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薰衣草精油吸入式芳香疗法对中风患者抑郁和睡眠质量的影响:一项单盲随机对照试验。

Effects of lavender essential oil inhalation aromatherapy on depression and sleep quality in stroke patients: A single-blind randomized controlled trial.

机构信息

Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310009, China; Department of Nursing, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310009, China.

Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, 310009, China.

出版信息

Complement Ther Clin Pract. 2024 May;55:101828. doi: 10.1016/j.ctcp.2024.101828. Epub 2024 Jan 14.

Abstract

BACKGROUND AND PURPOSE

Post-stroke depression (PSD) has major implications for rehabilitation, motor recovery, activities of daily living, social and interpersonal functioning, and mortality. In view of the side effects of antidepressants, aromatherapy, a widely used non-pharmacological therapy, has received growing attention in recent years for its benefits of reduced complications, accessibility, and effectiveness. This study was designed to assess the effects of inhalation aromatherapy with lavender essential oil on depression and sleep quality in patients with PSD.

MATERIALS AND METHODS

Forty patients with PSD were enrolled and randomized into experimental and placebo groups. Experimental-group patients inhaled microencapsulated lavender essential oil every night at bedtime over a period of 4 weeks. A nonwoven bag containing 2.3 g of microcapsules with about 1.5 g of lavender essential oil was placed on or under the patient's pillow, depending on the patient's scent sensitivity. Placebo-group patients used the empty nonwoven bags for the same period as the experimental group. The 17-item Hamilton Rating Scale for Depression (HAMD-17), the Zung Self-Rating Depression Scale (SDS), and the Pittsburgh Sleep Quality Index (PSQI) were used to measure outcomes.

RESULTS

The HAMD-17 score, SDS score, and PSQI score showed statistically significant differences between both groups before and after intervention (P ≤ 0.01). The improvement in the experimental group was more marked than in the placebo group (P < 0.05).

CONCLUSION

Lavender essential oil inhalation aromatherapy may help reduce depression and improve sleep quality in patients with PSD.

摘要

背景与目的

脑卒中后抑郁(PSD)对康复、运动恢复、日常生活活动、社会和人际关系功能以及死亡率有重大影响。鉴于抗抑郁药的副作用,近年来,作为一种广泛应用的非药物疗法,芳香疗法因其减少并发症、可及性和有效性的优势而受到越来越多的关注。本研究旨在评估薰衣草精油吸入式芳香疗法对 PSD 患者抑郁和睡眠质量的影响。

材料与方法

共纳入 40 例 PSD 患者,并随机分为实验组和安慰剂组。实验组患者每晚睡前吸入微胶囊化薰衣草精油,持续 4 周。一个含有 2.3g 微胶囊、约 1.5g 薰衣草精油的无纺布袋,根据患者的嗅觉敏感度,放在或放在患者枕头下。安慰剂组患者在与实验组相同的时间内使用空无纺袋。采用 17 项汉密尔顿抑郁量表(HAMD-17)、zung 自评抑郁量表(SDS)和匹兹堡睡眠质量指数(PSQI)评估结果。

结果

干预前后两组 HAMD-17 评分、SDS 评分和 PSQI 评分均有统计学差异(P≤0.01)。实验组的改善程度明显优于安慰剂组(P<0.05)。

结论

薰衣草精油吸入式芳香疗法可能有助于减轻 PSD 患者的抑郁症状,改善睡眠质量。

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