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Effects of Lavender Oil Aromatherapy on Pain, Anxiety, and Comfort after Cesarean Section: A Randomized Controlled Trial

Year 2024, Volume: 27 Issue: 4, 292 - 301, 06.12.2024
https://doi.org/10.17049/jnursology.1448317

Abstract

Objective: This study aims to determine the effects of lavender oil aromatherapy on pain, anxiety, and comfort after cesarean section.

Methods: This study was conducted as a three-group randomized and controlled trial conducted in a city hospital in Adana, Türkiye between August and December 2020.The study included 93 women who had cesarean section, with 30 women in the experimental group, 31 women in the placebo group, and 32 women in the control group. The study was conducted in four phases including before the cesarean and 1st, 4th, and 8th hours post-cesarean section. Data were collected through the “Personal Information Form”, the “Visual Analogue Scale (VAS)”, the “Trait Anxiety Inventory (TAI)”, the “State Anxiety Inventory (SAI)”, and the “Postpartum Comfort Scale (PCS)”.

Results: The women in the experimental, control and placebo groups were found to demonstrate statistically significant differences in terms of their VAS mean scores according to the processes (P<.001). The women in the experimental and control group demonstrated statistically significant differences in terms of their SAI mean scores (P<.05). Statistically significant differences were found between the experimental group women's physical comfort, socio-cultural comfort, and PCS total mean scores according to the processes (P<.05).

Conclusion: The results of this study suggest that lavender oil aromatherapy can be used to decrease pain and anxiety and increase comfort after a cesarean section.

