Oshvandi Khodayar, Mirzajani Letomi Fariba, Soltanian Ali Reza, Shamsizadeh Morteza
Mother and Child Care Research Center, Hamadan University of Medical Sciences, P.O. Box: 3614773955, Hamadan, Iran.
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
J Complement Integr Med. 2021 Apr 12;18(4):843-850. doi: 10.1515/jcim-2020-0121.
Hemodialysis (HD) patients suffer more sleep problems (poor sleep quality and restless leg syndrome [RLS]). Complementary therapy, especially massage with aromatherapy oil is one of the non-pharmacological treatment options with less adverse effects than routine methods. The purpose of this study was to determine the effects of foot massage with of lavender and orange essential oil on HD patients' sleep quality and RLS.
This is a double blind randomized controlled trial on 105 HD patients was conducted at a large educational hospital in Iran, Hamadan province between January and September 2017. Patients divided into three groups with random allocation (35 participants per groups in lavender, orange, and control group). Foot massage during HD with lavender and orange essential oil was administered to the patients three times a week for three weeks, and every massage lasted half an hour. The control group received routine care. Before the intervention, the end of the first, second, and third weeks Pittsburgh Sleep Quality Index (PSQI) and RLS questionnaire were completed for all three groups. Data were statistically analyzed with Independent Samples t-test, chi-square test and repeated-measures analysis of variance (ANOVA) by SPSS version 16.
The mean score of sleep quality and RLS in the intervention groups were significantly different compare with the control group in all three time of data collecting (p<0 001).
Aromatherapy prepared with lavender oil and sweet orange may be recommended to increase sleep quality and RLS level of the HD patients.
血液透析（HD）患者睡眠问题更多（睡眠质量差和不安腿综合征[RLS]）。辅助治疗，尤其是用香薰油按摩，是一种非药物治疗选择，其副作用比常规方法少。本研究的目的是确定用薰衣草和橙子精油进行足部按摩对HD患者睡眠质量和RLS的影响。
这是一项于2017年1月至9月在伊朗哈马丹省一家大型教学医院对105名HD患者进行的双盲随机对照试验。患者随机分为三组（薰衣草组、橙子组和对照组每组35名参与者）。在HD期间，用薰衣草和橙子精油对患者进行足部按摩，每周三次，共三周，每次按摩持续半小时。对照组接受常规护理。在干预前、第一周、第二周和第三周结束时，三组患者均完成匹兹堡睡眠质量指数（PSQI）和RLS问卷。数据采用独立样本t检验、卡方检验和重复测量方差分析（ANOVA）进行统计学分析，使用SPSS 16版软件。
在所有三个数据收集时间点，干预组的睡眠质量和RLS平均得分与对照组相比均有显著差异（p<0.001）。
可以推荐使用薰衣草油和甜橙制备的香薰疗法来提高HD患者的睡眠质量和RLS水平。
