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The effects of mask applied aromatherapy on allergic rhinitis symptoms, fatigue, and quality of life related to allergic rhinitis in the COVID-19 era: a randomized controlled trial

  • Received : 2024.07.04
  • Accepted : 2024.08.02
  • Published : 2024.08.31

Abstract

Purpose: Even after allergic rhinitis is diagnosed and treated, various symptoms such as runny nose, sneezing, and itchy nose recur periodically due to various environmental factors. Methods: This randomized controlled trial was conducted to confirm the effectiveness of mask-based aromatherapy as a method of alleviating allergic rhinitis during the coronavirus disease 2019 (COVID-19) pandemic. The study participants were adults between the ages of 19 and 60 who were diagnosed with allergic rhinitis and had a Total Nasal Symptom Score (TNSS) of 2 or more. Participants were randomly assigned to an aromatherapy group that was provided aromatherapy essential oils and a control group that did not receive aromatherapy. Participants in the aromatherapy group were asked to drop an aromatherapy essential oil onto a disposable face mask and wear it twice a day for two weeks. Results: The aromatherapy group experience significant alleviation of allergic rhinitis symptoms (visual analogue scale, F = 11.22, p < .001; TNSS, F = 15.82, p < .001). The aromatherapy group also showed significantly higher improvements in fatigue (F = 8.28, p < .001), allergic rhinitis-specific quality of life (F = 11.12, p < . 001). Conclusion: The oils used in this study appeared to be effective in relieving the symptoms of allergic rhinitis. In particular, the mask drop inhalation method was applied in light of mandatory mask-wearing due to the global COVID-19 pandemic during this study period. Mask drop inhalation is a method of inhaling oil close to the nose and is considered an effective method for reducing the inconvenience of applying oil.

Keywords

Acknowledgement

This manuscript is based on a part of the first author's master's thesis from Eulji University.

