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The Effect of Aroma Inhalation on the Preoperative Pain and Anxiety of the Elderly Preparing to Undergo Spine Surgery

척추 수술 전 노인환자에게 적용한 아로마 향흡입요법이 통증 및 불안에 미치는 효과

  • Park, Sohwi (Graduate School, Chung-Ang University) ;
  • Kim, Bokyoung (Dept. of Nursing Science, College of Medicine, Catholic Kwandong University) ;
  • Park, Kyungsook (Dept. of Nursing, Red Cross College of Nursing, Chung-Ang University)
  • 박소휘 (중앙대학교 일반대학원) ;
  • 김보경 (가톨릭관동대학교 의과대학 간호학과) ;
  • 박경숙 (중앙대학교 적십자간호대학)
  • Received : 2019.10.21
  • Accepted : 2019.12.20
  • Published : 2019.12.28

Abstract

This study's purpose is to determine the effects of aroma inhalation on preoperative pain and anxiety of the elderly preparing to undergo a spine surgery. A Quasi-experimental design, with non-equivalent control group non-synchronized design was used in this study. Blended essential oils with frankincense, marjoram and mandarin were inhaled twice in the experimental group (n=30). The control group (n=30) was treated with the standard preoperative care. Pain, state anxiety, and vital sign were measured twice (before and after). The results of this study showed that pain (t=-1.223, p=.226), systolic blood pressure (t=-0.211, p=.833), diastolic blood pressure (t=0.638, p=.526), and respiration rate (t=0.734, p=.466) were not statistically significant in the experimental and the control group. There were significant differences in state anxiety (t=-3.202, p=.002) and pulse rate (t=-0.213, p=.037) in the experimental group compared to the control group. According to the results, aroma inhalation is an effective nursing intervention for relieving anxiety in surgical patients.

본 연구는 아로마 향흡입요법이 척추 수술 노인환자의 수술 전 통증과 불안에 미치는 효과를 검증하고자 시도한 비동등성 대조군 전후시차설계의 유사실험연구이다. 실험군(n=30)에는 프랑킨센스, 마조람, 만다린을 혼합한 향유를 수술 전일 오후 8~9시와 수술 당일 수술실 가기 1시간 전에 흡입시켰고, 대조군(n=30)에는 일반적인 수술 전 간호를 하였다. 두 군의 통증, 상태불안, 활력징후를 사전과 사후에 측정한 결과, 실험군과 대조군에서 통증(t=-1.223, p=.226), 수축기혈압(t=-0.211, p=.833), 이완기혈압(t=0.638, p=.526), 호흡(t=0.734, p=.466)은 통계적으로 유의한 차이가 없었으나, 상태불안(t=-3.202, p=.002)과 맥박(t=-0.213, p=.037)은 실험군에서 대조군에 비해 유의한 차이가 있었다. 본 연구를 통해 아로마 향흡입요법이 수술 전 환자의 불안 완화에 적용 가능한 독자적 간호중재로 적용될 수 있다.

