The Effects of Aromatherapy by Lavender Oil on Agitation and Hemodynamic Parameters in Mechanically Ventilated Patients in ICU
,
Abstract
Patients receiving mechanical ventilation, due to stress, anxiety and stimulations of tracheal intubation, experience agitation that threatens the process of mechanical ventilation and also can cause dyspnea, confusion and asthenia. Agitation control by the medications and physical restraints, brings unpleasant side effects as well. Therefore, this study was performed to determine the effect of aromatherapy with lavender oil on agitation and hemodynamic parameters in mechanically ventilated patients.
This quasi-experimental study was performed over 40 patients under mechanical ventilation. All patients who met inclusion criteria, were recorded their hemodynamic parameters and agitation severity before the intervention and then two drops of 2% lavender essential oil were added to 200 ml of distilled water and the aromatherapy was done within one hour. Hemodynamic and agitation parameters recorded every 15 minutes during the first hour and every 30 minutes during the second and third hours. Agitation severity and hemodynamic parameters were compared before and after aromatherapy and were analyzed by statistical methods [descriptive and inferential].
The findings showed that the scores of agitation and hemodynamic parameters, before and after aromatherapy with lavender were significant (P < 0.001). According to the results of this study, aromatherapy with lavender oil is effective on agitation and hemodynamic parameters in patients undergoing mechanical ventilation; therefore, it is suggested to be used as one of the non-drug and uncomplicated interventions in independent nursing duties to control patient’s agitation
Tate JA, Dabbs AD, Hoffman L, Milbrandt E, Happ MB. Anxiety and agitation in mechanically ventilated patients. Qualit Health Res 2013;22:157-173.
Tracy MF, Chlan L. Nonpharmacological interventions to manage common symptoms in patients receiving mechanical ventilation. Crit Care Nurs 2011;31:19-28.
Souri Lakie A, Bolhasani M, Nobahar M, Fakhr Movahedi A, Mahmoudi H. The effect of touch on the arterial blood oxygen saturation in agitated patients undergoing mechanical ventilation . Iran J Crit Care Nurs 2012;5:125-132.
Jeitziner M, Hantikainen V, Conca A, Hamers J. Long-term consequences of an intensive care unit stay in older critically ill patients: design of a longitudinal study. BMC Geriatr 2011;2;11:52.
Nobahar M, bolhasani M, Fakhr- Movahedi A, Ghorbani R. Effects of touch on agitation in patients under mechanical ventilation. koomesh 2014;15:325-333 [Persian].
sabzghabaee AM, Yaraghi A, Khalilidehkordi E, Mirhosseini SMM, Beheshtian E, Eizadi-Mood N. The Outcome of Agitation in Poisoned Patients in an Iranian Tertiary Care University Hospital. Neurology Res Int 2014;14:275064.
Barr J, Fraser GL, Puntillo K RN, Ely EW, Gélinas CRN, Dasta JF, Davidson JE, Devlin JW, Kress JP, Joffe AM. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 2013;41:263-306.
Yang MH , Lin L, Wu Sh , Chiu JH , Wang PN, Lin JG. Comparison of the efficacy of aroma-acupressure and aromatherapy for the treatment of dementia-associated agitation. BMC Complement Altern Med 2015;15:93.
Roberts DJ, Haroon B, Hall RI. Sedation for critically ill or injured adults in the intensive care unit: a shifting paradigm. Drugs 2012;72:1881-1916.
Sessler C, Riker R, Ramsay M. Evaluating and monitoring sedation, arousal, and agitation in the ICU. Seminars in Respir and Crit Care Med 2013;34:169-178.
Costa JB, Marcon SS, Macedo CR, Jorge AC, Duarte PA. Sedation and memories of patients subjected to mechanical ventilation in an intensive care unit. Rev Bras Ter Intensiva. 2014;26:122-129.
Choi JG. Delirium in the intensive care unit. Korean J Anesthesiology 2013;65:195-202.
Pacciardi B, Mauri M, Cargioli C, Belli S, Cotugno B, Di Paolo L, Pini S. Issues in the management of acute agitation: how much current guidelines consider safety. Front Psychiatry 2013;4:26.
Saadatmand V, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Zayeri F, Vaismoradi M, Jasper M. Effect of nature-based sounds' intervention on agitation, anxiety, and stress in patients under mechanical ventilator support: A randomised controlled trial. Int J Nurs Stud 2013;50:895-904.
Nategh M, Heidari MR, Ebadi A, Kazemnejad A, Babaei Beigi A. Effect of lavender aromatherapy on hemodynamic indices among patients with acute coronary syndrome: a randomized clinical trial. Iran J Crit Care Nurs 2015;8:200-208.
Myrbstgan N. Effects of inhalation of lavender Essential Oil on anxiety of patients with myocardial infarction admitted to the intensive care unit at Al-Zahra Hospital in Shiraz. [Thesis]. School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Iran; 1393 [Persian].
Salamati A, Mashouf S, Sahbaei F, Mojab F. Effects of Inhalation of Lavender Essential Oil on Open-heart Surgery Pain. Iran J Pharm Res 2014;13:1257-1261.
Perry R, Terry R, Watson LK, Ernst E. Is lavender an anxiolytic drug? A systematic review of randomised clinical trials. Phyto med 2012;19:825-835.
Mirmohammadali M, Khazaei F, Modares M, Rahimi Kian F, Rahnma P, Falah Hoseini H. The effect of lavender essential oil on anxiety caused by the insertion of IUD. J Med Plants 2013;12:65-60 [Persian].
