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Effects of Aromatherapy on Sleep Quality: A Systematic Review and Meta-Analysis

아로마테라피가 수면에 미치는 효과: 체계적 문헌고찰 및 메타분석

  • Received : 2019.02.14
  • Accepted : 2019.08.09
  • Published : 2019.12.31

Abstract

Purpose: The purpose of this study was to investigate the effects of aromatherapy on sleep quality. Methods: This is a systematic review of randomized controlled trial studies (PROSPERO registration number CRD42017064519). In this study, the PICO were adults and the elderly, aromatherapy intervention, a comparative intervention with the control and placebo oil groups, and sleep. The selected articles were in English, Korean, and Chinese. Results: The results of the meta-analysis showed that the effect sizes of the experimental group were 1.03 (n=763, SMD=1.03, 95% CI 0.66 to 1.39) (Z=5.47, p<.001). In the aromatherapy intervention group, the effect size of sleep was statistically significant (QB=9.39, df=2, p=.009), with a difference of 0.77 for inhalation, 1.12 for oral intake and 2.05 for massage. A post-analysis showed that the effect of massage on sleep was significantly greater than the inhalation method. The regression coefficient of the intervention period, B=0.01 (Z=1.43, p=.154), also showed that the longer the intervention period, the larger the effect size; however, it was not statistically significant. Conclusion: A total of 23 literature analyses showed that aromatherapy is effective in improving quality of sleep, and the massage method is more effective in improving quality of sleep than the inhalation method. A meta-ANOVA showed that the aromatherapy intervention affected the high heterogeneity of the effect size. Thus, future research with stricter control in methods and experimental procedures is necessary.

