Song Ji-Ah, Yang Hyejin
Korean J Women Health Nurs. 2022 Jun 30;28(2):87-99. doi: 10.4069/kjwhn.2022.05.15. Epub 2022 Jun 16.
The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue.
Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women's fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran's Risk of Bias and Risk of Bias Assessment Tool for Non-randomized Studies.
The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil? produced a 0.75-point reduction in postnatal mothers' fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers' quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality.
Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.
本系统评价旨在研究针对产前和产后女性的芳香疗法干预措施，并确定这些干预措施对疲劳的有效性。
检索并收集了六个国家和国际数据库中截至2021年9月7日发表的研究，这些研究描述了针对产前和产后女性疲劳的芳香疗法干预的随机对照试验和对照临床试验。在最初识别的323篇文章中，排除了64篇重复文章，并筛选了259篇。在进一步排除216篇与PICO框架无关的文章后，选择了10篇进行综述。两名综述员独立选择研究，并使用Cochrane偏倚风险和非随机研究偏倚风险评估工具进行数据提取和质量评估。
所选10项研究的质量总体令人满意。对三项研究的荟萃分析表明，与对照组相比，薰衣草油芳香疗法可使产后母亲的疲劳程度降低0.75分。睡眠质量也作为疲劳的次要结果进行了分析。对四项使用薰衣草和/或橙皮油的研究进行的荟萃分析发现，芳香疗法可使产后母亲的睡眠质量提高0.98分。尽管无法进行荟萃分析来综合孕妇疲劳的研究结果，但使用薰衣草油的吸入和按摩疗法对产前疲劳和睡眠质量显示出积极效果。
使用薰衣草油和橙皮油的芳香疗法可有效改善产前和产后的疲劳及睡眠质量。
