The effectiveness of lavender essence on strernotomy related pain intensity after coronary artery bypass grafting

Mohammad Ali Heidari Gorji, Om Golsum Ashrastaghi, Valiollah Habibi, Jamshid Yazdani Charati, Mohammad Ali Ebrahimzadeh, Mitra Ayasi, Mohammad Ali Heidari Gorji, Om Golsum Ashrastaghi, Valiollah Habibi, Jamshid Yazdani Charati, Mohammad Ali Ebrahimzadeh, Mitra Ayasi

Abstract

Background: Considering the side effects of pharmacological methods, there has been a suggestion to use nonpharmacological methods such Aromatherapy following coronary artery bypass grafting (CABG). This study aims to evaluate the effectiveness of lavender 2% aromatherapy on sternotomy pain intensity after coronary artery bypass graft surgery in patients who have undergone surgery.

Materials and methods: During this clinical trial, 50 patients who were candidates for CABG, were randomly divided into two equal groups, that is, the control group (n = 25) and the case group (n = 25). Following CABG, the case group received two drops of 2% lavender oil every 15 minutes with supplemental oxygen and the control group received only supplemental oxygen through a face mask. The data collection tools comprised of the demographic check list and visual analog scale (VAS) for evaluating the pain intensity. The pain intensity were assessed pre- and five, 30, and 60 minutes post aromatherapy. The final data were analyzed by the t-test and chi-squared test.

Results: The findings showed that the pain perception intensity in the case group was lower than that in the control group at the 30- and 60-minute phases after intervention (P < 0.0001).

Conclusion: The result indicated that aromatherapy can be used as a complementary method in postoperative pain reduction, as it reduced pain. The patients require two sedative drugs, and moreover, it avoids expenses of treatment.

Keywords: Aromatherapy; Coronary artery bypass graft (CABG); complementary medicine; lavender essence.

Conflict of interest statement

Conflict of Interest: There is no conflict of interest in this study.

Figures

Figure 1
Figure 1
The figure shows the result of measurement of pain in four time frame. The pain reduced significantly after applying lavender when it is compared to control group who did not recived lavender essence

