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甜橙香薰疗法对血液透析患者穿刺时疼痛和焦虑的影响:一项准实验研究。

Effects of sweet orange aromatherapy on pain and anxiety during needle insertion among patients undergoing hemodialysis: A quasi-experimental study.

作者信息

Reyes Ma Catherine Grace Mendoza, Reyes Ma Corrine Grace Mendoza, Ribay Krystal Gale Lastrella, Paragas Emmanuel Dayao

机构信息

College of Nursing, University of Santo Tomas, Manila, Philippines.

Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines.

出版信息

Nurs Forum. 2020 Jul;55(3):425-432. doi: 10.1111/nuf.12447. Epub 2020 Mar 17.

DOI:10.1111/nuf.12447
PMID:32185802
Abstract

PURPOSE

Patients undergoing hemodialysis experience pain and anxiety during needle insertion, and the scientific interest in aromatherapy in reducing pain and anxiety is increasing. Thus, this study aimed to determine the effects of sweet orange aromatherapy on pain and anxiety during needle insertion in hemodialysis.

DESIGN

Quasi-experimental, pretest, and posttest.

METHODS

This study was carried out among 50 patients with chronic kidney disease who were non-randomly assigned to either sweet orange aromatherapy or calm breathing in three outpatient hemodialysis centers in the Philippines between July and August 2015. The numeric rating scale and adapted state-trait anxiety inventory were utilized to measure pain and anxiety.

RESULTS

After the intervention, both the pain and anxiety scores were significantly lower for patients who received sweet orange aromatherapy than those who received calm breathing. The results obtained modest effect sizes that imply high practical significance.

CONCLUSION

The sweet orange aromatherapy can be effective in reducing pain and anxiety. Thus, this can be used by nurses as an alternative and complementary approach to reduce both pain and anxiety in painful procedures like needle insertion.

摘要

目的

接受血液透析的患者在针刺过程中会经历疼痛和焦虑,并且科学上对芳香疗法在减轻疼痛和焦虑方面的兴趣与日俱增。因此,本研究旨在确定甜橙芳香疗法对血液透析针刺过程中疼痛和焦虑的影响。

设计

准实验性、前测和后测。

方法

2015年7月至8月间,在菲律宾的三个门诊血液透析中心,对50名慢性肾病患者进行了本研究,这些患者被非随机分配到甜橙芳香疗法组或平静呼吸组。采用数字评分量表和修订的状态-特质焦虑量表来测量疼痛和焦虑。

结果

干预后,接受甜橙芳香疗法的患者的疼痛和焦虑评分均显著低于接受平静呼吸的患者。结果获得了适度的效应量,这意味着具有很高的实际意义。

结论

甜橙芳香疗法在减轻疼痛和焦虑方面可能有效。因此,护士可以将其作为一种替代和补充方法,以减轻诸如针刺等疼痛操作中的疼痛和焦虑。

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