathway on HD patients' anxiety level and sleep quality. The study was conducted with 34 HD patients who have been on HD treatment at 2 dialysis centers. The patients of the intervention group (n = 17) were told to drip 2 drops into the box and to place it 15 to 20 cm away from the pillow, 30 minutes before going to bed for 1 week. Control group (n = 17) received no intervention. Data were collected with questionnaire form, Visual Analog Scale, and Hamilton Anxiety Assessment Scale with a face-to-face interview. Subjective sleep quality of the intervention group was higher than that of control group, mean Visual Analog Scale daytime sleepiness score declined (P < .05), and mean score of sleep duration increased (P < .001) in the intervention group. However, the differences of mean score of time for falling asleep between the 2 groups were not different. The mean score of total and subdimensions of Hamilton Anxiety Assessment Scale of intervention group and control group was significantly different (P < .001). These study results provide new promising information about the effect of lavender inhalation on sleep problems and anxiety and these have made significant contributions to nursing, especially for dialysis nurses.
由于身体症状、生活方式改变和心理社会变化，血液透析（HD）患者会出现睡眠和焦虑问题。为消除这些睡眠和焦虑问题，吸入薰衣草油是一种非药物治疗选择，其副作用比药物治疗方法少。本研究的目的是确定通过吸入途径应用薰衣草油对HD患者焦虑水平和睡眠质量的影响。该研究对在2个透析中心接受HD治疗的34例患者进行。干预组（n = 17）的患者被告知在睡前30分钟将2滴薰衣草油滴入盒中，并将其放置在距离枕头15至20厘米处，持续1周。对照组（n = 17）未接受干预。通过问卷调查表、视觉模拟量表和汉密尔顿焦虑评估量表进行面对面访谈收集数据。干预组的主观睡眠质量高于对照组，干预组的视觉模拟量表日间嗜睡评分均值下降（P <.05），睡眠时间均值评分增加（P <.001）。然而，两组之间入睡时间的均值评分差异无统计学意义。干预组和对照组的汉密尔顿焦虑评估量表总分及各维度的均值评分差异有统计学意义（P <.001）。这些研究结果为薰衣草吸入对睡眠问题和焦虑的影响提供了新的有前景的信息，这些结果对护理工作，尤其是对透析护士做出了重要贡献。