References

  • 1. Isguder YE, Bulut G, Yılmaz HY, et al. Cesarean section rate sand ındications in our clinic between 2014-2016. The Journal of Gynecology Obst and Neonat. 2017; 14(4):168-171.
  • 2. Demirbaş M, Karabel MP, Inci MB. Changing grates of cesarean section in Turkey and in the world and probable causes. Sakarya Med Journal. 2017; 7(4):158-163.
  • 3. Martin JA, Hamilton BE, Osterman MJ, et al. Final Data For 2015. Natl Vital Stat Rep. 2015;64:1-65.
  • 4. Department of Reproductive Health and Research, WHO Statement on cesarean birth rates, World Health Organization 2015. http://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_tur.pdf;jsessionid=02A6AA432831C3FBB5925C4F88F5CE4B?sequence=11(accessed 06.09.2024
  • 5. Yanıkkerem E, Karakuş A. Vaginal birth after caesarean: guidelines according to some countries. JERN. 2016;13(2):79-87.
  • 6. Ministry of Health. Health Statistics Yearbook News Bulletin, 2017. Https://Dosyamerkez.Saglik.Gov.Tr/Eklenti/27344,Saglik-İstatistikleri-Yilligi-2017-Haber-Bultenipdf.Pdf?0 (accessed 06.09.2024)
  • 7. Ulgu MM, Birinci S, Ensari TA, Gözükara MG. Cesarean section rates in Turkey 2018-2023: Overview of national data by using Robson ten group classification system. Turk J Obstet Gynecol. 2023;20(3):191. https://doi.org/10.4274/tjod.galenos.2023.68235
  • 8. WHO. Caesarean section rates continue to rise, amid growing inequalities in Access. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access (accessed 06.09.2024)
  • 9. Susan M, Knapp H, Borucki L, et al. Major concerns of women after cesarean delivery. J Obstet Gynecol Neonatal Nurs. 2013;(1):53-59. https://doi.org/10.1111/j.1552-6909.1994.tb01850.x
  • 10. Astepe BS. The relationship between preoperative anxiety level and postoperative pain in patients with cesarean section. Kocaeli Med J. 2018; 7(3):64-69.
  • 11. Pujiati W, Julia DSH, Wahyu A. Lavender lavender oil scent to reduce the intensity of post section caesarian pain. IJSR. 2018;7(11):415-418. https://doi.org/10.21275/ART20192492
  • 12. Borges NC, Silva BC, Pedroso CF, et al. Postoperative pain in women undergoing caesarean section. Enfermería Global. 2017; 16(4):374-383. https://doi.org/10.1155/2016/5783817
  • 13. Çapık A, Özkan H, Apay SE. Determination of affecting factors and postnatal comfort levels of postpartum women. DEUHYOED. 2014; 7(3):186-192.
  • 14. Janssen AB. Persistence of anxiety symptoms after elective caesarean delivery. BJPSYCH Open. 2018;4(5):354-360. https://doi.org/10.1192/bjo.2018.48
  • 15. Taşkın, L. Obstetrics and Women's Health Nursing. 1st Edition, Akademisyen Medical Bookstore. 2016;460-498.
  • 16. Özveren H. Non-pharmacological methods at pain management. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;18(1):083-092.
  • 17. Ali E. Women’s experiences with postpartum anxiety disorders: a narrative literatu re review. Int J Womens Health. 2018; 10:237–249. https://doi.org/10.2147/IJWH.S158621
  • 18. Metawie MAH, Amasha HAR, Abdraboo RA, et al. Effectiveness of lavender oil scent with lavender oil in relieving post caesarean incision pain. J of Surgery. 2015; 3(2-1):8-13. https://doi.org/10.11648/j.js.s.2015030201.1
  • 19. Hadi N, Hanid AA. Lavender essence for post-cesarean pain. Pakistan J of Biological Sci. 2011; 14(11):664.
  • 20. Vaziri F, Shiravani M, Najib FS, et al. Effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood: a randomized clinical trial. Int J Prev Med. 2017;8:29. https://doi.org/10.4103/ijpvm.IJPVM_137_16
  • 21. Lee MS, Choi J, Posadzki P, et al. Lavender oil scent for health care: an overview of systematic reviews. Maturitas. 2012;71:257-60.
  • 22. Using Aromatherapy in Your Clinical Practice 2020 https://www.nursesfornaturalhealth.org/blog/2020/3/9/using-aromatherapy-in-your-clinical-practice
  • 23. Özkaraman A, Dügüm Ö, Yılmaz HÖ, et al. Aromatherapy. CJON. 2018; 22(2):203-210. https://doi.org/10.1188/18.CJON.203-210
  • 24. Eti Aslan F. The assessment methods of pain. C.Ü. Journal of the School of Nursing. 2002; 6 (1) : 429 9-16.
  • 25. Karcioglu O, Topacoglu H, Dikme O, et al. A systematicreview of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-714. https://doi.org/10.1016/j.ajem.2018.01.008
  • 26. Öner N, Compte A. State-trait anxiety inventory, Handbook. 2. Print Boğaziçi University Publications, Istanbul,1995.
  • 27. Karakaplan S, Yıldız H. A study on developing a postpartum comfort questionnaire. Maltepe University Journal of Nursing Science and Art. 2010; 3(1):55-65.
  • 28. The National Association for Holistic Aromatherapy (NAHA) https://naha.org/explorearomatherapy (accessed 06.09.2024)
  • 29. Ministry of Health, General Directorate of Public Health. Postpartum car management guide. 2018. https://Kirklareliism.Saglik.Gov.Tr/Eklenti/115526/0/Dogum-Sonu-Bakim-Rehberi-2018pdf.Pdf (accessed 06.09.2024)
  • 30. Thai SS, Wang HH, Chou FH. The effects of lavender oil scent on postpartum women: a systematic review. J Nurs Res. 2020;28(3):1-11. https://doi.org/10.1097/jnr.0000000000000331
  • 31. Kianpour M, Mansouri A, Mehrabi T, Asghari G. Effect of lavender scent inhalation on prevention of stress, anxiety and depression in the postpartum period. Iran J Nurs Midwifery Res. 2016;21(2):197–201. https://doi.org/10.4103/1735-9066.178248
  • 32. Effati Daryani F, Charandabi S, Zarei A, et al. Effect of lavender cream with or without footbath on anxiety, stress and depression of women in postpartum: A clinical randomized controlled Trial. Iran J Obstet Gynaecol India. 2017; 20(10):52–61. https://doi.org/10.5681/jcs.2015.007
  • 33. Burgess A, Harris A, Whelling J. A pilot randomized control trial to assess the impact of lavender on anxiety and comfort after cesarean birth and the barriers encountere. MCN Am J Matern Child Nurs. 2022; 47(2): 85-91 https://doi.org/101097/NMC.0000000000000803
  • 34. Çankaya S, Ratwisch G. The effect of reflexology on lactation and postpartum comfort in caesarean-delivery primiparous mothers: A randomized controlled study. Int J Nurs Pract. 2020; 26 (3). https://doi.org/10.1111/ijn.12824
  • 35. Güney E, Uçar T. Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial. Complement Ther Clin Pract. 2021;43:101320. https://doi.org/10.1016/j.ctcp.2021.101320

