디지털융복합연구 (Journal of Digital Convergence)

  • 제17권12호
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  • Pages.523-533
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  • 2019
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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척추 수술 전 노인환자에게 적용한 아로마 향흡입요법이 통증 및 불안에 미치는 효과

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

  • 박소휘 (중앙대학교 일반대학원) ;
  • 김보경 (가톨릭관동대학교 의과대학 간호학과) ;
  • 박경숙 (중앙대학교 적십자간호대학)
  • 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)
  • 투고 : 2019.10.21
  • 심사 : 2019.12.20
  • 발행 : 2019.12.28
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초록

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.

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.

키워드

참고문헌

  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.