Keywords

References

  1. Statistics Korea. (2019). 2019 Statistics about Older Population. KOSTAT(Online). http://kostat.go.kr
  2. D. U. Cogwill. (1986). Aging Around the World, the Aging of Population and Social Implication, United Nations : Wadworth Publishing.
  3. Korea Institute for Health and Social Affairs. (2017). 2017 Survey on Elderly. Sejong : KIHSA.
  4. Korea Institute for Health and Social Affairs. (2014). 2014 Survey on Elderly. Sejong : KIHSA.
  5. V. Yiengprugsawan, D. Hoy, R. Buchbinder, C. Bain, S. A. Seubsman & A. C. Sleigh. (2017). Low Back Pain and Limitations of Daily Living in Asia: Longitudinal Findings in the Thai Cohort Study. BioMed Central Musculoskeletal Disorders, 18(1), 19-26. DOI : 10.1186/s12891-016-1380-5
  6. Y. S. Kim & H. S. Byun. (2014). Effects of Pain on Memory, Physical Function, and Sleep Disturbance in Older Adults with Chronic Disease: The Mediating Role of Depression. Journal of Korean Gerontological Nursing, 16(1), 59-67. DOI : 10.17079/jkgn.2014.16.1.59
  7. S. W. Yun & K. A. Oh. (2014). Relationship between Low Back Pain and Depression among some Elderly. Journal of the Korea Academia-Industrial Cooperation Society, 15(3), 1599-1605. DOI : 10.5762/KAIS.2014.15.3.1599.
  8. T. A. Jahng. (2007). Surgical Management of Chronic Low Back Pain. Journal of the Korean Medical Association, 50(6), 523-532. https://doi.org/10.5124/jkma.2007.50.6.523
  9. National Health Insurance Service. (2017). 2017 Statistical Annul Report of Major Surgery. NHIS(Online). https://www.nhis.or.kr
  10. H. J. Kim et al. (2014). Prediction of Postoperative Pain Intensity after Lumbar Spinal Surgery Using Pain Sensitivity and Preoperative Back Pain Severity. Pain Medicine, 15(12), 2037-2045. DOI : 10.1111/pme.12578
  11. P. Oliveira et al. (2018). Chronic Pain after Outpatient Inguinal Hernioplasty: Retrospective Cohort Study. Acta Medica Portuguesa, 31(11), 624-632. DOI : 10.20344/amp.9381
  12. E. Economidou, A. Klimi, V. G. Vivilaki & K. Lykeridou. (2012). Does Music Reduce Postoperative Pain? A Review. Health Science Journal, 6(3), 365-377.
  13. M. A. Schneider. (2018). The Effect of Listening to Music on Postoperative Pain in Adult Orthopedic Patients. Journal of Holistic Nursing, 36(1), 23-32. DOI : 10.1177/0898010116677383
  14. B. Liu, R. Liu & L. Wang. (2017). A Meta-Analysis of the Preoperative use of Gabapentinoids for the Treatment of Acute Postoperative Pain following Spinal Surgery. Medicine(Baltimore), 96(37), 1-11. DOI : 10.1097/MD.0000000000008031
  15. P. Mavridou, V. Dimitriou, A. Manataki, E. Arnaoutoglou & G. Papadopoulos. (2013). Patient's Anxiety and Fear of Anesthesia: Effect of Gender, Age, Education, and Previous Experience of Anesthesia. A Survey of 400 Patients. Journal of Anesthesia, 27(1), 104-108. DOI : 10.1007/s00540-012-1460-0
  16. C. D. Spielberger. (1972). Anxiety on Emotional State. New York : Academic Press.
  17. D. Edmondson, J. Arndt, C. Alcantara, W. Chaplin & J. E. Schwartz. (2015). Self-Esteem and the Acute Effect of Anxiety on Ambulatory Blood Pressure. Psychosomatic Medicine, 77(7), 833-841. DOI : 10.1097/PSY.0000000000000219
  18. S. Gras et al. (2010). The Effect of Preoperative Heart Rate and Anxiety on the Propofol Dose Required for Loss of Consciousness. Anesthesia & Analgesia, 110(1), 89-93. DOI: 10.1213/ANE.0b013e3181c5bd11
  19. C. L. Norred. (2000). Minimizing Preoperative Anxiety with Alternative Caring-healing Therapies. AORN Journal, 72(5), 838-843. DOI : 10.1016/S0001-2092(06)62015-2
  20. P. R. Kang, K. M. Jung, S. S. Min & G. H. Seol. (2012). Effect of Basil Essential Oil-Inhalation on Pain, Anxiety and Vital Sign in Patients with Chronic Low Back Pain before Spine Surgery: A Double-Blind, Randomized Controlled Trial. Korean Journal of Stress Research, 20(3), 169-178.
  21. R. Ocalan, C. Akin, ZK. Disli, T. Kilinc & S. Ozlugedik. (2015). Preoperative Anxiety and Postoperative Pain in Patients Undergoing Septoplasty. Royal Belgian Society for ENT Surgery, 11(1), 19-23.
  22. P. Britteon, N. Cullum & M. Sutton. (2017). Association between Psychological Health and Wound Complications after Surgery. British Journal of Surgery, 104(6), 769-776. DOI : 10.1002/bjs.10474
