Koroner Kalp Hastalığına Sahip Bireylerde Kullanılan Lavanta İnhalasyonunun Uyku Kalitesi Üzerine Etkisi: Randomize Kontrollü Bir Çalışma
Abstract
Amaç: Uyku bozuklukları, koroner kalp hastalığı (KKH) olan bireylerde sıkça görülmektedir. Bu hastalarda uyku kalitesinin değerlendirilmesi, etkili sağlık müdahalelerinin geliştirilmesi açısından önemlidir. Bu çalışmanın amacı, KKH tanısı konmuş bireylerde uzun süreli *ev temelli* lavanta inhalasyonunun uyku kalitesi üzerindeki etkisini değerlendirmektir.
Materyal ve Metot: Bu çalışma 2023 yılında bir üniversite hastanesinin kardiyoloji kliniklerinde iki gruplu, randomize kontrollü olarak yürütülmüştür. Çalışmaya 64 hasta katılmıştır (32 deney grubu, 32 kontrol grubu). Veri toplama aracı olarak Kişisel Bilgi Formu ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılmıştır. Deney grubuna bir ay boyunca lavanta yağı inhalasyonu uygulanmıştır. PUKİ, her iki gruba da çalışmanın başlangıcında ve sonunda (sırasıyla ön test ve son test) uygulanmıştır.
Bulgular: Deney grubunda ön test ve son test PUKİ puanları arasında istatistiksel olarak anlamlı bir fark gözlenmiştir (p=0.000). Ayrıca, deney grubunun son test PUKİ ortalama puanları, kontrol grubu puanlarından anlamlı derecede düşük bulunmuştur (p=0.004).
Sonuç: Lavanta inhalasyonun, KKH olan bireylerde uyku kalitesinde iyileşme sağladığı tespit edilmiştir. Bildiğimiz kadarıyla bu çalışma, tamamen evde uygulanan bir aylık lavanta inhalasyon programı aracılığıyla KKH hastalarında uyku kalitesini değerlendiren ilk randomize kontrollü çalışmadır. Bu bulgular literatüre katkıda bulunmakta ve sağlık uygulamaları için önerilmektedir. Ancak, çalışmanın tek merkezli olması gibi sınırlılıklar göz önüne alındığında, bulguların daha geniş popülasyonlarda ve uzun süreli çalışmalarla desteklenmesi önemlidir.
References
- World Health Organization (WHO). Cardiovascular diseases. Published 2023. https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed June 13, 2023.
- Tenekeci EG, Kara B. The relationship between sleep quality and fatigue in patients with myocardial infarction. Gulhane Med J. 2017;58(1):366-372. doi:10.5455/gulhane.210780
- Huang T, Zeleznik OA, Poole EM, et al. Habitual sleep quality, plasma metabolites, and risk of coronary heart disease in post-menopausal women. Int J Epidemiol. 2019;48(4):1262-1274. doi:10.1093/ije/dyy234
- Gökçe S, Mert H. Examination of heart failure patient's sleep quality and related factors. J Educ Res Nurs. 2015;12(2):113-120. doi:10.5222/HEAD.2015.113
- Stussman BJ, Nahin RR, Barnes PM, Ward BW. U.S. physician recommendations to their patients about the use of complementary health approaches. J Altern Complement Med. 2020;26(1):25-33.
- Mendes FCO, Santos KVGD, Dantas JKDS, et al. Non-pharmacological strategies to reduce stress and anxiety in endovascular procedures: A scoping review. Nurs Open. 2024;11(3). doi:10.1002/nop2.2105
- Kavurmacı M, Sariaslan A, Yıldız İ. Determination the effects of lavender oil quality of sleep and fatigue of students. Perspect Psychiatr Care. 2022;58(3):1013-1020. doi:10.1111/ppc.12892
- Emami-Sigaroudi A, Salari A, Nourisaeed A, et al. Comparison between the effect of aromatherapy with lavender and damask rose on sleep quality in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. ARYA Atheroscler J. 2021;17(1):1-9. doi:10.22122/arya.v17i0.2064
- Dikmen AY, Gürkan A. The effect of lavender oil inhalation on pain, anxiety, and sleep quality after coronary artery bypass graft: A randomized controlled trial protocol. International Journal of Clinical Trials, 2022, 9.3. doi:10.18203/2349-3259.ijct20221871
- Koca R. Effects of Sleep Hygiene Education and Lavender Oil Inhalation on Sleep Quality, Fatigue, and Health-Related Quality of Life in Adults with an Ostomy. Marmara University (Turkiye) ProQuest Dissertations & Theses, 2024.
