한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제20권5호
  • /
  • Pages.300-310
  • /
  • 2019
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

라벤더향기요법이 통증에 미치는 효과에 대한 메타분석

Meta-analysis of the effects of Lavender Aromatherapy on pain

  • 투고 : 2019.02.15
  • 심사 : 2019.05.03
  • 발행 : 2019.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 라벤더 향기요법이 통증에 미치는 효과에 대한 무작위 실험연구 및 비무작위 실험연구를 체계적으로 고찰하고 메타 분석하여 근거기반 자료를 제공하기 위한 연구이다. 메타 분석에 포함된 자료는 2000년부터 2018년까지 발표된 18편의 연구로서 중재 대상자는 수술 환자, 산모, 관절염 환자, 투석 환자 등이며 중재 유형은 흡입법, 마사지, 도포, 온습포, 복용 등이다. 연구 결과 통증에 대한 효과크기(Hedges' g)는 - 1.06[95% CI:-1.40:-0.72]로 큰 효과크기로 나타났으며 통계적으로 유의하였다. 중재 유형에 따른 효과크기는 복용 -1.36[95% CI:-1.96, -0.77], 국소 도포 -1.11[95% CI:-1.57 -0.66], 흡입 -1.05[95% CI:-1.54, -0.56], 마사지 -0.92[95% CI:-1.62, -0.23]의 순으로 모두 큰 효과크기로 나타났으며 통계적으로 유의하였다. 그러나 통증의 효과크기에 대한 이질성($I^2=88%$, p<.01)이 커서, 중재 유형, 연구 설계를 조절변수로 하여 조절효과 분석인 메타 아노바를 시행하였으나 통계적으로 유의하지 않았다(중재 방법 Q=0.25, df=3, p=.968, 연구 설계 Q=0.22, df=1, p=.642).

This study is a systematic review of randomized experimental and non-randomized studies on the effects of lavender scent therapy on pain and a meta-analysis to provide evidence-based data. The data included in the meta-analysis are 18 studies published from 2000 to 2018, with interventional subjects being surgical, maternal, arthritis and dialysis patients, and the types of interventions were massage, application, hot-pack, and taking medication. RESULTS: The effect size (Hedges' g) for pain was -0.16 [95% CI:-1.40: -0.72], which was statistically significant. The effect size according to intervention type was -1.36 [95% CI: -1.96, -0.77], local application -1.11 [95% CI:-1.57-0.66], inhalation -1.05 [95% CI:-1.54, -0.56 ], and massage -0.92 [95% CI:-1.62, -0.23], all of which were statistically significant. To explore the possible causes of heterogeneity ($I^2=88%$), meta-ANOVA was conducted with covariates of intervention type or study design, and the results revealed it was statistically insignificant (intervention type Q=0.25, df=3, p=.968, study design Q=0.22, df=1, p=.642).