  23. J. M. Lee & H. S. Hong. (2011). The Effect of a Preference Music Therapy on Anxiety and Pain of Cystoscopy. Journal of Korean Biological Nursing Science, 13(1), 44-52.
  24. M. S. Han & K. Y. Lee. (2012). The Effect of Back Massage on Degree of Pain, State Anxiety and Quality of Sleep of Postoperative Patients with Gastrectomy. Asian Oncology Nursing, 12(1), 69-76. DOI : 10.5388/aon.2012.12.1.69
  25. H. K. Oh. (2005). Stress Management and Aromatherapy. The Korean Journal of Stress Research, 13(2), 89-91.
  26. J. Buckle. (2001). The Role of Aromatherapy in Nursing Care. The Nursing Clinics of North America, 36(1), 57-72.
  27. S. K. Tang & M. Y. M. Tse. (2014). Aromatherapy: Does it Help to Relieve Pain, Depression, Anxiety, and Stress in Community-dwelling Older Persons? BioMed Research International, 1, 1-12. DOI : 10.1155/2014/430195
  28. S. Esmaelzadeh-Saeieh, M. Rahimzadeh, N. Khosravi-Dehaghi & S. Torkashvand. (2018). The Effects of Inhalation Aromatherapy with Boswellia Carteri Essential Oil on the Intensity of Labor Pain among Nulliparous Women. Nursing and Midwifery Studies, 7(2), 45-49. DOI: 10.4103/nms.nms_70_17
  29. I. H. Kim. (2012). The effects of essential oil inhalation on the blood pressure, salivary cortisol, perceived stress in prehypertensive and hypertensive subjects. Doctoral dissertation. Eulji University, Seongnam-Si.
  30. J. H. Choi & Y. M. Kim. (2014). Effects of Aromatherapy on Stress, Sleep, Nausea and Vomiting during Patient Controlled Analgesia Treatment of Patients with Hysterectomy. Korean Journal of Women Health Nursing, 19(4), 211-218. DOI: 10.4069/kjwhn.2013.19.4.211
  31. B. J. Ha. (2006). Aromatherapy. Seoul : Soomoonsa.
  32. H. Merskey. (1986). Classification of Chronic Pain. Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain. Supplement, 3, 1-226.
  33. M. E. Cline, J. Herma, E. R. Shaw & R. D. Morton. (1992). Standardization of the Visual Analogue Scale. Nursing Research, 41(6), 378-380.
  34. C. D. Spielberger. (1975). The Measurement of State and Trait Anxiety: Conceptual and Methodological issues. In L. Levi (Ed)., Emotions -Their parameters and measurement. New York : Raven Press.
  35. C. D. Spielberger, R. L. Gorsuch & R. E. Lushene. (1970). STAI Manual for the State-Trait Anxiety Inventory. Palo Alto, CA : Consulting Psychologists Press.
  36. J. T. Kim & D. K. Shin. (1978). A study based on the standardization of the State-Trait Anxiety Inventory for Korea. New Medical Journal, 21(1), 69-75.
  37. WHO. (2018). Ageing and Health. WHO(Online). https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
  38. F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods, 41(4), 1149-1160. DOI : 10.3758/BRM.41.4.1149.
  39. C. D. Spielberger, R. L. Gorssuch, P. R. Lushene, R. R. Vagg & G. A. Jacobs. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA : Consulting Psychologists Press.
  40. E. J. Lim & K. Y. Lee. (2011). Effects of Aroma Inhalation Therapy on Pain in Patients Following a Tonsillectomy. Journal of the Korean Academy of Fundamentals of Nursing, 18(1), 63-70.
  41. H. R. So. (2012). The effect of aroma inhalation on pain, anxiety, vital sign and sleep of patients with colon resection. Master dissertation, Gachon University, Seongnam-si.
  42. D. Hekmatpou, Y. Pourandish, P. V. Farahani. & R. Parvizrad. (2017). The Effect of Aromatherapy with the Essential Oil of Orange on Pain and Vital Signs of Patients with Fractured Limbs Admitted to the Emergency Ward: A Randomized Clinical Trial. Indian Journal of Palliative Care, 23(4), 431-436. DOI : 10.4103/IJPC.IJPC_37_17
  43. S. J. Gibson & M. Farrell. (2004). A Review of Age Differences in the Neurophysiology of Nociception and the Perceptual Experience of Pain. Clinical Journal of Pain, 20(4), 227-239. https://doi.org/10.1097/00002508-200407000-00004
  44. K. Y. Lim. (2007). The Use of Antianxiety and Antidepressants Medications in the Elderly Patients. Korean Journal of Clinical Geriatrics, 8(3), 341-345.
  45. I. S. Choi, M. S. Lee, E. N. Ryoo & K. S. Park. (2008). The Effect of Aroma Inhalation Method on the Preoperative Anxiety of Abdominal Surgical Patients. Korean Journal of Adult Nursing, 20(2), 126-135.