Lavanta Yağı Aromaterapisinin Sezaryen Sonrası Ağrı, Anksiyete ve Konfor Üzerine Etkileri: Randomize Kontrollü Bir Çalışma

Year 2024, Volume: 27 Issue: 4, 292 - 301, 06.12.2024
https://doi.org/10.17049/jnursology.1448317

Abstract

Amaç: Bu çalışma, lavanta yağı aromaterapisinin sezaryen sonrası ağrı, anksiyete ve konfor üzerindeki etkilerini belirlemeyi amaçlamaktadır.

Yöntemler: Bu çalışma Ağustos-Aralık 2020 tarihleri arasında üç gruplu randomize kontrollü bir çalışma olarak Adana'daki bir şehir hastanesinde yürütülmüştür. Çalışmaya 30'u deney, 31'i plasebo ve 32'si kontrol grubunda olmak üzere sezaryen olan 93 kadın dahil edilmiştir. Çalışma, sezaryen öncesi ve sezaryen sonrası 1., 4. ve 8. saatler olmak üzere dört aşamada yürütülmüştür. Araştırmanın verileri Kişisel Bilgi Formu, Visual Analog Skala (VAS), Sürekli Anksiyete Ölçeği (SAÖ), Durumluk Anksiyete Ölçeği (DAÖ) ve Doğum Sonu Konfor Ölçeği (DSKÖ) kullanılarak toplanmıştır.

Bulgular: Deney, kontrol ve plasebo gruplarında kadınların süreçlere göre VAS puan ortalamaları açısından istatistiksel olarak anlamlı fark tespit edilmiştir (P<,001). Deney ve kontrol grubunda kadınların süreçlere göre DAÖ puan ortalamaları açısından istatistiksel olarak anlamlı fark tespit edilmiştir (P<,05). Deney grubu kadınların süreçlere göre fiziksel konfor, sosyokültürel konfor ve DSKÖ toplam puan ortalamaları, plasebo grubu kadınların ise fiziksel konfor puan ortalamaları açısından istatistiksel olarak anlamlı fark tespit edilmiştir (P<,05).

Sonuç: Bu çalışmanın sonuçları, lavanta yağı aromaterapisinin sezaryen sonrası ağrı ve anksiyeteyi azaltmak ve konforu artırmak için kullanılabileceğini göstermektedir.

