- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05770999
The Effect of Aromatherapy Application on Pain, Stress and Behaviors of The Newborn
This study was planned as a randomized controlled double-blind experimental study to examine the effect of aromatherapy on newborn pain, stress and behaviors. The main questions it aims to answer are:
- Lavender oil massage applied to newborns has an effect on pain, stress and behavior of newborns.
- Lavender oil bath applied to newborns has an effect on pain, stress and behavior of newborns.
- There is a difference between lavender oil massage and lavender oil bath applications applied to newborns in reducing the pain and stress level of the newborn and regulating their behavior.
Randomization method will be used in the determination of the study groups (Lavender massage, lavender bath and control group), and the study group to which the newborns will be included will be determined in the computer environment. Gender, gestational age, postnatal age and body weight will be considered as matching criteria for newborns included in lavender massage, lavender bath and control groups. For ALPS-Neo and ABSS evaluations, 10 minutes (20 minutes in total) of newborns will be recorded with a video camera before and after the study.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Newborns have to receive treatment and care for a long time in the neonatal unit. Newborns admitted to neonatal intensive care units (NICUs) have to cope with stressors such as numerous environmental stimuli (bright light, loud noise, frequent touch, etc.) and repetitive painful interventions when they are not developmentally ready. A care environment devoid of parental contact and stimuli, disturbing the newborn, and encountering stress and excessive stimuli negatively affects the delicate physical condition and immature organ systems of the newborn, and physiological and behavioral stress symptoms can be observed. However, in neonatal units; It is known that there may be many undesirable stimuli such as excessive noise, light, and intense activity in the unit, as well as situations where sensory stimuli such as monotonous sounds, inactivity, and silence from some medical equipment are rare. In these cases, sensory deprivation or sensory overload problems may develop as a result of the decrease or increase in the quality and quantity of sensory stimuli . Precautions should be taken to prevent these problems from occurring. Complementary care practices such as aromatherapy can be used to reduce sensory stimulus problems and stress.
Aromatherapy, which is the most widely used in complementary care applications; It is defined as the use of essential oils obtained from flowers, plants and trees to increase health and well-being. Essential oils can be administered orally, by touch, and by inhalation. The aim of aromatherapy by touch (massage, bath, compress) is to benefit from the anti-inflammatory, antispasmadic, antiviral, antifungal and antibacterial effects of essential oils and to allow the muscles to return to a resting tone. Since the sense of touch is developed in newborn babies at birth, the application of aromatic oils with the sense of touch is important in reducing the stress of the baby in the first days of his life.
Among the essential oils used in aromatherapy, the most studied fragrance is lavender. Lavender generally has antiseptic, anti-inflammatory, pain-relieving, relaxing and sleep-inhibiting effects. In line with this information, it is aimed to examine the effect of aromatherapy on the pain, stress and behavior of newborns.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Kayseri, Turkey, 38039
- Erciyes University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Postnatal age of 1-5 days,
- Gestational age is 38-42 weeks,
- Tolerant of enterally given food (without NEC, digestive system and chromosomal abnormalities),
- Not connected to respiratory support device,
- No skin disease,
- No surgical intervention,
- Newborns with written consent from at least one of the parents will be included in the study.
Exclusion Criteria:
- Findings such as tachypnea, fever
- Newborns with Rh and AB0 incompatibility
- Newborns undergoing surgical intervention
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Lavender massage
A mixture of 20 cc of sweet almond oil and 1 cc of lavender oil will be used.
Sweet almond oil has been used to dilute lavender oil.
lavender massage lasted about 10 minutes.
|
Lavender application
|
Experimental: Lavender bath
A mixture of 20 cc bath water and 1 cc lavender oil will be used.
lavender bath lasted about 10 minutes.
|
Lavender application
|
No Intervention: Control group
The newborns in the control group did not receive any treatment other than their clinical routines (vital signs monitoring, skin care with sunflower oil, eye and mouth care, changing diapers, changing bed linen, feeding and clinical treatments).
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain.
Time Frame: Change in pain levels over the 10 minute session (In all three groups)
|
Neonatal Pain and Stress Rating Scale; It was developed by Lundqvist et al. in 2014 to assess pain and stress in premature and newborns.
The scale was adapted into Turkish by Ceylan and Bolışık (2017).
It is a 3-point Likert-type scale consisting of 5 items: newborn's facial expression, breathing pattern, tone of the extremities, hand and foot activities, and activity level.
Measurements are made by observation.
As the score obtained increases, stress and pain increase.
As a result of the evaluation, 3-5 points indicate the presence of mild pain and stress, and more than 5 points indicate the presence of severe pain and stress.
The Cronbach's alpha coefficient of the scale was reported as 0.95.
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Change in pain levels over the 10 minute session (In all three groups)
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Change in stress.
Time Frame: Change in stress levels over the 10 minute session (In all three groups)
|
Neonatal Pain and Stress Rating Scale; It was developed by Lundqvist et al. in 2014 to assess pain and stress in premature and newborns.
The scale was adapted into Turkish by Ceylan and Bolışık (2017).
It is a 3-point Likert-type scale consisting of 5 items: newborn's facial expression, breathing pattern, tone of the extremities, hand and foot activities, and activity level.
Measurements are made by observation.
As the score obtained increases, stress and pain increase.
As a result of the evaluation, 3-5 points indicate the presence of mild pain and stress, and more than 5 points indicate the presence of severe pain and stress.
The Cronbach's alpha coefficient of the scale was reported as 0.95.
|
Change in stress levels over the 10 minute session (In all three groups)
|
Change in behavior.
Time Frame: Change in behaviors over the 10 minute session (In all three groups)
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Anderson Behavioral State Scoring System-ABSS; In ABSS, which is a behavior scoring system that evaluates newborn behavior in 4 categories (eyes closed, eyes half-opened, eyes open and eyes open or closed) and 12 sub-categories, infant behaviors are scored from 1 to 12.
As the score increases, it is accepted that the baby's behavior deteriorates.
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Change in behaviors over the 10 minute session (In all three groups)
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Öznur BAŞDAŞ, PhD, TC Erciyes University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2021/04-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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