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Published on: February 2, 2017
EFFECT OF AROMATHERAPY AND MUSIC THERAPY ON PATIENTS ANXIETY, PAIN AND PHYSIOLOGIC PARAMETERS DURING EXTRACTION OF
Antonio Francisco Ferrández Martínez1, Ana Rocío García Carricondo1, Javier Trenchs Soto1
1Oral and Maxillofacial Surgery Clinical Management Unit at Torrecárdenas University Hospital, Almería, Spain.
Purpose:
This study evaluated the anxiolytic and analgesic effects of aromatherapy and music therapy in patients undergoing mandibular third molar extraction.
Basic Procedures:
A three-arm randomized clinical trial was conducted with 279 patients, divided into an aromatherapy group (93), a music therapy group (93), and a control group (93). Interventions took place during surgery. Anxiety was measured using the State-Trait Anxiety Inventory, and pain with a visual analog scale. Physiological parameters, including heart rate, oxygen saturation, and systolic/diastolic blood pressure (SBP and DBP), were recorded.
Main Findings:
The aromatherapy and music therapy groups demonstrated a significantly greater reduction in total, state, and trait anxiety compared to controls (reduction in total anxiety in the aromatherapy group: 3.11; 95% CI, 2.83-5.45; Rosenthal r, 0.28; P = .006; reduction in total anxiety in the music group: 6.01; 95% CI, 3.69-8.30; Rosenthal r, 0.52; P < .001; reduction in total anxiety in the control group: 1.47; 95% CI, 0.39-4.54; Rosenthal r, 0.21; P = .06). The intervention groups also showed reduced heart rate, SBP, and DBP (P < .05), and increased saturation (P < .05). Postoperative pain was significantly lower in these groups compared to controls (P < .05).
Principal Conclusions:
Aromatherapy and music therapy appear to be promising nonpharmacological strategies for reducing perioperative anxiety and pain during mandibular third molar extractions. Music therapy produced a greater reduction in anxiety levels, while aromatherapy showed a more pronounced effect on physiological parameters. Both interventions were associated with lower postoperative pain.
