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The Effects of Inhalation Aromatherapy on Postoperative Abdominal Pain: A Three-Arm Randomized Controlled Clinical Trial

Published:November 21, 2020DOI:https://doi.org/10.1016/j.jopan.2020.07.001

      Abstract

      Purpose

      This study compares the effects of inhalation aromatherapy using essential oils of sweet orange and damask rose on postoperative abdominal pain.

      Design

      A randomized three-arm controlled trial.

      Methods

      In this randomized double-blinded, and parallel-group controlled trial, a total of 120 patients who underwent open abdominal surgeries were enrolled using a sequential sampling method. Participants were then randomly assigned to three groups of sweet orange, damask rose, and placebo (distilled water) using the permuted block randomization. When the patients regained full consciousness, a clean gauze impregnated with four drops of either distilled water or essential oils of sweet orange or damask rose were attached to the collar of the patients, and they were asked to inhale the aroma through normal breathing for 30 minutes. Abdominal pain severity was recorded using the visual analog scale at four time points including before the intervention (baseline) and 4, 8, and 12 hours after the intervention.

      Findings

      Pain reduction after sweet orange inhalation was significantly greater than placebo (at 8 and 12 hours after the intervention) and damask rose (at 12 hours after the intervention). The differences in the mean score of pain severity between all before-and-after observations were statistically significant in the three groups, except in the placebo group between the baseline score of pain severity and the pain severity score at 4 hours after the intervention.

      Conclusions

      Inhalation aromatherapy using sweet orange seems to be more effective than the damask rose in reducing pain severity after open abdominal surgeries.

