Department of Palliative Care, Osaka Rosai Hospital, Sakai City, Osaka, Japan.
Department of Palliative Care, National Hospital Organization, Kyoto Medical Center, Fukakusa Mukaihata-cho Fushimi-ku, Kyoto City, Kyoto, Japan.
J Pain Symptom Manage. 2020 Jun;59(6):1165-1171. doi: 10.1016/j.jpainsymman.2020.01.003. Epub 2020 Jan 23.
There is little evidence of the effectiveness of aromatherapy massage in palliative care despite its popularity.
This study aimed to investigate the effects of a 30-minute single session of aromatherapy massage at night time on quality of sleep and fatigue in palliative care.
A randomized controlled trial from January 2018 to March 2019. After being stratified by sex, participants were randomly assigned to an aromatherapy massage group and a control group. The effects of aromatherapy massage were evaluated on the massage day and the next day using the Richards-Campbell Sleep Questionnaire and the Brief Fatigue Inventory.
Of the 74 participants, data of 27 participants in the treatment group and 30 participants in the control group were analyzed. Analysis of covariance indicated that quality of sleep and fatigue did not improve owing to the aromatherapy massage, although usual fatigue in preceding 24 hours and enjoyment of life subscales of the Brief Fatigue Inventory showed signs of contribution (P = 0.07 and 0.09, respectively). Post hoc analyses indicated that higher age and performance status were factors with moderate correlation with better sleep (P = 0.03; r = 0.45 and P = 0.03; r = 0.40, respectively), and that older patients tended to experience greater improvement in fatigue (P = 0.02; r = -0.47).
A single aromatherapy massage session is no more effective than not having a massage in improving sleep quality in palliative care settings. However, older patients and those in poor health conditions may benefit from aromatherapy massage.
尽管芳香疗法按摩很受欢迎，但在姑息治疗中，其有效性的证据很少。
本研究旨在调查夜间进行 30 分钟单次芳香疗法按摩对姑息治疗患者睡眠质量和疲劳的影响。
这是一项 2018 年 1 月至 2019 年 3 月进行的随机对照试验。在按性别分层后，参与者被随机分配到芳香疗法按摩组和对照组。使用理查兹-坎贝尔睡眠问卷和简明疲劳量表评估芳香疗法按摩的效果，评估时间为按摩当天和第二天。
在 74 名参与者中，有 27 名治疗组参与者和 30 名对照组参与者的数据进行了分析。协方差分析表明，尽管芳香疗法按摩对睡眠质量和疲劳没有改善，但前 24 小时的一般疲劳和简明疲劳量表的生活享受子量表显示出一定的贡献（分别为 P=0.07 和 0.09）。事后分析表明，较高的年龄和表现状态是与睡眠质量改善有中度相关性的因素（P=0.03；r=0.45 和 P=0.03；r=0.40），并且年龄较大的患者在疲劳方面的改善程度更大（P=0.02；r=-0.47）。
单次芳香疗法按摩并不比不进行按摩更能改善姑息治疗环境中的睡眠质量。然而，年龄较大和健康状况较差的患者可能会从芳香疗法按摩中受益。