키워드

SHGSCZ_2019_v20n5_300_f0001.png 이미지

Fig. 1. PRISMA flow diagram

SHGSCZ_2019_v20n5_300_f0002.png 이미지

Fig. 2. Risk of bias summary

SHGSCZ_2019_v20n5_300_f0003.png 이미지

Fig. 3. Forest plots of the effects of lavender aromatherapy on pain

SHGSCZ_2019_v20n5_300_f0004.png 이미지

Fig. 4. Subgroup analysis for intervention method

SHGSCZ_2019_v20n5_300_f0005.png 이미지

Fig. 5. Subgroup analysis for study design

SHGSCZ_2019_v20n5_300_f0006.png 이미지

Fig. 6. Funnel plot of pain

Table 1. Descriptive summary of included studies

SHGSCZ_2019_v20n5_300_t0001.png 이미지

참고문헌

  1. R. Melzack, P. D. Wall, T. C. Ty, Acute pain in an emergency clinic: latency of onset and descriptor patterns related to different injuries. Pain, Vol.14, No.1 pp. 33-43,1982. https://doi.org/10.1016/0304-3959(82)90078-1
  2. K. S. Park, Effects of Aroma and Ultra Sound Therapy on Pain with Occupational Neck and Upper Limb Disorder, [Master's thesis]. Daejeon: Daejeon University Health Sports School; 2003.
  3. M. K. Lee, M. H. Hur, Effects of the Spouse's Aromatherapy Massage on Labor Pain, Anxiety and Childbirth Satisfaction for Laboring Women. Korean Society of Women Health Nursing, Vol.17,No.3 pp.195-204, Sep, 2011. https://doi.org/10.4069/kjwhn.2011.17.3.195
  4. V. A. Worwood, The complete book of essential oils & aromatherapy. Novato: New World Library. 1991.
  5. H. J. Ham, The Study on Aroma Essential Use and Scent Preference. [Master's thesis]. Seoul: Han Sung University; 2015.
  6. B. J. Ha, Aromatherapy. 168p. Paju; Soomoonsa. 2005.
  7. J. Buckle, The role of aromatherapy in nursing care. Nursing Clinics of North America, Vol.36, No.1 pp.57-72, Mar, 2001.
  8. Y. O. Bok, Aromatherapy for professionals. 304p. Seoul: ADBOOKS PUBLISING, 2007.
  9. J. H. Hwang, S. O. Lee, Y. K. Kim, Effects of Thermotherapy Combined with on Pain, Flexibility, Sleep, and Depression in Elderly Women with Osteoarthritis. The Journal of Muscle and Joint Health, Vol.18, No.2 pp.192-202, 2011. https://doi.org/10.5953/JMJH.2011.18.2.192
  10. A. Nasiri, M. A. Mahmodi, Z. Nobakht, Effect of aromatherapy massage with lavender essential oil on pain in patients with osteoarthritis of the knee: A randomized controlled clinical trial. Complementary Therapies in Clinical Practice, Vol.25, pp.75-80, Nov, 2016. DOI: https://doi.org/10.1016/j.ctcp.2016.08.002
  11. H. Y. Jeong, Study on effect of aroma inhalation using Lavender essential oil upon pain and uneasiness : focused on patient who had treatment for removing tartar on the teeth. [Master's thesis], Seoul: Graduate School of Social Development, Chung-Ang University; 2004.
  12. S. H. Yu, Effects of lavender incense on pain and urinary symptoms after removal of catheter in patients with colorectal surgery. [Master's thesis], Seoul: Korea University Graduate School of Education; 2016.
  13. E. M. Yayla, L. Ozdemir, Effect of Inhalation Aromatherapy on Procedural Pain and Anxiety after Needle Insertion into an Implantable Central Venous Port Catheter: A Quasi-Randomized Controlled Pilot Study. Cancer Nursing, Vol.42,No.1 pp. 35-41, January, 2019,Cancer Nursing. D O I : http://dx.doi.org/10.1097/NCC.0000000000000551
  14. Z. SEIFI, A. BIKMORADI, M. BAZRAFSHAN, J. POOROLAJAL, M. ARAGHCHIAN, S. H. KASHFI, E. KAVI, M. JOKAR, The Effect of Inhalation Aromatherapy with Lavender Essential oil on Pain Severity of Patients After Coronary Artery Bypass Surgery: A Single-blind Randomised Clinical Trial. Journal of Clinical & Diagnostic Research. Vol.12,No.7 pp.1-5, July, 2018. DOI: https://doi.org/10.7860/JCDR/2018/34865.11721