References

    1. Seyam SH, Hiedarnia A, Tavafian SS. Self- Caring Behaviors among cardiac patients after coronary artery bypass Graft Surgery. J Guilan Univ Med Sci. 2011;79:31–9.
    1. Arab MR, Hoseynrezaii H, Khoshab H. Assessment of the depression and anxiety in patients with acute coronary artery disease. Iran J Crit Care Nurs. 2012;4:197–202.
    1. Gallagher R, McKinley S. Stressors and Anxiety in Patients Undergoing Coronary Artery Bypass Surgery. Am J Crit Care. 2007;16:248–57.
    1. Hattan J, King L, Griffiths P. The impact of food massage and guided relaxation following cardiac surgery; A randomized controlled trial. J Adv Nurs. 2002;37:199–207.
    1. Fayazi S, Shariati A, Momeni M, Latifi M. The efficacy of Benson's relaxation technique on postoperative pain in coronary artery bypass graft. Sci Med J. 2010;8:479–89.
    1. Alavi SM, Farasat Kish R, Sadeghpour Tabaee A, Babaee T. Comparison of the Analgesic Effect of Sufentanil and Morphine in Patient Controlled Analgesia Method after Coronary Artery by Pass Surgery. Iran J Surg. 2010;17:6–11.
    1. Phipps W. J, Monahan F. D, Sands J. K, Marek J. F, Neighbors M. 7th Edition. S. Louis, MO: Elsevier/Mosby; 2003. Medical surgical nursing: Health and illness perspectives.
    1. Simkin P, Bolding A. Update on non-pharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health. 2004;49:489–504.
    1. Layzell M. Improving the management of postoperative pain. Nurs Times. 2005;101:34–6.
    1. Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. Aromatherapy in childbirth: A pilot randomised controlled trial. BJOG. 2007;114:838–44.
    1. Maddocks-Jennings W, Wilkinson JM. Aromatherapy practice in nursing: Literature review. J Adv Nurs. 2004;48:93–103.
    1. Sobhani A, sharemi H, OrangPur R, Shokohi F, Ooi M. Effect of levand on post cesarean pain. J Guilan Univ Med Sci. 2007;16:80–6.
    1. Lehrner J, Marwinski G, Lehr S, Johren P, Deecke L. Ambient odors of orange and lavender reduce anxiety and improve mood in a dental office. Physiol Behav. 2005;15:92–5.
    1. Soden K, Vincent K, Craske S, Lucas C, Ashley S. A randomized trial of Aromatherapy massage in a hospice setting. Palliat Med. 2004;18:87–92.
    1. Kyle G. Evaluating the effectiveness of aromatherapy in reducing levels of anxiety in palliative care patients: Results of a pilot study. Complement Ther Clin Pract. 2006;12:148–55.
    1. Buckle J. Clinical aromatherapy and AIDS. J Assoc Nurses AIDS Care. 2002;13:81–99.
    1. Goldberg L. 2nd ed. Tehran: Teimourzadeh Publication; 2001. Massage and aromatherapy: A practical approach.
    1. Mahmoudi B. Tehran: Noor-e-Danesh publications; 2003. An introduction to essential oils and their healing effects. Aromatherapy.
    1. Chu CJ, Kemper KJ, Lavender The lang wood herbal task force the center for holistic pediatric education and research. Revised July 2, 2001. [Last accessed on Sep 15, 2013]. Available from:
    1. Cvanagh HM, Wilkinson JM. Biological activity of lavender essential oil. J Phytother Res. 2002;16:301–8.
    1. Alavi N, Nemati M, Kaviani M. The effect of lavender aromatherapy on the pain intensity perception and intarapartum outcomes in primipare. J Armaghan Danesh. 2010;16:31–7.
    1. Kim JT, Wajda M, Cuff G, Serota D, Schlame M, Axelrod DM, et al. Evaluation of aromatherapy in treating postoperative pain: Pilot study. Pain Pract. 2006;6:273–7.
    1. Sadeghi Shermeh M, Bozorgzad P, Ghafourian A, Ebadi A, Razmjoei N, Afzali M, et al. Effect of foot reflexology on sternotomy pain after coronary artery bypass graft surgery. Irans Econ Essayes. 2009;2:51–4.
    1. Yang JH. The effects of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy. Taehan Kanho Hakhoe Chi. 2005;35:177–85.
    1. Nerbass FB, Felitrim MI, Souza SA, Ykeda DS, Lorenzi-Filho G. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Clinics (Sao Paulo) 2010;65:1105–10.
    1. Sasannjad P, Saeedi M, Gorji A, Abbasi M, Foroughipour M. Lavender essential oil in the treatment of migraine headache: A placebo- contorolled clinical trial. Eur Neurol. 2012;67:288–91.
    1. Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. Aromatherapy in childbirth: A pilot randomised controlled trial. BJOG. 2007;114:838–44.
    1. 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.
    1. Han S, Hur M, Buckle J, Choi J, Lee M. Effects of aromatherapy on symptoms of dysmenorrhea in college students: A randomizaed placebo-controlled clinical trial. J Altern Complement Med. 2006;12:535–41.
    1. Kim MJ, Nam ES, Paik SI. The effects of aromatherapy on pain, depression, and life satisfaction of arthritis patients. Taehan Kanho Hakhoe Chi. 2005;35:186–94.
    1. Kim JT, Ren CJ, Fielding GA, Pitti A, Kasumi T, Wajda M, et al. Treatment with Lavender Aromatherapy in the Post-Anesthesia Care Unit reduces Opioid Requirements of Morbidly Obese Patients UndergoingLaparoscopic Adjustable Gastric Banding. Obes Surg. 2007;17:920–5.
    1. Shahnazi M, Nikjoo R, Yavarikia P, Mohammad-Alizadeh-Charandabi S. Inhaled Lavender effect on anxiety and pain caused from intrauterine device insertion. J Caring Sci. 2012;1:255–61.
    1. Kiecolt-Glaser JK, Graham JE, Malarkey WB, Porter K, Lemeshow S, Glaser R. Olfactory influences on mood and autonomic, endocrine, and immune function. Psychoneuroendocrinology. 2008;33:328–39.
    1. Re L, Barocci S, Sonnino S, Mencarelli A, Vivani C, Paolucci G. Linalool modifies the nicotinic receptor- ion channel kinetics at the mouse neuromuscular junction. Pharmacol Res. 2000;42:177–82.

Source: PubMed

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