Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Chronic Diseases (Home Care) Research Center, Malayer Nursing School, Hamadan University of Medical Sciences, Hamadan, Iran.
Burns. 2020 Dec;46(8):1933-1941. doi: 10.1016/j.burns.2020.05.006. Epub 2020 May 19.
Pain and anxiety are a major problem of burn patients. Despite the use of different medications, patients still suffer from these two problems. Aromatherapy along with medication may help in alleviating these symptoms. This study aimed to investigate the effect of inhalation aromatherapy with damask rose essence on pain and anxiety in burn patients.
This three group clinical trial was conducted on 120 patients with burns less than 30% TBSA. The patients were randomly allocated into three groups, aromatherapy damask rose essence, placebo, and control. The pain intensity was assessed using visual analogue scale prior to intervention, immediately before, and 15 min after dressing. Anxiety was measured using Spielberger Inventory at before intervention and 15 min after dressing, also the prolonged effect of intervention on pain was assessed by number of the analgesics drugs received for four hours after dressing change. The intervention included inhalation of 6 drops of 40% damask rose essential oil in the damask group, and six drops of distilled water in placebo group one hour before dressing change. The control group received no intervention.
Baseline state-trait anxiety and pain intensity were similar in these three groups (p > 0.05). We found a significant reduction in pain intensity immediately before and after dressing and state anxiety after dressing in the damask group compared to the placebo and control groups (p < 0.001). However, we found no significant difference between the placebo and control groups in terms of these variables at these times (p > 0.05). Also, we found no significant difference among three groups in frequency of analgesics drugs and trait anxiety after intervention (p > 0.05).
Inhaled aromatherapy with Damask rose essence reduces subjective pain intensity and state anxiety in burned patients. Therefore, it is recommended considering use of damask rose essence, as an easy and affordable method along with other treatments.
疼痛和焦虑是烧伤患者的主要问题。尽管使用了不同的药物，患者仍然会遭受这两种问题的困扰。芳香疗法结合药物治疗可能有助于缓解这些症状。本研究旨在探讨大马士革玫瑰精吸入芳香疗法对烧伤患者疼痛和焦虑的影响。
这是一项三组分临床试验，纳入了 120 名烧伤面积小于 30%TBSA 的患者。患者被随机分为三组：芳香疗法-大马士革玫瑰精组、安慰剂组和对照组。在干预前、换药前即刻和换药后 15 分钟使用视觉模拟评分法评估疼痛强度，在干预前和换药后 15 分钟使用斯皮尔伯格焦虑量表评估焦虑程度，还评估了干预对换药后 4 小时内接受的止痛药数量的疼痛的持续影响。干预措施包括在换药前 1 小时吸入 6 滴 40%大马士革玫瑰精油（大马士革组）或 6 滴蒸馏水（安慰剂组），对照组不接受任何干预。
三组患者的基线状态-特质焦虑和疼痛强度相似（p>0.05）。我们发现，与安慰剂组和对照组相比，在换药前即刻和换药后即刻以及换药后状态焦虑方面，大马士革组的疼痛强度显著降低（p<0.001）。然而，在这些时间点，安慰剂组和对照组之间在这些变量方面没有显著差异（p>0.05）。此外，干预后三组在止痛药的使用频率和特质焦虑方面也没有显著差异（p>0.05）。
吸入大马士革玫瑰精可减轻烧伤患者的主观疼痛强度和状态焦虑。因此，建议考虑将大马士革玫瑰精作为一种简单且经济实惠的方法与其他治疗方法结合使用。