References

  • 1. Isguder YE, Bulut G, Yılmaz HY, et al. Cesarean section rate sand ındications in our clinic between 2014-2016. The Journal of Gynecology Obst and Neonat. 2017; 14(4):168-171.
  • 2. Demirbaş M, Karabel MP, Inci MB. Changing grates of cesarean section in Turkey and in the world and probable causes. Sakarya Med Journal. 2017; 7(4):158-163.
  • 3. Martin JA, Hamilton BE, Osterman MJ, et al. Final Data For 2015. Natl Vital Stat Rep. 2015;64:1-65.
  • 4. Department of Reproductive Health and Research, WHO Statement on cesarean birth rates, World Health Organization 2015. http://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_tur.pdf;jsessionid=02A6AA432831C3FBB5925C4F88F5CE4B?sequence=11(accessed 06.09.2024
  • 5. Yanıkkerem E, Karakuş A. Vaginal birth after caesarean: guidelines according to some countries. JERN. 2016;13(2):79-87.
  • 6. Ministry of Health. Health Statistics Yearbook News Bulletin, 2017. Https://Dosyamerkez.Saglik.Gov.Tr/Eklenti/27344,Saglik-İstatistikleri-Yilligi-2017-Haber-Bultenipdf.Pdf?0 (accessed 06.09.2024)
  • 7. Ulgu MM, Birinci S, Ensari TA, Gözükara MG. Cesarean section rates in Turkey 2018-2023: Overview of national data by using Robson ten group classification system. Turk J Obstet Gynecol. 2023;20(3):191. https://doi.org/10.4274/tjod.galenos.2023.68235
  • 8. WHO. Caesarean section rates continue to rise, amid growing inequalities in Access. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access (accessed 06.09.2024)
  • 9. Susan M, Knapp H, Borucki L, et al. Major concerns of women after cesarean delivery. J Obstet Gynecol Neonatal Nurs. 2013;(1):53-59. https://doi.org/10.1111/j.1552-6909.1994.tb01850.x
  • 10. Astepe BS. The relationship between preoperative anxiety level and postoperative pain in patients with cesarean section. Kocaeli Med J. 2018; 7(3):64-69.
  • 11. Pujiati W, Julia DSH, Wahyu A. Lavender lavender oil scent to reduce the intensity of post section caesarian pain. IJSR. 2018;7(11):415-418. https://doi.org/10.21275/ART20192492
  • 12. Borges NC, Silva BC, Pedroso CF, et al. Postoperative pain in women undergoing caesarean section. Enfermería Global. 2017; 16(4):374-383. https://doi.org/10.1155/2016/5783817
  • 13. Çapık A, Özkan H, Apay SE. Determination of affecting factors and postnatal comfort levels of postpartum women. DEUHYOED. 2014; 7(3):186-192.
  • 14. Janssen AB. Persistence of anxiety symptoms after elective caesarean delivery. BJPSYCH Open. 2018;4(5):354-360. https://doi.org/10.1192/bjo.2018.48
  • 15. Taşkın, L. Obstetrics and Women's Health Nursing. 1st Edition, Akademisyen Medical Bookstore. 2016;460-498.
  • 16. Özveren H. Non-pharmacological methods at pain management. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;18(1):083-092.
  • 17. Ali E. Women’s experiences with postpartum anxiety disorders: a narrative literatu re review. Int J Womens Health. 2018; 10:237–249. https://doi.org/10.2147/IJWH.S158621
  • 18. Metawie MAH, Amasha HAR, Abdraboo RA, et al. Effectiveness of lavender oil scent with lavender oil in relieving post caesarean incision pain. J of Surgery. 2015; 3(2-1):8-13. https://doi.org/10.11648/j.js.s.2015030201.1
  • 19. Hadi N, Hanid AA. Lavender essence for post-cesarean pain. Pakistan J of Biological Sci. 2011; 14(11):664.
  • 20. Vaziri F, Shiravani M, Najib FS, et al. Effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood: a randomized clinical trial. Int J Prev Med. 2017;8:29. https://doi.org/10.4103/ijpvm.IJPVM_137_16
