Bargi Sepideh, Bahraminejad Nasrin, Jafari Samineh, Fallah Ramezan
Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Social Determinant of Health Research Center, School of Nursing and Midwifery, Zanjan University of Medical Science, Zanjan, Iran.
J Caring Sci. 2023 May 6;12(2):116-122. doi: 10.34172/jcs.2023.30120. eCollection 2023 Jun.
Postoperative pain is one of the most common physiological and psychological stress in patients that disrupts body function and can endanger patients' health. This study aims to determine the effect of aromatherapy with essential on pain after orthopedic surgery.
This randomized clinical trial was performed on 60 candidates for orthopedic surgery. Patients were selected through convenience sampling and divided into intervention and control groups through randomized block allocation. If the visual analogue scale (VAS) score was above 3, patients in the intervention group received aromatherapy with essential and the patients in the control group received a placebo (almond oil). VAS was used to measure pain. Data analysis was performed using independent test, paired test, and analysis of variance with repeated measures using SPSS software version 13.
Mean (SD) of pain intensity after intervention in experimental and control groups within 4, 8, and 12 hours after surgery was 7.30 (1.23) vs. 7.90 (0.99), 5.30 (0.98) versus 5.53 (0.68) and 2.53 (0.9) vs. 3.60 (0.77) respectively. The findings indicated that there was a significant difference in mean pain intensity between the experimental and control groups at 4 and 12 hours after surgery. Use of analysis of variance with repeated measures test with taking into account the interaction of time and group also showed a significant difference in mean pain intensity between the two experimental and control groups.
Aromatherapy with essential can be effective in reducing mild to moderate pain after orthopedic surgery. Further studies are recommended to confirm this finding.
术后疼痛是患者最常见的生理和心理应激之一，它会破坏身体功能并可能危及患者健康。本研究旨在确定使用精油进行芳香疗法对骨科手术后疼痛的影响。
本随机临床试验针对60名骨科手术候选患者进行。通过便利抽样选择患者，并通过随机区组分配将其分为干预组和对照组。如果视觉模拟量表（VAS）评分高于3分，干预组患者接受精油芳香疗法，对照组患者接受安慰剂（杏仁油）。使用VAS测量疼痛。使用独立样本t检验、配对t检验以及使用SPSS 13版软件进行重复测量方差分析来进行数据分析。
术后4小时、8小时和12小时，实验组和对照组干预后疼痛强度的均值（标准差）分别为7.30（1.23）对7.90（0.99）、5.30（0.98）对5.53（0.68）以及2.53（0.9）对3.60（0.77）。结果表明，术后4小时和12小时，实验组和对照组之间的平均疼痛强度存在显著差异。考虑时间和组间相互作用的重复测量方差分析也显示，实验组和对照组之间的平均疼痛强度存在显著差异。
使用精油进行芳香疗法可有效减轻骨科手术后的轻至中度疼痛。建议进一步研究以证实这一发现。
