Page 21 - Symposium Flip Book_4.14.21
P. 21

Effect of Lavender Aromatherapy on Sleep Quality











                    Brinn Hollenbeck, Brendan Huisman, Michaela Udlock, Khatera Sadat




















                                                                                  BACKGROUND                                                                                                                                                                           EVIDENCE TABLE








                             Patients often report difficulty falling asleep, staying asleep, and                                                                                                                               Study                     Study Design/                            Sample #                              Findings related to



                             having poor quality of sleep in the stressful and unfamiliar                                                                                                                                  Author(s)                            Evidence                            & Setting                            the PICO question


                             hospital environment. Lack of sleep can lead to decreased                                                                                                                                                                               Level



                             wound healing, adverse events related to care, and difficulties                                                                                                                          1. Cho, E. H., et                   Non-randomized                       N=60                               Inhaled lavender essential oil
                                                                                                                                                                                                                                                          controlled trial/
                                                                                                                                                                                                                      al. (2017).
                                                                                                                                                                                                                                                                                               ICU patients,
                                                                                                                                                                                                                                                                                                                                  aromatherapy prevented
                             in emotional regulation, leading to more distress for the patient.                                                                                                                                                           quasi-                               University                         expected reductions in sleep

                             Increased emotional distress can also result in elevated blood                                                                                                                                                               experimental                         Hospital in South  quality related to
                                                                                                                                                                                                                                                          Level II
                                                                                                                                                                                                                                                                                                                                  hospitalization.
                                                                                                                                                                                                                                                                                               Korea
                             pressure, increased hunger, and other physical symptoms.                                                                                                                                 2. Karadag, E., et Randomized                                            N=60                               The intervention group reported


                             Improving sleep in hospitalized patients will lead to better                                                                                                                             al. (2017).                         controlled trial                     Coronary ICU                       significantly lower PSQI scores,


                             patient outcomes and likely shorter hospital stays.                                                                                                                                                                          Level I                              patients,                          indicating improved sleep
                                                                                                                                                                                                                                                                                               Sahinhey
                                                                                                                                                                                                                                                                                                                                  quality related to lavender
                                                                                                                                                                                                                                                                                               Research                           essential oil aromatherapy.

                                                                                                                                                                                                                                                                                               Hospital at


                                                                               PICO QUESTION                                                                                                                                                                                                   Gaziantep

                                                                                                                                                                                                                                                                                               University in

                                                                                                                                                                                                                                                                                               Turkey

                                                                                                                                                                                                                      3. Nasiri Lari, Z.,                 Randomized                           N=37                               Inhaled lavender essential oil
                             • Population: Adult patients with sleep difficulties                                                                                                                                     et al. (2020).                      controlled trial                     Type 2 Diabetes  aromatherapy resulted in better                                                                                                                 RECOMMENDATION


                             • Intervention: Inhaled lavender essential oil aromatherapy                                                                                                                                                                  Level I                              Mellitus patients,  PIRS-20 scores, indicating


                             • Comparison: Routine care                                                                                                                                                                                                                                        Diabetes clinic in  increased sleep quality related                                                                   It is recommended that hospitals implement the use of inhaled

                                                                                                                                                                                                                                                                                               Iran
                                                                                                                                                                                                                                                                                                                                  to the intervention.
                             • Outcome: Increased sleep quality


                             Question: In adult patients with sleep difficulties, does inhaled                                                                                                                                                                                                                                                                                                                       lavender essential oil aromatherapy to help improve the sleep


                                    lavender essential oil aromatherapy improve sleep quality                                                                                                                         4. Ozkaraman,                       Randomized                           N=70                               The intervention group reported                                                    quality of patients with sleep difficulties. However, more
                                                                                                                                                                                                                      A., et al. (2018).
                                                                                                                                                                                                                                                                                               Cancer patients,  lower PSQI scores, indicating
                                                                                                                                                                                                                                                          controlled trial
                                    when compared to routine care?                                                                                                                                                                                        Level I                              Outpatient                         increased sleep quality related                                                    research is needed to determine the best method of

                                                                                                                                                                                                                                                                                               chemotherapy                       to inhaled lavender essential oil                                                  administration for optimal sleep quality. We recommend

                                                                                                                                                                                                                                                                                               unit in Turkey                     aromatherapy.

                                                                                                                                                                                                                                                                                                                                                                                                                     conducting a pilot study to determine the best method of

                                                        EVIDENCE SEARCH METHOD                                                                                                                                        5. Shady, K., et                    Mixed-methods                        N=40                               Patients in the intervention                                                       administration prior to full-scale implementation and practice

                                                                                                                                                                                                                                                          Level III
                                                                                                                                                                                                                                                                                               hematology-
                                                                                                                                                                                                                      al. (2019).
                                                                                                                                                                                                                                                                                                                                  group reported that using the
                                                                                                                                                                                                                                                                                               oncology                           lavender essential oil inhalation                                                  change.
                            Search Databases:                                                                                                                                                                                                                                                  patients,                          patch resulted in longer and


                            1. PubMed                                                                                                                                                                                                                                                          Christiana                         more restful sleep.

                                                                                                                                                                                                                                                                                               Hospital in
                            2. EBSCO MegaFile                                                                                                                                                                                                                                                  Newark, DE, in                                                                                                                                         PROPOSED EVALUATION


                            3. CINAHL Complete                                                                                                                                                                                                                                                 the U.S.


                            4. Health Source: Nursing/Academic Edition



                            5. Academic Search Premier                                                                                                                                                                                                                                                                                                                                                                                     Measure                                                       How will it be measured?



                            Search Terms:                                                                                                                                                                                                                                               RESULTS                                                                                                                      Sleep Quality                                                         Pittsburgh Sleep Quality Index


                            1. Lavender                                                                                                                                                                                                                                                                                                                                                                                                                                                    (PSQI)



                            2. Aromatherapy                                                                                                                                                                           A review of the evidence revealed increased patient sleep                                                                                                                                                                                                            Verran & Snyder-Halpern Sleep


                            3. Sleep                                                                                                                                                                                  quality with the use of inhaled lavender essential oil                                                                                                                                                                                                               Scale


                            4. Adult                                                                                                                                                                                  aromatherapy.                        2,3,4      Lavender aromatherapy consistently                                                                                                                                                                                   Pittsburgh Insomnia Rating Scale-



                            Restrictions used to narrow the search:                                                                                                                                                   improved patient sleep quality; however, the method of                                                                                                                                                                                                               20 (PIRS-20)



                            Peer-reviewed and published within the last 5 years                                                                                                                                       administration varied between studies. Patients who inhaled                                                                                                                                                                                                          Lavender Satisfaction Assessment


                                                                                                                                                                                                                      lavender essential oil self-reported higher sleep quality than



                                                                                                                                                                                                                      control groups who did not undergo aromatherapy treatment.                                                                                                  1,5


                                                                                                                                                                                                                      In addition, lavender aromatherapy alleviated stress and anxiety


                                                                                                                                                                                                                      levels in all studies.
   16   17   18   19   20   21   22   23   24