References

  1. Oliveira T, Persigo A, Ferrazza C, Ferreira E, Veiga A. Prevalence of asthma, allergic rhinitis and pollinosis in a city of Brazil: a monitoring study. Allergologia et Immunopathologia. 2020;48(6):537-544. https://doi.org/10.1016/j.aller.2020.03.010 
  2. Ha J, Lee SW, Yon DK. Ten-year trends and prevalence of asthma, allergic rhinitis, and atopic dermatitis among the Korean population, 2008-2017. Clinical and Experimental Pediatrics. 2020;63(7):278. https://doi.org/10.3345/cep.2019.01291 
  3. Bozek A, Scierski W, Ignasiak B, Jarzab J, Misiolek M. The prevalence and characteristics of local allergic rhinitis in Poland. Rhinology. 2019;57(3):213-218. http://doi.org/10.4193/rhin18.137 
  4. Demoly P, Bosse I, Maigret P. Perception and control of allergic rhinitis in primary care. Primary Care Respiratory Medicine. 2020;30(1):37. https://doi.org/10.1038/s41533-020-00195-8 
  5. 5.Koh YI. Clinical practice guideline for physicians on allergic rhinitis. The Korean Journal of Medicine. 2017;92(5):429-436. https://doi.org/10.3904/kjm.2017.92.5.429 
  6. Liu J, Zhang X, Zhao Y, Wang Y. The association between allergic rhinitis and sleep: a systematic review and meta-analysis of observational studies. PLoS One. 2020;15(2):e0228533. https://doi.org/10.1371/journal.pone.0228533 
  7. Meltzer EO. Allergic rhinitis: burden of illness, quality of life, comorbidities, and control. Immunology and Allergy Clinics of North America. 2016;36(2):235-248. http://doi.org/10.1016/j.iac.2015.12.002 
  8. Soleimani R, Jalali MM, Faghieh Habibi A. Comparison of health-related quality of life in patients with allergic rhinitis and controls. Journal of Guilan University of Medical Sciences. 2021;29(4):134-145. https://doi.org/10.32598/JGUMS.29.4.220.3 
  9. Resnick ES, Bielory BP, Bielory L. Complementary therapy in allergic rhinitis. Current Allergy and Asthma Reports. 2008;8(2):118-125. https://doi.org/10.1007/s11882-008-0021-y 
  10. Dubey KK. Complementary and alternative treatment methods for allergic rhinitis. South Asian Research Journal of Applied Medical Sciences. 2020;2(1):1-5. http://doi.org/10.36346/sarjams.2020.v02i01.001 
  11. Schafer T, Riehle A, Wichmann HE, Ring J. Alternative medicine in allergies-prevalence, patterns of use, and costs. European Journal of Allergy and Clinical Immunology. 2002;57(8):694-700. https://doi.org/10.1034/j.1398-9995.2002.23469.x 
  12. Sayin I, Cingi C, Oghan F, Baykal B, Ulusoy S. Complementary therapies in allergic rhinitis. International Scholarly Research Notices. 2013;2013(1):938751. https://doi.org/10.1155/2013/938751 
  13. Khaw CT, Ramli RR, Yaacob NMB, Md Shukri NB. The prevalence of complementary and alternative medicines (CAM) usage among allergic rhinitis patients in Malaysia. European Archives of Oto-Rhino-Laryngology. 2022;279:3957-3962. https://doi.org/10.1007/s00405-021-07197-3 
  14. Yonekura S, Okamoto Y, Sakurai D, Sakurai T, Iinuma T, Yamamoto H, et al. Complementary and alternative medicine for allergic rhinitis in Japan. Allergology International. 2017;66(3):425-431. https://doi.org/10.1016/j.alit.2016.10.006 
  15. Bayram A, Cingi C, Friedman O. Complementary and alternative medicine in allergic rhinitis. In: Cingi C, Bayar Muluk N, Scadding GK, Mladina R, editors. Challenges in rhinology. Cham: Springer; 2021. p. 109-119. https://doi.org/10. 1007/978-3-030-50899-9_13  https://doi.org/10.1007/978-3-030-50899-9_13
  16. Price S, Price L. Aromatherapy for health professionals e-book. 4th ed. Elsevier Health Sciences; 2011. 
  17. Kim DH. Effect of aromatherapy on the autonomic nervous system. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(6):261-271. https://doi.org/10.5762/KAIS.2019.20.6.261 
  18. Jasmi ZS, Rahim NRA, Hassan N, Abd Halim SN, Razali NH, Kamaruddin FE, et al. Nasal care herbal face mask for sinus therapy. APS Proceedings. 2023:48. https://doi.org/10.5281/zenodo.8105739 
  19. Mardiyono M, Ambarwati ER, Widyawati MN. Effect of lavender aromatherapy mask on anxiety in the first stage of labour. Journal Kesehatan Ibu dan Anak. 2022;16(2):75-83. https://doi.org/10.29238/kia.v16i2.1200 
  20. Wakui N, Ichikawa K, Okami A, Kagi H, Kawakubo S, Togawa C, et al. Evaluating the effectiveness of applying aroma seals to masks in reducing stress caused by wearing masks: a randomized controlled trial. PLoS One. 2023;18(11):e0294357. https://doi.org/10.1371/journal.pone.0294357 