- McDonnell B, Newcomb P. Trial of essential oils to improve sleep for patients in cardiac rehabilitation. J Altern Complement Med. 2019;25(12):1193-1199. doi:10.1089/acm.2019.0222
- Buysse DJ, Reynolds CF, Monk TH. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213. doi:10.1016/0165-1781(89)90047-4
- Ağargün M, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh Sleep Quality Index. Turk J Psychiatry. 1996;7(1):107-115.
- Carrasco A, Martinez-Gutierrez R, Tomas V, Tudela J. Lavandula angustifolia and Lavandula latifolia essential oils from Spain: Aromatic profile and bioactivities. Planta Med. 2015;82(1-2):163-170. doi:10.1055/s-0035-1558095
- Davari H, Ebrahimian A, Rezayei S, Tourdeh M. Effect of Lavender Aromatherapy on Sleep Quality and Physiological Indicators in Patients after CABG Surgery: A Clinical Trial Study. Indian J Crit Care Med 2021;25(4):429-434. doi:10.5005/jp-journals-10071-23785
- Peng SM, Koo M, Yu ZR. Effects of music and essential oil inhalation on cardiac autonomic balance in healthy individuals. J Altern Complement Med. 2009;15(1):53-57. doi:10.1089/acm.2008.0243
- Polonini H, Mesquita D, Lanine J, et al. Intranasal use of lavender and fennel decreases salivary cortisol levels and improves quality of sleep: A double-blind randomized clinical trial. Eur J Integr Med. 2020;34:101015. doi:10.1016/j.eujim.2019.101015
- Her J, Cho MK. Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis. Complement Ther Med. 2021;60:102739. doi:10.1016/j.ctim.2021.102739
- Mahdavikian S, Rezaei M, Modarresi M, Khatony A. Comparing the effect of aromatherapy with peppermint and lavender on the sleep quality of cardiac patients: A randomized controlled trial. Sleep Sci Pract. 2020;4(1):10. doi:10.1186/s41606-020-00047-x
- Otaghi M, Qavam S, Norozi S, Borji M, Moradi M. Investigating the effect of lavender essential oil on sleep quality in patients candidates for angiography. Biomed Pharmacol J. 2017;10(1):473-478. doi:10.13005/bpj/1132
- Cheraghbeigi N, Modarresi M, Rezaei M, Khatony A. Comparing the effects of massage and aromatherapy massage with lavender oil on sleep quality of cardiac patients: A randomized controlled trial. Complement Ther Clin Pract. 2019;35:253-258. doi:10.1016/j.ctcp.2019.101019
- Luo J, Jiang W. A critical review on clinical evidence of the efficacy of lavender in sleep disorders. Phytother Res. 2022;36(6):2342-2351. doi:0.1002/ptr.7448
The Effect of Lavender Inhalation on Sleep Quality in Individuals with Coronary Heart Disease: A Randomized Controlled Study
Abstract
Objective: Sleep disorders frequently manifest in individuals with coronary heart disease (CHD). Evaluating sleep quality in these patients is crucial for devising effective healthcare interventions. This study aimed to assess the impact of long-term *home-based* lavender inhalation on sleep quality among individuals diagnosed with CHD.
Materials and Methods: A randomized controlled trial involving two groups was conducted in the cardiology clinics of a university hospital in 2023. Sixty-four patients (32 in the experimental group and 32 in the control group) were enrolled. Data collection utilized the Personal Information Form and the Pittsburgh Sleep Quality Index (PSQI). The experimental group received lavender oil inhalation for one month. The PSQI was administered to both groups at the study's commencement and conclusion (pre-test and post-test, respectively).
Results: A statistically significant difference was observed between the pretest and posttest PSQI scores in the experimental group (p=0.000). Furthermore, the posttest PSQI mean scores of the experimental group were found to be significantly lower than those of the control group (p=0.004).
Conclusions: Lavender inhalation demonstrated an enhancement in sleep quality among patients with CHD. To the best of our knowledge, this is the first randomized controlled study to evaluate sleep quality in CHD patients through a one-month lavender inhalation program conducted entirely at home. These findings contribute to the literature and are recommended for health practices. However, considering limitations such as its single-center design, it is important that the findings are supported by studies in broader populations and over longer durations.
References
- World Health Organization (WHO). Cardiovascular diseases. Published 2023. https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed June 13, 2023.
- Tenekeci EG, Kara B. The relationship between sleep quality and fatigue in patients with myocardial infarction. Gulhane Med J. 2017;58(1):366-372. doi:10.5455/gulhane.210780
- Huang T, Zeleznik OA, Poole EM, et al. Habitual sleep quality, plasma metabolites, and risk of coronary heart disease in post-menopausal women. Int J Epidemiol. 2019;48(4):1262-1274. doi:10.1093/ije/dyy234
- Gökçe S, Mert H. Examination of heart failure patient's sleep quality and related factors. J Educ Res Nurs. 2015;12(2):113-120. doi:10.5222/HEAD.2015.113
- Stussman BJ, Nahin RR, Barnes PM, Ward BW. U.S. physician recommendations to their patients about the use of complementary health approaches. J Altern Complement Med. 2020;26(1):25-33.