  15. F. Hasanzadeh, N. M. Kashouk, H. B. Vashani, S. Amini, J. Asili, S. A. Emami, A. Sahebkar, The effect of cold application and lavender oil inhalation in cardiac surgery patients undergoing chest tube removal. EXCLI Journal, Vol.15, pp. 64-74, Jan, 2016. DOI: http://dx.doi.org/10.17179/excli2015-748
  16. M, Kaviani, S. Azima, N, Alavi, M. Tabaei, The effect of lavender aromatherapy on pain perception and intrapartum outcome in primiparous women. British Journal of Midwifery, Vol.22,No.2 pp.125-128, Feb, 2014. DOI: http://dx.doi.org/10.12968/bjom.2014.22.2.125
  17. K. Vakilian, M. Atarha, R. Bekhradi, R. Chama, Healing advantages of lavender essential oil during episiotomy recovery: a clinical trial. Complementary Therapies Clinnical Practice, Vol.17, No.1 pp. 50-53, Feb, 2011. DOI: http://dx.doi.org/10.1016/j.ctcp.2010.05.006
  18. M. Yazdkhasti, A. Pirak, The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complementary Therapies in Clinical Practice, Vol.25, No.0 pp. 81-86, Nov, 2016. DOI: https://doi.org/10.1016/j.ctcp.2016.08.008
  19. F. Sheikhan, F. Jahdi, E. M. Khoei, N. Shamsalizadeh, M. Sheikhan, H. Haghani, Episiotomy pain relief: Use of Lavender oil essence in primiparous Iranian women. Complementary Therapies in Clinical Practice, Vol.18, No.1 pp. 66-70, February, 2012. DOI: https://doi.org/10.1016/j.ctcp.2011.02.003
  20. N. Hadi, A. A. Hanid, Lavender essence for post-cesarean pain. Pakistan Journal of Biological Sciences, Vol.14, No.11 pp.664-667, 2011. DOI: http://dx.doi.org/10.3923/pjbs.2011.664.667
  21. M, Bagheri-Nesami, F. Espahbodi, A, Nikkhah, S. A. Shorofi, J. Y. Charati, The effects of lavender aromatherapy on pain following needle insertion into a fistula in hemodialysis patients. Complementary Therapies in Clinical Practice, Vol.20, No.1 pp.1-4, Feb, 2014. DOI: https://doi.org/10.1016/j.ctcp.2013.11.005
  22. S. Rafie, F. Namjoyan, F, Golfakhrabadi, F. Yousefbeyk, A. Hassanzadeh, Effect of lavender essential oil as a prophylactic therapy for migraine: A randomized controlled clinical trial. Journal of Herbal Medicine, Vol.6, No.1 pp.18-23, March, 2016. DOI: https://doi.org/10.1016/j.hermed.2016.01.003
  23. J Higgins, S. Green, Cochrane Handbook for Systematic Reviews Interventions Version 5.1.0 [Updated March 2011]. The Cochran collaboration retrieved from http://www.cochrane handbook.org. DOI: https://doi.org/10.1002/jrsm.38
  24. M. Borenstein, L. V .Hedges, J. P. Higginests, H. R. Rothstein, Introduction to Meta-analysis. Chichester, UK: Willey.& Sons, 2009. DOI: http://dx.doi.org/10.1002/9780470743386
  25. S. Park, J. A, Han, S. Y, Jang, J. E, Park, H. W. Kwak, Analysis of Experimental Researches in Korea on the Effects of Aromatherapy to Relieve Pain. The Korean Journal of Hospice and Palliative Care, Vol.14, No.1 pp. 8-19, 2011. https://doi.org/10.14475/kjhpc.2011.14.1.8
  26. S. H. Yu, Effects of lavender oil inhalation on pain and urinary symptoms in indwelling urinary catheter-removed after colorectal cancer surgery. [Master's thesis]. Seoul: Korea University Graduate School of Education; 2016.
  27. Y. A. Jeon. A Meta-Analysis about Healing Effects of Aromatherapy on physiological, physical, psychological. [Ph.D dissertation]. Seoul: Hoseo University, 2014.
  28. Y. M. Jiang, A Systematic Review for the Therapeutic Effects of Aromatherapy on Depressive Disorder. [Ph.D dissertation]. Daejeon: Daejeon University, 2013.
  29. A. J. Shin, K. W. Park, Status of Herbal Industry and Aromatheraphy in Korea. Horticultural environment and biotechnology, Vol.5, pp. 139-139, 2001.