  21. Al Mazrouei N, Elnour AA, Abou Hajal A, Sadeq A, Hammouri R, Ishbair O, et al. A cross-sectional survey on the experience of people with allergic rhinitis amidst COVID-19 pandemic: the impact of the facemask: a pilot study. Pharmacy Practice. 2023;21(3):1-10. https://doi.org/10.18549/PharmPract.2023.3.2850 
  22. Mengi E, Kara CO, Alpturk U, Topuz B. The effect of face mask usage on the allergic rhinitis symptoms in patients with pollen allergy during the covid-19 pandemic. American Journal of Otolaryngology. 2022;43(1):103206. https://doi.org/10.1016/j.amjoto.2021.103206 
  23. Soriano JB, Anzueto A, Anticevich SB, Kaplan A, Miravitlles M, Usmani O, et al. Face masks, respiratory patients and COVID-19. European Respiratory Journal. 2020;56(5):2003325. https://doi.org/10.1183/13993003.03325-2020
  24. Thomas C, Cabilan C, Johnston AN. Peripheral intravenous cannula insertion and use in a tertiary hospital emergency department: a cross-sectional study. Australasian Emergency Care. 2020;23(3):166-172. https://doi.org/10.1016/j.auec.2020.02.001 
  25. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149- 1160. https://doi.org/10.3758/BRM.41.4.1149 
  26. Battaglia S. The complete guide to aromatherapy. Queensland: International Centre of Holistic Aromatherapy; 2003. 
  27. Li F, Jiang T, Shi T. Effect of inhalation aromatherapy on physical and psychological problems in cancer patients: systematic review and meta-analysis. Journal of Psychosocial Oncology. 2022;40(3):271-287. https://doi.org/10.1080/07347332.2021.2011529 
  28. Brozek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines-2016 revision. Journal of Allergy and Clinical Immunology. 2017;140(4):950-958. https://doi.org/10.1016/j.jaci.2017.03.050 
  29. Bousquet P, Combescure C, Neukirch F, Klossek J, Mechin H, Daures JP, et al. Visual analog scales can assess the severity of rhinitis graded according to ARIA guidelines. European Jounal of Allergy and Clinical Immunology. 2007;62(4):367-372. https://doi.org/10.1111/j.1398-9995.2006.01276.x 
  30. Linder A. Symptom scores as measures of the severity of rhinitis. Clinical & Experimental Allergy. 1988;18(1):29-37. https://doi.org/10.1111/j.1365-2222.1988.tb02840.x 
  31. Chnag SB, Chu SH, Kim YI, Yun SH. The effects of aroma inhalation on sleep and fatigue in night shift nurses. Korean Journal of Adult Nursing. 2008;20(6):941-949. 
  32. Lee HS, Park E. Development and evaluation of allergic rhinitis-specific quality of life (ARSQOL) scale for adults. Journal of Korean Academy of Nursing. 2016;46(5):675-686. https://doi.org/10.4040/jkan.2016.46.5.675 
  33. Choi SY, Park K. Effect of inhalation of aromatherapy oil on patients with perennial allergic rhinitis: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine. 2016;2016(1):7896081. https://doi.org/10.1155/2016/7896081 
  34. Song MR, Kim EK. Effects of eucalyptus aroma therapy on the allergic rhinitis of university students. Journal of Korean Biological Nursing Science. 2014;16(4):300-308. https://doi.org/10.7586/jkbns.2014.16.4.300 
  35. Won SJ, Chae YR. The effects of aroma therapy on allergic symptoms, eosinophil, and the quality of life related to rhinitis in university students with allergic rhinitis. Korean Journal of Adult Nursing. 2015;27(4):438-448. http://dx.doi.org/10.7475/kjan.2015.27.4.438 
  36. Appiah-Thompson P, Amuquandoh A. Prevalence and socioeconomic impact of allergic rhinitis among ear, nose, and throat patients of a tertiary hospital. Cureus. 2023;15(12):e49768. https://doi.org/10.7759/cureus.49768 
  37. Irandoust F, Dini S. A new perspective of aroma face mask on COVID-19 pandemic. Journal of Medical Engineering & Technology. 2022;46(3):198-208. https://doi.org/10.1080/03091902.2022.2026501 
  38. Virchow J, Kay S, Demoly P, Mullol J, Canonica W, Higgins V. Impact of ocular symptoms on quality of life (QoL), work productivity and resource utilisation in allergic rhinitis patients-an observational, cross sectional study in four countries in Europe. Journal of Medical Economics. 2011;14(3):305-314. https://doi.org/10.3111/13696998.2011.576039 
  39. Robles-Figueroa M, Bedolla-Barajas M, Morales-Romero J, Pulido-Guillen NA, Bustos-Gutierrez LRM. Allergic rhinitis is associated with loss of energy and concentration difficulty: a cross-sectional study. American Journal of Rhinology & Allergy. 2020;34(1):108-114. https://doi.org/10.1177/1945892419877554