Najafi Z , Taghadosi M , Sharifi Kh , Farrokhian A , Tagharrobi Z. The Effects of Inhalation Aromatherapy on Anxiety in Patients With Myocardial Infarction. Iran Red Crescent Med J 2014;16:e15485.
Zarifnejad GhH, Eshghi E, Mirhaghi AH, Ghorbanzadeh HR. Effect of aromatherapy with lavender essential oils on infusion of nitroglycerin-induced headache severity in patients in cardiac emergency. J Complement Med Res 2015;5.11-19 [Persian].
Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care 2015;6:27.
Seifi Z , Beikmoradi A, Oshvandi Kh , Poorolajal J, Araghchian M, Safiaryan R. The effect of lavender essential oil on anxiety level in patients undergoing coronary artery bypass graft surgery. Iran J Nurs Midwif Res 2014;19:574-580.
Tang SK, Tse MY. Aromatherapy: Does It Help to Relieve Pain, Depression, Anxiety, and Stress in Community-Dwelling Older Persons? Bio Med Res Int 2014;2014:1-12.
Olapour A, Behaeen K, Akhondzadeh R, Soltani F, Al Sadat Razavi F, Bekhradi R. The effect of inhalation of aromatherapy blend containing lavender essential oil on cesarean postoperative pain. Anesthesiol Pain Med 2013;3:203-207.
Ni CH, Hou WH, Kao CC, Chang ML, Yu LF, Wu CC and Chen C. The Anxiolytic Effect of Aromatherapy on Patients Awaiting Ambulatory Surgery: A Randomized Controlle Trial. Evid Based Complementary Altern Med 2013;2013:1-5.
Davari M, Mosharraf SH. Aromatherapy Effect of Lavander Essence and Mefenamic Acid on Dysmenorrhea: A Clinical Trial. J Res Dev Nurs Midwif 2014;11:8-14 [Persian].
Heydari A, Hosseini A, Vakili MA, Moghadam SH, Taziki SA, Badeleh MT. The effect of lavender oil inhalation on anxiety and some physiological parameters of open- heart surgery patients. J Res Develop Nursing Midwifery/a sixth seminar for nurses, midwives and res. 2013: pp 1-6 [Persian].
Tahmasebi H, Abbasi E, Zafari M, Darvishi H. The impact of aromatherapy on hemodynamic condition of patients experiencing coronary angiography. Med Surg Nursing J 2013;2:26-32 [Persian].
Vakilian K, Karamat A, Mousavi A, Shariati M, Ajami ME, Atarha M. The effect of Lavender essence via inhalation method on labor pain. J Shahrekord Univ Med Sci. 2012; 14:34-40 [Persian].
Meshgin Abady N, Ramezani Badr F, Mahmoudi KH. Effect of aromatherapy on anxiety in patients undergoing percutaneous coronary intervention [PCI]. J of Nursing and Midwifery care 2012;2:14-22. [Persian].
Kanani M. The effect of lavender essential oil aromatherapy on anxiety of patients undergoing hemodialysis. J of School of Nursing and Midwifery 2011;10:63-71. [Persian].
Sahebzamani M, Khanavi M, Alavi H, Mirkarimi SM, Karimi M. Effects of inhalation aromatherapy on anxiety and depression among female students dormitory of Tehran University of Medical Sciences. J Med Sci 2010;20:175-181. [Persian].
O’Connor D, Eppingstall B, Taffe J and Ploeg ES. A randomized, controlled cross-over trial of dermally-applied lavender [Lavandula angustifolia] oil as a treatment of agitated behaviour in dementia. BMC Complement and Alternat Med. 2013;13:315.
Bikmoradi A, Seifi Z, Poorolajal J, Araghchian M, Safiaryan R, Oshvandi K. Effect of inhalation aromatherapy with lavender essential oil on stress and vital signs in patients undergoing coronary artery bypass surgery. Complement Ther Med 2015;23:331-338.
Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, Tesoro EP, Elswick RK. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002;166:1338-1344.
Tadrisi SD, Madani SJ , Farmand F, Ebadi A, Karimi Zarchi AA, Mirhashemi S, Saghafinia M, Haji Amini Z, Motahedian E. Richmond agitation–sedation scale validity and reliability in intensive care unit adult patients Persian version. IJCC 2010;2:15-21. [Persian].
Aghaie B, Rejeh N, Heravi-Karimooi M, Ebadi A, Moradian ST, Vaismoradi M, Jasper M. Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation. Int J Nurs Stud 2014 ;51:526-538.
Cho MY, Min ES, Hur MH and Lee MS. Effects of Aromatherapy on the Anxiety, Vital Signs, and Sleep Quality of Percutaneous Coronary Intervention Patients in Intensive Care Units. Evid Based Complementary Altern Med 2013;2013:1-6.
Ju MS, Lee S, Bae I, Hur MH, Seong K and Lee MS. Effects of Aroma Massage on Home Blood Pressure, Ambulatory Blood Pressure, and Sleep Quality in Middle-Aged Women with Hypertension. Evid Based Complementary Altern Med 2013;2013:1-7.
Lytle J, Mwatha C ,Davis K. , Effect of Lavender Aromatherapy on Vital Signs and Perceived Quality of Sleep in the Intermediate Care Unit. Am J Crit Care 2014;23:24-29.
| Files | ||
| Issue | Vol 2, No 3, 2017 | |
| Section | Research Article(s) | |
| Keywords | ||
| Aromatherapy Lavender oil Agitation Hemodynamic parameters Mechanical ventilation Intensive care unit (ICU) | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