Keywords

References

  1. Kreitzer MJ, Koithan M. Integrative Nursing. New York: Oxford University Press; 2014. p. 206-220.
  2. Luyster FS, Strollo PJ Jr, Zee PC, Walsh JK. Sleep: A health imperative. Sleep. 2012;35(6):727-734. https://doi.org/10.5665/sleep.1846
  3. O'Leary K, Small BJ, Panaite V, Bylsma LM, Rottenberg J. Sleep quality in healthy and mood-disordered persons predicts daily life emotional reactivity. Cognition and Emotion. 2017;31(3):435-443. https://doi.org/10.1080/02699931.2015.1126554
  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington D.C.: American Psychiatric Publishing; 2013. p. 361-422.
  5. Lim SW, Kim L. Insomnia in medical illnesses: The secondary insomnia. Sleep Medicine and Psychophysiology. 2005;12(1):11-16.
  6. Baek Y, Yoo J, Lee SW, Jin HJ. Domestic trends of research and patent for sleep disorder. The Journal of the Korea Contents Association. 2013;13(6):309-317. https://doi.org/10.5392/JKCA.2013.13.06.309
  7. Hong SB. Sleep disorders medicine. Journal of the Korean Medical Association. 2013;56(5):410-422. https://doi.org/10.5124/jkma.2013.56.5.410
  8. Bollu PC, Kaur H. Sleep medicine: Insomnia and sleep. Missouri Medicine. 2019;116(1):68-75.
  9. Nzwalo H, Ferreira L, Peralta R, Bentes C. Sleep-related eating disorder secondary to zolpidem. BMJ Case Reports. 2013;2013:bcr2012008003. https://doi.org/10.1136/bcr-2012-008003
  10. Riemann D, Perlis ML. The treatments of chronic insomnia: A review of benzodiazepine receptor agonists and psychological and behavioral therapies. Sleep Medicine Reviews. 2009;13(3):205-214. https://doi.org/10.1016/j.smrv.2008.06.001
  11. Lillehei AS, Halcón LL, Savik K, Reis R. Effect of inhaled lavender and sleep hygiene on self-reported sleep issues: A randomized controlled trial. The Journal of Alternative and Complementary Medicine. 2015;21(7):430-438. https://doi.org/10.1089/acm.2014.0327
  12. Keshavarz Afshar M, Behboodi Moghadam Z, Taghizadeh Z, Bekhradi R, Montazeri A, Mokhtari P. Lavender fragrance essential oil and the quality of sleep in postpartum women. Iranian Red Crescent Medical Journal. 2015;17(4):e25880. https://doi.org/10.5812/ircmj.17(4)2015.25880
  13. Li H, Lin L, Li Y, Xiong M, Tang P. [Efficacy of aromatherapy in improving elderly's sleep quality]. Journal of Chengdu Medical College. 2016;11(1):112-115. Chinese. https://doi.org/10.3969/j.issn.1674-2257.2016.01.027
  14. Joswiak D, Kinney ME, Johnson JR, Kolste AK, Griffin KH, Rivard RL, et al. Development of a health system-based nurse-delivered aromatherapy program. The Journal of Nursing Administration. 2016;46(4):221-225. https://doi.org/10.1097/NNA.0000000000000327
  15. Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, Anwar F. Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine. 2015;5(8):601-611. https://doi.org/10.1016/j.apjtb.2015.05.007
  16. Battaglia S. The complete guide to aromatherapy. 3rd ed. North Fitzroy: Black Pepper Creative; 2018. p. 57-156.
  17. Chae YR, Won SJ. An analysis of aromatherapy intervention studies in nursing. Journal of Korean Biological Nursing Science. 2013;15(2):54-64. https://doi.org/10.7586/jkbns.2013.15.2.54
  18. Fismer KL, Pilkington K. Lavender and sleep: A systematic review of the evidence. European Journal of Integrative Medicine. 2012;4(4):e436-e447. https://doi.org/10.1016/j.eujim.2012.08.001
  19. Lillehei AS, Halcon LL. A systematic review of the effect of inhaled essential oils on sleep. The Journal of Alternative and Complementary Medicine. 2014;20(6):441-451. https://doi.org/10.1089/acm.2013.0311
  20. Hwang E, Shin S. The effects of aromatherapy on sleep improvement: A systematic literature review and meta-analysis. The Journal of Alternative and Complementary Medicine. 2015;21(2):61-68. https://doi.org/10.1089/acm.2014.0113
  21. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011. p. 206-265.
  22. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. Chichester: Wiley-Blackwell; 2011. p. 321-374.
  23. Hwang S. Meta-analysis using R. Seoul: Hakjisa; 2016. p. 139-159.
  24. Won SJ, Chae YR. The effects of aromatherapy massage on pain, sleep, and stride length in the elderly with knee osteoarthritis. Journal of Korean Biological Nursing Science. 2011;13(2):142-148.
  25. Choi EM, Lee KS. Effects of aroma inhalation on blood pressure, pulse rate, sleep, stress, and anxiety in patients with essential hypertension. Journal of Korean Biological Nursing Science. 2012;14(1):41-48. https://doi.org/10.7586/jkbns.2012.14.1.41
  26. Taavoni S, Nazem ekbatani N, Haghani H. Valerian/lemon balm use for sleep disorders during menopause. Complementary Therapies in Clinical Practice. 2013;19(4):193-196. https://doi.org/10.1016/j.ctcp.2013.07.002
  27. Choi SY, Park K. Effect of inhalation of aromatherapy oil on patients with perennial allergic rhinitis: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine. 2016:7896081. https://doi.org/10.1155/2016/7896081
  28. Qi H, Yang J, Wang C, Liu S. [The influence of auricular acupressure combined with aromatherapy on quality of sleep of the patients with colorectal cancer during perioperative period]. Western Journal of Traditional Chinese Medicine. 2016;29(4):112-114.
  29. Bo D, Gao J, Zhang Q, Wu C, Yi X, Tang N, et al. [Application study on acupoint massage with compound essential oil to improve sleep quality of perimenopausal syndrome sufferers]. Chinese Journal of Convalescent Medicine. 2014;23(12):1061-1065. Chinese. https://doi.org/10.13517/j.cnki.ccm.2014.12.003
  30. Moeini M, Khadibi M, Bekhradi R, Mahmoudian SA, Nazari F. Effect of aromatherapy on the quality of sleep in ischemic heart disease patients hospitalized in intensive care units of heart hospitals of the Isfahan University of Medical Sciences. Iranian Journal of Nursing and Midwifery Research. 2010;15(4):234-239.
  31. Hajibagheri A, Babaii A, Adib-Hajbaghery M. Effect of Rosa damascene aromatherapy on sleep quality in cardiac patients: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2014;20(3):159-163. https://doi.org/10.1016/j.ctcp.2014.05.001
  32. Taibi DM, Bourguignon C, Taylor AG. A feasibility study of Valerian extract for sleep disturbance in person with arthritis. Biological Research for Nursing. 2009;10(4):409-417. https://doi.org/10.1177/1099800408324252
  33. Lytle J, Mwatha C, Davis KK. Effect of lavender aromatherapy on vital signs and perceived quality of sleep in the intermediate care unit: A pilot study. American Journal of Critical Care. 2014;23(1):24-29. https://doi.org/10.4037/ajcc2014958
  34. Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nursing in Critical Care. 2017;22(2):105-112. https://doi.org/10.1111/nicc.12198
  35. Mirghafourvand M, Charandabi SMA, Hakimi S, Khodaie L, Galeshi M. Effect of orange peel essential oil on postpartum sleep quality: A randomized controlled clinical trial. European Journal of Integrative Medicine. 2016;8(1):62-66. https://doi.org/10.1016/j.eujim.2015.07.044
  36. Marshall JE, Raynor MD, Nolte AGW. Myles' textbook for midwives. 3rd ed. Oxford: Elsevier; 2016. p. 651-727.
  37. Hirokawa K, Nishimoto T, Taniguchi T. Effects of lavender aroma on sleep quality in healthy Japanese students. Perceptual and Motor Skills. 2012;114(1):111-122. https://doi.org/10.2466/13.15.PMS.114.1.111-122
  38. Kim WJ, Hur MH. Inhalation effects of aroma essential oil on quality of sleep for shift nurses after night work. Journal of Korean Academy of Nursing. 2016;46(6):769-779. https://doi.org/10.4040/jkan.2016.46.6.769
  39. Kim L. Recent changes in the concept of treatment of insomnia. Journal of the Korean Medical Association. 2015;58(4):321-329. https://doi.org/10.5124/jkma.2015.58.4.321
  40. Lee JS, Jeong DU. Sleep and pain. Sleep Medicine and Psychophysiology. 2012;19(2):63-67. https://doi.org/10.14401/KASMED.2012.19.2.063
  41. Stromkins J. The autonomic nervous system and aromatherapy: A therapist's guide to working with the two systems. New Westminster (BC): International Essential Oil Corp.; 1998. p. 15-62.

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