  • 21. Lee MS, Choi J, Posadzki P, et al. Lavender oil scent for health care: an overview of systematic reviews. Maturitas. 2012;71:257-60.
  • 22. Using Aromatherapy in Your Clinical Practice 2020 https://www.nursesfornaturalhealth.org/blog/2020/3/9/using-aromatherapy-in-your-clinical-practice
  • 23. Özkaraman A, Dügüm Ö, Yılmaz HÖ, et al. Aromatherapy. CJON. 2018; 22(2):203-210. https://doi.org/10.1188/18.CJON.203-210
  • 24. Eti Aslan F. The assessment methods of pain. C.Ü. Journal of the School of Nursing. 2002; 6 (1) : 429 9-16.
  • 25. Karcioglu O, Topacoglu H, Dikme O, et al. A systematicreview of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-714. https://doi.org/10.1016/j.ajem.2018.01.008
  • 26. Öner N, Compte A. State-trait anxiety inventory, Handbook. 2. Print Boğaziçi University Publications, Istanbul,1995.
  • 27. Karakaplan S, Yıldız H. A study on developing a postpartum comfort questionnaire. Maltepe University Journal of Nursing Science and Art. 2010; 3(1):55-65.
  • 28. The National Association for Holistic Aromatherapy (NAHA) https://naha.org/explorearomatherapy (accessed 06.09.2024)
  • 29. Ministry of Health, General Directorate of Public Health. Postpartum car management guide. 2018. https://Kirklareliism.Saglik.Gov.Tr/Eklenti/115526/0/Dogum-Sonu-Bakim-Rehberi-2018pdf.Pdf (accessed 06.09.2024)
  • 30. Thai SS, Wang HH, Chou FH. The effects of lavender oil scent on postpartum women: a systematic review. J Nurs Res. 2020;28(3):1-11. https://doi.org/10.1097/jnr.0000000000000331
  • 31. Kianpour M, Mansouri A, Mehrabi T, Asghari G. Effect of lavender scent inhalation on prevention of stress, anxiety and depression in the postpartum period. Iran J Nurs Midwifery Res. 2016;21(2):197–201. https://doi.org/10.4103/1735-9066.178248
  • 32. Effati Daryani F, Charandabi S, Zarei A, et al. Effect of lavender cream with or without footbath on anxiety, stress and depression of women in postpartum: A clinical randomized controlled Trial. Iran J Obstet Gynaecol India. 2017; 20(10):52–61. https://doi.org/10.5681/jcs.2015.007
  • 33. Burgess A, Harris A, Whelling J. A pilot randomized control trial to assess the impact of lavender on anxiety and comfort after cesarean birth and the barriers encountere. MCN Am J Matern Child Nurs. 2022; 47(2): 85-91 https://doi.org/101097/NMC.0000000000000803
  • 34. Çankaya S, Ratwisch G. The effect of reflexology on lactation and postpartum comfort in caesarean-delivery primiparous mothers: A randomized controlled study. Int J Nurs Pract. 2020; 26 (3). https://doi.org/10.1111/ijn.12824
  • 35. Güney E, Uçar T. Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial. Complement Ther Clin Pract. 2021;43:101320. https://doi.org/10.1016/j.ctcp.2021.101320
There are 35 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Research Articles
Authors

Seda Karaçay Yıkar 0000-0003-1885-5376

Sevgi Deniz Doğan 0000-0003-0311-2123

İpek Köse Tosunöz 0000-0003-2055-6260

Evşen Nazik 0000-0001-5464-4467

Sevban Arslan 0000-0002-8893-9391

Early Pub Date October 10, 2024
Publication Date December 6, 2024
Submission Date March 7, 2024
Acceptance Date September 4, 2024
Published in Issue Year 2024 Volume: 27 Issue: 4

Cite

AMA Karaçay Yıkar S, Deniz Doğan S, Köse Tosunöz İ, Nazik E, Arslan S. Effects of Lavender Oil Aromatherapy on Pain, Anxiety, and Comfort after Cesarean Section: A Randomized Controlled Trial. Journal of Nursology. December 2024;27(4):292-301. doi:10.17049/jnursology.1448317

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