The Effect of Aroma Inhalation Therapy on Fatigue and Sleep in Nurse Shift Workers

아로마 흡입법이 교대 근무 간호사의 피로와 수면에 미치는 효과

  • 박시현 (워싱턴대학교 간호대학) ;
  • 박경숙 (중앙대학교 적십자간호대학) ;
  • 고예정 (중앙대학교 일반대학원 간호학전공) ;
  • 이보영 (중앙대학교 일반대학원 간호학전공) ;
  • 양희순 (중앙대학교 일반대학원 간호학전공) ;
  • 박현정 (중앙대학교 일반대학원 간호학전공) ;
  • 우영화 (중앙대학교 일반대학원 간호학전공) ;
  • 이재연 (중앙대학교 일반대학원 간호학전공) ;
  • 박다혜 (중앙대학교 일반대학원 간호학전공)
  • Received : 2012.10.04
  • Accepted : 2012.12.20
  • Published : 2012.12.31


Purpose: This study examines the effect of aroma inhalation therapy with lavender and rosewood essential oils for alleviating fatigue and enhancing quality of sleep in nurse shift workers. Methods: The data were collected from November 9th to 27th in 2009 at four hospitals located in Seoul. Total 60 nurses who started their night-shift works were chosen for the study and allocated to either experimental group or control group. The experimental group had had aroma inhalation therapy with lavender and rosewood for 2 weeks and was compared the level of fatigue and quality of sleep with those of the control group. Results: Significant differences were shown between the experimental group and the control group. After 2 weeks, the nurses in experimental group reported significantly lower level of fatigue and higher quality of sleep compared to the nurses in control group. Conclusion: Therefore, aroma inhalation therapy by using lavender and rosewood essential oils can be an effective intervention for relieving the level of fatigue and enhancing quality of sleepf for nurse shift workers.



  1. Anjum, B., Verma, N. S., Tiwari, S., Singh, R., Mahdi, A. A., Singh, R. B., et al. (2011). Association of salivary cortisol with chronomics of 24 hours ambulatory blood pressure/heart rate among night shift workers. Biosci Trends, 5(4), 182-188. doi: 10.5582/bst.2011.v5.4.182
  2. Aoyama, H. (1988). Industrial Fatigue Handbook. Japan Society of Occupational Health, Industrial Fatigue Research Society, Ed. Tokyo: Rodo Kijun Chosakai.
  3. Burkle, J. (2003). Clinical aromatherapy. Essential oils in practice. (2nd ed.) NY: Elsevier Science.
  4. Copertaro, A., Bracci, M., Gesuita, R., Carle, F., Amati, M., Baldassari, M., et al. (2011). Influence of shift-work on selected immune variables in nurses. Industrial Health, 49, 597-604.
  5. Field, T., Field, T., Cullen, C., Largie, S., Diego, M., Schanberg, S., & Kuhn, C. (2008). Lavender bath oil reduces stress and crying and enhances sleep in very young infants. Early Human Development, 84, 399-401. doi:10.1016/j.earlhumdev.2007.10.008
  6. Hirokawa, K., Nishimoto, T., & Taniguchi, T. (2012). Effects of lavender aroma on sleep quality in healthy Japanese students 1. Perceptual and Motor Skills, 114(1), 111-122. doi:10.2466/13.15.PMS.114.1.111-122
  7. Jung, H. M., & Jeon, Y. S. (2004). Effects of the aroma massage on shoulder pain, depression, sleep disturbance in hemiparesis patients. Korean Journal of Rehabilitation Nursing, 7, 231-237.
  8. Kang, J. Y., & Kim, K. S. (2002). Effect of aromatherapy on anxiety and fatigue in students nurses experiencing their first clinical practice. Journal of Korean Foundational Nursing, 9, 226-236.
  9. Kerstedt, T. (1990). Psychological and psychophysiological effects of shift work. Scand Journal of Work Environ Health, 16, 67-73.
  10. Kim, H. J. (2012). Effects of aroma hand massage on stress and fatigue in nurses with shiftwork. Unpublished master's thesis, Ajou University, Suwon.
  11. Kim, I., & Kim, E. K. (2009). Effect of aroma massage on pain, activities of daily living and fatigue in patients with knee osteoarthritis. Journal of Muscle Joint Health, 16, 145-153.
  12. Kim, O. J., Kim, K. H., & Park, K. S. (2007). The effect of aroma inhalation on stress, anxiety, and sleep pattern in patients with hemodialysis. Clinical Nursing Research, 13, 99-111.
  13. Kim, S. J. (2004). Effect of aroma therapy on exam syndromes and fatigue in grade 12 students preparing for college enterance exam. Journal of Korean Academic Fundamental Nursing, 11, 344-352.
  14. Lee, J. W., Shin, Y. S., & Jung, Y. J. (2005). The effects of aromatherapy on the autonomic nerve system activation among nursing students. Journal of Korean Society Maternal Child Health, 9, 237-244.
  15. Lee, K. H. (2000). The effect of inhalation method using Lavender essential oil on sleep disturbance and depression in middle-aged women. Unpublished master's thesis, Keimyung University, Daegu.
  16. Nam, M., Joe, S. H., Jung, I. K., Soh, K. Y., & Chung, C. K. (1997). Anxiety, depression and immune functions of shift workers. The Korean Journal of Occupational and Environmental Medicine, 9, 478-486.
  17. Niu, S. F., Chung, M. H., Chen, C. H., Hegney, D., O'Brien, A., & Chou, K. R. (2011). The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. Journal of Nursing Research, 19, 68-81. doi:10. 1097/JNR.0b013e31820c1879
  18. Oh, H. G. (2001). Theory and practice of aroma therapy. CAHA.
  19. Park, S. N. (2011). The effect of aroma inhalation on sleep and fatigue recovery in night shift nurses. Gachon University of Medicine and Science, Graduate School of Nursing.
  20. Park, S. O., Kim, S. B., Lee, K. S., & Kang, P. S. (2002). Reduction effect of aromatherapy on stress and insomnia. Korean Journal of Rural Medicine, 27(2), 17-26.
  21. Pronina, T. S., & Rybakov, B. P. (2011). Features of the circadian rhythm of temperature of the skin at children of 8-9 years and young men and girls. Fiziol Cheloveka, 37(4), 98-104.
  22. Sakamoto, R., Minoura, K., Usui, A., Ishizuka, Y., & Kanba, S. (2005). Effectiveness of aroma on work efficiency: lavender aroma during recesses prevents deterioration of work performance. Chemical Senses, 30, 683-691. doi:10.1093/ chemse/bji061
  23. Tanaka, J., Uchimura, N., Hashizume, Y., Shirakawa, S., Satomura, T., Ohyama, T., et al. (2002). Effects of aroma on sleep and biological rhythms. Psychiatry and Clinical Neurosciences, 56, 299-300. doi:10.1046/j.1440-1819.2002.00984.x.
  24. Won, S. J., & Chae, Y. R. (2011). The effects of aromatherapy massage on pain, sleep, and stride length in the elderely with knee osteoarthritis. Journal of Korean Biology Nursing Science, 13, 142-148.
  25. Yi, H. R. (2004). Development of the sleep quality scale. Unpublished master's thesis, Ewha Women University, Seoul.
  26. Yun, S. H. (2008). The effect of aroma inhalation on sleep and fatigue in night shift nurses. Unpublished master's thesis, Yonsei University, Seoul.

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