Askarkafi Farzaneh, Rayyani Masoud, Dehghan Mahlagha
Critical Care ward, Afshar Hospital, Yazd University of Medical Sciences, Yazd, Iran.
Nursing Research Center, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Kerman, Iran.
J Chiropr Med. 2020 Mar;19(1):49-57. doi: 10.1016/j.jcm.2019.08.001. Epub 2020 Sep 3.
The current study aimed to determine the effect of massage with and without aromatic oil on the delirium of patients hospitalized in the cardiac intensive care unit.
This study was a single-blind, randomized, controlled trial. Using a convenience method, 150 patients were selected and assigned into 3 groups: control, massage with aroma, and massage without aroma using the minimization method. Only routine care was provided for the control group. Brown massage with 4% rose oil in the base of sweet almond oil was given to the massage group with aroma 1 day after the surgery. The same steps and massage techniques with sweet almond oil were performed for the massage group without aroma. The incidence and severity of delirium were evaluated at the end of each day using the Neelon and Champagne Confusion Scale.
Delirium scores were not significantly different among the 3 groups on the first, second, and third days ( > .05). Also, the incidence of delirium significantly decreased in all 3 groups from day 1 to day 3.
The results of this study could not prove the beneficial effects of massage with and without aroma on delirium incidence. Further studies are suggested to determine the best intervention to reduce delirium in patients undergoing coronary artery surgery.
本研究旨在确定有无香薰油的按摩对入住心脏重症监护病房患者谵妄的影响。
本研究为单盲、随机、对照试验。采用便利抽样法，选取150例患者，运用最小化法将其分为3组：对照组、香薰按摩组和无香薰按摩组。对照组仅给予常规护理。术后第1天，给香薰按摩组进行以甜杏仁油为基底、含4%玫瑰油的棕色按摩。无香薰按摩组采用与甜杏仁油相同的步骤和按摩技术。每天结束时，使用尼隆和香槟意识模糊量表评估谵妄的发生率和严重程度。
在第1、2、3天，3组之间的谵妄评分无显著差异（P＞0.05）。此外，从第1天到第3天，所有3组的谵妄发生率均显著降低。
本研究结果无法证明有无香薰的按摩对谵妄发生率有有益影响。建议进一步开展研究，以确定降低冠状动脉手术患者谵妄的最佳干预措施。