- Mendes FCO, Santos KVGD, Dantas JKDS, et al. Non-pharmacological strategies to reduce stress and anxiety in endovascular procedures: A scoping review. Nurs Open. 2024;11(3). doi:10.1002/nop2.2105
- Kavurmacı M, Sariaslan A, Yıldız İ. Determination the effects of lavender oil quality of sleep and fatigue of students. Perspect Psychiatr Care. 2022;58(3):1013-1020. doi:10.1111/ppc.12892
- Emami-Sigaroudi A, Salari A, Nourisaeed A, et al. Comparison between the effect of aromatherapy with lavender and damask rose on sleep quality in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. ARYA Atheroscler J. 2021;17(1):1-9. doi:10.22122/arya.v17i0.2064
- Dikmen AY, Gürkan A. The effect of lavender oil inhalation on pain, anxiety, and sleep quality after coronary artery bypass graft: A randomized controlled trial protocol. International Journal of Clinical Trials, 2022, 9.3. doi:10.18203/2349-3259.ijct20221871
- Koca R. Effects of Sleep Hygiene Education and Lavender Oil Inhalation on Sleep Quality, Fatigue, and Health-Related Quality of Life in Adults with an Ostomy. Marmara University (Turkiye) ProQuest Dissertations & Theses, 2024.
- McDonnell B, Newcomb P. Trial of essential oils to improve sleep for patients in cardiac rehabilitation. J Altern Complement Med. 2019;25(12):1193-1199. doi:10.1089/acm.2019.0222
- Buysse DJ, Reynolds CF, Monk TH. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213. doi:10.1016/0165-1781(89)90047-4
- Ağargün M, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh Sleep Quality Index. Turk J Psychiatry. 1996;7(1):107-115.
- Carrasco A, Martinez-Gutierrez R, Tomas V, Tudela J. Lavandula angustifolia and Lavandula latifolia essential oils from Spain: Aromatic profile and bioactivities. Planta Med. 2015;82(1-2):163-170. doi:10.1055/s-0035-1558095
- Davari H, Ebrahimian A, Rezayei S, Tourdeh M. Effect of Lavender Aromatherapy on Sleep Quality and Physiological Indicators in Patients after CABG Surgery: A Clinical Trial Study. Indian J Crit Care Med 2021;25(4):429-434. doi:10.5005/jp-journals-10071-23785
- Peng SM, Koo M, Yu ZR. Effects of music and essential oil inhalation on cardiac autonomic balance in healthy individuals. J Altern Complement Med. 2009;15(1):53-57. doi:10.1089/acm.2008.0243
- Polonini H, Mesquita D, Lanine J, et al. Intranasal use of lavender and fennel decreases salivary cortisol levels and improves quality of sleep: A double-blind randomized clinical trial. Eur J Integr Med. 2020;34:101015. doi:10.1016/j.eujim.2019.101015
- Her J, Cho MK. Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis. Complement Ther Med. 2021;60:102739. doi:10.1016/j.ctim.2021.102739
- Mahdavikian S, Rezaei M, Modarresi M, Khatony A. Comparing the effect of aromatherapy with peppermint and lavender on the sleep quality of cardiac patients: A randomized controlled trial. Sleep Sci Pract. 2020;4(1):10. doi:10.1186/s41606-020-00047-x
- Otaghi M, Qavam S, Norozi S, Borji M, Moradi M. Investigating the effect of lavender essential oil on sleep quality in patients candidates for angiography. Biomed Pharmacol J. 2017;10(1):473-478. doi:10.13005/bpj/1132
- Cheraghbeigi N, Modarresi M, Rezaei M, Khatony A. Comparing the effects of massage and aromatherapy massage with lavender oil on sleep quality of cardiac patients: A randomized controlled trial. Complement Ther Clin Pract. 2019;35:253-258. doi:10.1016/j.ctcp.2019.101019
- Luo J, Jiang W. A critical review on clinical evidence of the efficacy of lavender in sleep disorders. Phytother Res. 2022;36(6):2342-2351. doi:0.1002/ptr.7448
Details
| Primary Language | English |
|---|---|
| Subjects | Surgical Diseases Nursing |
| Journal Section | Research article |
| Authors | |
| Early Pub Date | June 24, 2025 |
| Publication Date | June 30, 2025 |
| Submission Date | March 28, 2025 |
| Acceptance Date | June 15, 2025 |
| Published in Issue | Year 2025 Volume: 10 Issue: 2 |
