Advertisement

Aromatherapy for Preoperative Anxiety: A Pilot Study

Published:September 08, 2018DOI:https://doi.org/10.1016/j.jopan.2018.05.007

      Purpose

      The aim of this study was to evaluate the use of a lavender aromatherapy skin patch on anxiety and vital sign variability during the preoperative period in female patients scheduled for breast surgery.

      Design

      This observational pilot study used a one-group, pretest and post-test design.

      Methods

      Participants received an aromatherapy patch in addition to standard preoperative care. Anxiety levels were assessed with a 10-cm visual analog scale at baseline and then every 15 minutes after patch placement. Vital sign measurements were recorded at the same interval.

      Findings

      There was a statistically significant decrease (P = .03) in the anxiety visual analog scale measurements from baseline to final scores.

      Conclusions

      Findings from this study suggest the use of aromatherapy is beneficial in reducing anxiety experienced by females undergoing breast surgery. Further research is needed to address the experience of preoperative anxiety, aromatherapy use, and the challenges of managing preoperative anxiety.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of PeriAnesthesia Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Acar H.V.
        • Cuvaş Ö.
        • Ceyhan A.
        • Dikmen B.
        Acupuncture on Yintang point decreases preoperative anxiety.
        J Altern Complement Med. 2013; 19: 420-424
        • Maranets I.
        • Kain Z.N.
        Preoperative anxiety and intraoperative anesthetic requirements.
        Anesth Analg. 1999; 89: 1346-1351
        • Waltz C.
        • Strickland O.
        • Lenz E.
        Measurement in Nursing and Health Research.
        4th ed. Springer Publishing Company, New York, NY2010
      1. Merriam-Webster.com.
        (Available at:) (Accessed March 15, 2018)
        • Caumo W.
        • Schmidt A.P.
        • Schneider C.N.
        • et al.
        Risk factors for postoperative anxiety in adults.
        Anaesthesia. 2001; 56: 720-728
        • Kil H.K.
        • Kim W.O.
        • Chung W.Y.
        • Kim G.H.
        • Seo H.
        • Hong J.Y.
        Preoperative anxiety and pain sensitivity are independent predictors of propofol and sevoflurane requirements in general anaesthesia.
        Br J Anaesth. 2012; 108: 119-125
        • Binns-Turner P.G.
        • Wilson L.L.
        • Pryor E.R.
        • Boyd G.L.
        • Prickett C.A.
        Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy.
        AANA J. 2011; 79: S21-S27
        • Yilmaz M.
        • Sezer H.
        • Gürler H.
        • Bekar M.
        Predictors of preoperative anxiety in surgical inpatients.
        J Clin Nurs. 2012; 21: 956-964
        • Institute of Medicine
        Health and Behavior: The interplay of biological, behavioral, and societal influences.
        National Academies Press (US), Washington, DC2001
        • Wagner D.
        • Byrne M.
        • Kolcaba K.
        Effects of comfort warming on preoperative patients.
        AORN J. 2006; 84: 427-448
        • Ni C.H.
        • Hou W.H.
        • Kao C.C.
        • et al.
        The anxiolytic effect of aromatherapy on patients awaiting ambulatory surgery: A randomized controlled trial.
        Evid Based Complement Alternat Med. 2013; 2013: 927419
        • Stea S.
        • Beraudi A.
        • De Pasquale D.
        Essential oils for complementary treatment of surgical patients: State of the art.
        Evid Based Complement Alternat Med. 2014; 2014: 726341
        • Perry R.
        • Terry R.
        • Watson L.K.
        • Ernst E.
        Is lavender an anxiolytic drug? A systematic review of randomised clinical trials.
        Phytomedicine. 2012; 19: 825-835
      2. Bioesse Technologies, Inc. Available at: https://www.bioessetech.com; 2013. Accessed March 14, 2016.

        • Braden R.
        • Reichow S.
        • Halm M.A.
        The use of the essential oil lavandin to reduce preoperative anxiety in surgical patients.
        J Perianesth Nurs. 2009; 24: 348-355
        • Fayazi S.
        • Babashahi M.
        • Rezaei M.
        The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period.
        Iran J Nurs Midwifery Res. 2011; 16: 278-283
        • Matthias A.T.
        • Samarasekera D.N.
        Preoperative anxiety in surgical patients—Experience of a single unit.
        Acta Anaesthesiol Taiwan. 2012; 50: 3-6
        • Mitchell M.
        Influence of gender and anaesthesia type on day surgery anxiety.
        J Adv Nurs. 2012; 68: 1014-1025
        • Sears S.R.
        • Bolton S.
        • Bell K.L.
        Evaluation of “Steps to Surgical Success” (STEPS): A holistic perioperative medicine program to manage pain and anxiety related to surgery.
        Holist Nurs Pract. 2013; 27: 349-357
      3. Anesthesiologists ASo. ASA Physical Status Classification System. Available at: http://www.asahq.org/quality-and-practice-management/standards-guidelines-and-related-resources/asa-physical-status-classification-system; 2015. Accessed March 21, 2016.

        • Abend R.
        • Dan O.
        • Maoz K.
        • Raz S.
        • Bar-Haim Y.
        Reliability, validity and sensitivity of a computerized visual analog scale measuring state anxiety.
        J Behav Ther Exp Psychiatry. 2014; 45: 447-453
        • Facco E.
        • Stellin E.
        • Bacci C.
        • et al.
        Validation of visual analogue scale for anxiety (VAS-A) in preanesthesia evaluation.
        Minerva Anestesiol. 2013; 79: 1389-1395
        • Harris P.A.
        • Taylor R.
        • Thielke R.
        • Payne J.
        • Gonzalez N.
        • Conde J.G.
        Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support.
        J Biomed Inform. 2009; 42: 377-381
      4. (Released)IBM SPSS Statistics for MAC, Version 22.0 [computer program]. IBM Corp., Armonk, NY2013
      5. Prevention CfDCa. Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion.
        (Available at:) (Accessed March 18, 2016)
        • Marseglia L.
        • Manti S.
        • D'Angelo G.
        • et al.
        Oxidative stress in obesity: A critical component in human diseases.
        Int J Mol Sci. 2015; 16: 378-400
        • Kasen S.
        • Cohen P.
        • Chen H.
        • Must A.
        Obesity and psychopathology in women: A three decade prospective study.
        Int J Obes (Lond). 2008; 32: 558-566
        • Luppino F.S.
        • de Wit L.M.
        • Bouvy P.F.
        • et al.
        Overweight, obesity, and depression: A systematic review and meta-analysis of longitudinal studies.
        Arch Gen Psychiatry. 2010; 67: 220-229

      Biography

      Candace B. Jaruzel, PhD, MSN, CRNA, Medical University of South Carolina, Charleston, SC

      Biography

      Mathew Gregoski, PhD, Campbell University, Buies Creek, NC

      Biography

      Martina Mueller, PhD, Medical University of South Carolina, Charleston, SC

      Biography

      Amanda Faircloth, PhD, DNAP, CRNA, VCU Health System, Richmond, VA

      Biography

      Teresa Kelechi, PhD, RN, FAAN, Medical University of South Carolina, Charleston, SC