22356Concord Hospital.
J Holist Nurs. 2022 Dec;40(4):351-358. doi: 10.1177/08980101211065555. Epub 2021 Dec 15.
This study analyzed the efficacy of Post-Ease, a custom essential oil aromatherapy blend, in decreasing postoperative nausea and vomiting (PONV) and the need for antiemetic drugs in an orthopaedic surgical population. This is retrospective cohort study, utilizing electronic health record data pre- and post-implementation of a nurse-driven quality improvement intervention. The study examined the impact of an inhaled custom blend of essential oils containing lavender, peppermint, ginger and lemon to assist in decreasing PONV and reduce the use of antiemetic medications. Data on the use of antiemetic drugs in pre- and post-intervention periods were analyzed. Nurses provided the Post-Ease blend 384 times in 2020 to patients as an option before proceeding, if necessary, to antiemetic drugs. The intervention group demonstrated a statistically significant reduction in the number of unique surgical patients' need for antiemetics as treatment (22%; = .05). Similarly, the total doses of antiemetics administered was significantly reduced (21%; ≤ .05) during the study period. This study supports the use of aromatherapy to reduce PONV and minimize antiemetic use in an orthopaedic population.
本研究分析了 Post-Ease(一种定制的精油芳香疗法混合物)在减少骨科手术患者术后恶心和呕吐(PONV)以及抗恶心药物需求方面的疗效。这是一项回顾性队列研究,利用电子病历数据,在实施护士主导的质量改进干预措施之前和之后进行分析。该研究考察了吸入含有薰衣草、薄荷、生姜和柠檬的定制精油混合物对减少 PONV 和减少抗恶心药物使用的影响。分析了干预前和干预后使用抗恶心药物的数据。2020 年,护士共为 384 名患者提供了 Post-Ease 混合物作为选择,如果需要,可使用抗恶心药物。干预组在需要抗恶心药物治疗的独特手术患者数量上呈现出统计学上的显著减少(22%;= 0.05)。同样,在研究期间,抗恶心药物的总剂量也显著减少(21%;≤ 0.05)。这项研究支持使用芳香疗法来减少骨科患者的 PONV 并最大限度地减少抗恶心药物的使用。