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Abdominal Surgical Patients Randomized to Aromatherapy for Pain Management
Lois M Stallings Welden1, Pam Leatherland2, Mary B Schitter2
1Deaconess Health System, Interprofessional Development and Nursing Quality, Evansville, IN.
Aromatherapy showed no significant benefit for postoperative abdominal pain relief overall. However, it significantly improved pain scores in patients who received a regional nerve block.
Area of Science:
- Pain Management
- Complementary Medicine
- Surgical Care
Background:
- Postoperative pain is a common complication following abdominal surgery.
- Effective pain management is crucial for patient recovery and satisfaction.
- Non-pharmacological interventions are increasingly explored to complement standard care.
Purpose of the Study:
- To evaluate the efficacy of aromatherapy as an adjunct therapy for managing postoperative abdominal pain.
- To assess the impact of aromatherapy on pain intensity and analgesic medication use.
- To investigate potential benefits in specific patient subgroups.
Main Methods:
- A randomized controlled trial involving 172 hospitalized patients undergoing abdominal surgery.
- Participants received either standard care or standard care plus aromatherapy (lavender essential oil).
- Pain scores and medication usage were recorded up to 24 hours post-admission.
Main Results:
- Aromatherapy did not demonstrate a significant overall improvement in pain scores or reduction in medication use.
- A subgroup analysis revealed a significant, more than fivefold improvement in pain scores for patients who received a regional nerve block.
- The aromatherapy group used 70% fewer medications by 24 hours, despite higher baseline use.
Conclusions:
- Aromatherapy may aid in controlling pain intensity for abdominal surgical patients, particularly when combined with regional nerve blocks.
- The benefits of aromatherapy appear more pronounced in patients experiencing diminished effects from nerve blocks.
- Further research into targeted aromatherapy application in specific surgical populations is warranted.
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