      Keywords

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      References

        • Agah M.
        • Dabbagh A.
        • Hashemi M.
        Evaluation of the effect of intravenous magnesium on acute postoperative pain in elective orthopedic surgeries of the lower limb.
        Pajoohande. 2006; 11: 149-152
        • Guimaraes-Pereira L.
        • Reis P.
        • Abelha F.
        • Azevedo L.F.
        • Castro-Lopes J.M.
        Persistent postoperative pain after cardiac surgery: A systematic review with meta-analysis regarding incidence and pain intensity.
        Pain. 2017; 158: 1869-1885
        • Singh P.K.
        • Saikia P.
        • Lahakar M.
        Prevalence of acute post-operative pain in patients in adult age-group undergoing inpatient abdominal surgery and correlation of intensity of pain and satisfaction with analgesic management: A cross-sectional single institute-based study.
        Indian J Anaesth. 2016; 60: 737-743
        • Burke S.
        • Shorten G.D.
        When pain after surgery doesn't go away.
        Biochem Soc Trans. 2009; 37: 318-322
        • Blichfeldt-Eckhardt M.R.
        • Jensen J.M.
        • Moller J.F.
        Treating post-operative pain.
        Ugeskr Laeger. 2017; 179: V02170090
        • McMahon S.B.
        • Koltzenburg M.
        • Tracey I.
        • Turk D.
        Wall & Melzack’s Textbook of Pain: Expert Consult-Online and Print.
        Elsevier Health Sciences, Philadelphia, PA2013
        • Hutchison R.W.
        Challenges in acute post-operative pain management.
        Am J Health Syst Pharm. 2007; 64: S2-S5
        • Momeni M.
        • Crucitti M.
        • De Kock M.
        Patient-controlled analgesia in the management of postoperative pain.
        Drugs. 2006; 66: 2321-2337
        • Bikmoradi A.
        • Harorani M.
        • Roshanaei G.
        • Moradkhani S.
        • Falahinia G.H.
        The effect of inhalation aromatherapy with damask rose (Rosa damascena) essence on the pain intensity after dressing in patients with burns: A clinical randomized trial.
        Iranian J Nurs Midwifery Res. 2016; 21: 247
        • Coutaux A.
        Non-pharmacological treatments for pain relief: TENS and acupuncture.
        Joint Bone Spine. 2017; 84: 657-661
        • Salvioli S.
        • Guidi M.
        • Marcotulli G.
        The effectiveness of conservative, non-pharmacological treatment, of plantar heel pain: A systematic review with meta-analysis.
        Foot (Edinb). 2017; 33: 57-67
        • Ching M.
        Contemporary therapy: Aromatherapy in the management of acute pain?.
        Contemp Nurse. 1999; 8: 146-151
        • Dimitriou V.
        • Mavridou P.
        • Manataki A.
        • Damigos D.
        The use of aromatherapy for postoperative pain management: A systematic review of randomized controlled trials.
        J Perianesth Nurs. 2017; 32: 530-541
        • Boskabady M.H.
        • Shafei M.N.
        • Saberi Z.
        • Amini S.
        Pharmacological effects of Rosa damascena.
        Iran J Basic Med Sci. 2011; 14: 295-307
        • Mohebitabar S.
        • Shirazi M.
        • Bioos S.
        • Rahimi R.
        • Malekshahi F.
        • Nejatbakhsh F.
        Therapeutic efficacy of rose oil: A comprehensive review of clinical evidence.
        Avicenna J Phytomed. 2017; 7: 206-213
        • Amini R.
        • Alizadeh F.
        Investigating musical effects and aromatherapy on anxiety and pain in patients undergoing surgery.
        Indian J Forensic Med Toxicol. 2018; 12: 170-176
        • Seyyed-Rasooli E.
        • Amiri M.-R.
        • Zamanzadeh V.
        • Peron K.
        • Aghakeshizadeh M.
        Effect of aromatherapy on anxiety and pain in patients undergoing cholecystectomy.
        Adv Herb Med. 2014; 1: 1-7
        • Marofi M.
        • Sirousfard M.
        • Moeini M.
        • Ghanadi A.
        Evaluation of the effect of aromatherapy with Rosa damascena Mill. on postoperative pain intensity in hospitalized children in selected hospitals affiliated to Isfahan University of Medical Sciences in 2013: A randomized clinical trial.
        Iran J Nurs Midwifery Res. 2015; 20: 247-254
        • Bastani F.
        • Samady Kia P.
        • Haghani H.
        The effect of inhalation aromatherapy with Damask Rose (Rosa damascena) on the pain of elderly after knee arthroplasty.
        J Client-Cent Nurs Care. 2017; 3: 153-160
        • Yip Y.B.
        • Tam A.C.
        An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-to-severe knee pain among the elderly in Hong Kong.
        Complement Ther Med. 2008; 16: 131-138
        • Hekmatpou D.
        • Pourandish Y.
        • Farahani P.V.
        • Parvizrad R.
        The effect of aromatherapy with the essential oil of orange on pain and vital signs of patients with fractured limbs admitted to the emergency ward: A randomized clinical trial.
        Indian J Palliat Care. 2017; 23: 431-436
        • Lehrner J.
        • Eckersberger C.
        • Walla P.
        • Potsch G.
        • Deecke L.
        Ambient odor of orange in a dental office reduces anxiety and improves mood in female patients.
        Physiol Behav. 2000; 71: 83-86
        • Malachowska B.
        • Fendler W.
        • Pomykala A.
        • Suwala S.
        • Mlynarski W.
        Essential oils reduce autonomous response to pain sensation during self-monitoring of blood glucose among children with diabetes.
        J Pediatr Endocrinol Metab. 2016; 29: 47-53
        • Kheirkhah M.
        • Vali Pour N.S.
        • Nisani L.
        • Haghani H.
        Comparing the effects of aromatherapy with rose oils and warm foot bath on anxiety in the first stage of labor in nulliparous women.
        Iran Red Crescent Med J. 2014; 16: e14455
        • Suriya M.
        • Zuriati S.
        The effect of rose aromatherapy on reducing the post-operative pain scale in Aisyiyah Padang Hospital, West Sumatera, Indonesia.
        Int J Adv Life Sci Res. 2019; 2: 11-15
        • Doty R.L.
        Olfactory dysfunction and its measurement in the clinic.
        World J Otorhinolaryngol Head Neck Surg. 2015; 1: 28-33
        • Ayan M.
        • Tas U.
        • Sogut E.
        • Suren M.
        • Gurbuzler L.
        • Koyuncu F.
        Investigating the effect of aromatherapy in patients with renal colic.
        J Altern Complement Med. 2013; 19: 329-333
        • Nasiri M.
        • Fayazi S.
        • Ghaderi M.
        • Naseri M.
        • Adarvishi S.
        The effect of reciting the word “allah” on pain severity after coronary artery bypass graft surgery: A randomized clinical trial study in Iran.
        Anesth Pain Med. 2014; 4: e23149
        • Mohammadi N.
        • Pooria A.
        • Yarahmadi S.
        • et al.
        Effects of cold application on chest tube removal pain in heart surgery patients.
        Tanaffos. 2018; 17: 29-36
        • Shang A.B.
        • Gan T.J.
        Optimising postoperative pain management in the ambulatory patient.
        Drugs. 2003; 63: 855-867
        • Rashidi Fakari F.
        • Tabatabaee Chehr M.
        • Rashidi Fakari F.
        • Mortazavi H.
        • Kamali H.
        • Tayebi V.
        Effects of aromatherapy on pain of labor in nulliparous women.
        J North Khorasan Univ Med Sci. 2013; 5: 359-362
        • Anbari S.
        • Estaji Z.
        • Rastaqhi S.
        Assessment effect of Rosa damascena juice aromatherapy on elderly chronic musculoskeletal pain in Sabzevar Retirement Clubs.
        Salmand: Iran J Ageing. 2018; 13: 250-261
        • Niazi M.
        • Hashempur M.H.
        • Taghizadeh M.
        • Heydari M.
        • Shariat A.
        Efficacy of topical Rose (Rosa damascena Mill.) oil for migraine headache: A randomized double-blinded placebo-controlled cross-over trial.
        Complement Ther Med. 2017; 34: 35-41
        • Arruda A.P.N.
        • Zhang Y.
        • Gomaa H.
        • et al.
        Herbal medications for anxiety, depression, pain, nausea and vomiting related to preoperative surgical patients: A systematic review and meta-analysis of randomised controlled trials.
        BMJ Open. 2019; 9: e023729