Şok Dalga Litotripsi Uygulanan Hastalarda İnhaler Aromaterapinin Ağrı ve Anksiyete Üzerine Etkisi

Abstract

Amaç: Bu çalışmanın amacı şok dalga litotripsi (shock wave lithotripsy, SWL) protokolü sırasında inhalasyon aromaterapisinin ağrı ve anksiyete üzerindeki etkilerinin belirlenmesidir. Gereç ve Yöntemler: Bu plasebo kontrollü prospektif çift kör çalışmaya SWL yapılması planlanan 120 hasta dahil edildi. Hastalar rastgele kontrol plasebo grubu 1 (n=40), lavanta grubu 2 (n=40) ve günlük yağı grubu 3 (n=40) olarak ayrıldı. Nebülizör (%2'lik bir oranda) işlemden önce SWL odasında hazırlandı ve çalıştırıldı. Veriler görsel analog skala (visual analog scale, VAS) ve durumluk-sürekli kaygı envanteri (state-trait anxiety inventory, STAI-I) kullanılarak toplandı. Bulgular: Çalışmaya alınan 120 hastanın 67'si (%55,8) erkek, 53'ü (%44,2) kadındı. Hastaların yaş ortalaması 37,38±11,35 yıl idi. Ortalama taş boyutu 11,07±3,09 mm idi. İşlem sonrası hastaların VAS skorları bakımından gruplar arasında istatistiksel olarak anlamlı bir farklılık yoktu (p=0,557). Grup 1 ve grup 2'de işlem öncesine göre karşılaştırıldığında işlem sonrası STAI-I skorlarında istatistiksel olarak anlamlı bir değişiklik yokken, grup 3'te istatistiksel olarak anlamlı bir düşüş saptandı (p=0,030). STAI-I skoru değişen hastaların yüzdeleri karşılaştırıldığında, STAI-I azalma oranının grup 2 ve grup 3'te grup 1'e göre karşılaştırıldığında daha yüksek oranda olduğu gözlendi (p=0,018). Sonuç: Günlük yağı kaygıyı lavantadan daha önemli ölçüde azalttı. Her ikisinin de ağrı üzerinde anlamlı bir etkisi olmadı. Anksiyeteyi azaltmak ve tedaviye uyumu artırmak için SWL sürecinde inhaler aromaterapi kullanılabilir.

Keywords

• aromaterapi
• SWL
• lavanta
• günlük yağı
• kaygı
• ağrı

The Effect of Inhaler Aromatherapy on Pain and Anxiety in Patients undergoing Shock Wave Lithotripsy

Abstract

Aim: The aim of this study was to determine the effects of inhaler aromatherapy on pain and anxiety during the shock wave lithotripsy (SWL) protocol. Material and Methods: This placebo-controlled prospective double-blind study included 120 patients who were scheduled to undergo SWL. Patients were randomly assigned a control placebo group 1 (n=40), the lavender group 2 (n=40), and the frankincense group 3 (n=40). The nebulizer (a rate of 2%) was prepared and operated on in the SWL room before the procedure. Data were collected using the visual analog scale (VAS) and the state-trait anxiety inventory (STAI-I). Results: Of the 120 patients included in the study, 67 (55.8%) were male and 53 (44.2%) were female. The mean age of the patients was 37.38±11.35 years. The mean stone size was 11.07±3.09 mm. There were no statistically significant difference between the groups in terms of VAS scores of the patients after the procedure (p=0.557). While there was no statistically significant change in the STAI-I score in group 1 and group 2 after the procedure compared to the pre-procedure, a statistically significant decrease was detected in group 3 (p=0.030). The percentages of patients with changing STAI-I scores were compared, it was observed that the decrease in STAI-I score in group 2 and group 3 at a higher rate compared to group 1 (p=0.018). Conclusion: Frankincense reduced anxiety more significantly than lavender. Both had no significant effect on pain. Inhaler aromatherapy can be used in the SWL process to reduce anxiety and improve treatment compliance.

Keywords

• aromatherapy
• SWL
• lavender
• frankincence
• anxiety
• pain

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