The Effects of Aroma Hand Massage on Sleep and Depression in Hospitalized Elderly Patients

아로마테라피 손 마사지가 입원 노인의 수면 및 우울에 미치는 효과

  • Kim, Yang-Hee (Department of Health Edu Care, Taegu Science College) ;
  • Kim, Youn-Chul (Department of Public Health, Keimyung University) ;
  • SaKong, Jeong-Kyu (Department of Psychiatry College of Medicine, Dongguk University)
  • Received : 2009.05.04
  • Accepted : 2009.12.10
  • Published : 2009.12.31

Abstract

Objectives : To evaluate the effects of aroma hand massage on sleep disturbance and depression in hospitalized elderly patients. Methods : The data was collected using questionnaires from the subjects who were admitted to the G Medical Hospital in Daegu from 7 July to 12 July, 2008. A total of 23 subjects were selected. The subjects were applied with the aroma hand massage to both hands using a solution diluting four drops of lavender oil in jojoba oil 10cc. Aroma hand massage was given for 10 minutes, one time a day, during 5 days. Results : There was statistically significant improvement on the Korean sleep scale(t=-7.614, p=0.000) and on the Geriatric Depression Scale Short Korea Version(GDSSF-K)(t=3.444, p=0.002). Conclusions : aroma hand massage is an effective therapeutic intervention for decreased sleep disturbance and depression. Therefore, aroma therapy and hand massage by therapeutic intervention is recommended for improving psychological and physiological functions in hospitalized elderly patients.

Keywords

References

  1. 통계청. http://www.nso.go.kr, 2006.
  2. 최영희. 노인과 건강, 서울, 현문사, 2000.
  3. 박현숙. 집단인지 간호요법이 노인의 우울, 자아존중감, 고독감에 미치는 효과, 경북대학교 대학원, 1993.
  4. Morin CM, Blais FC and Mimeault V. Sleep disturbances in late life. In M. Hersen V.B. Van Hasselt(Eds.), Handbook of clinical Geropsychology, New York, Plenum Press 1998 ; 273-299.
  5. Hayter J. Sleep Behaviors of older persons. Nursing Research 1983 ; 32(4) : 242-246.
  6. Johnson J, Waldo M, Johnson RG. Stress and perceived healthstatus in the rural elderly. J of Gerontological Nurs 1993 ; 19(9) : 24-29.
  7. Pacini CM, Fitzpatrick JJ. Sleep patterns of hospitallized and nonhospitallized, aged individual. Journal of Gerontological Nursing 1982 ; 8(6) : 327-332.
  8. Southwell MT, Wistow G. Sleep in hospitals at night, are patients' needs being met. Journal of Advanced Nursing 1995 ; 21 : 1101-1109. https://doi.org/10.1046/j.1365-2648.1995.21061101.x
  9. 김신미. 고광도 빛이 요양시설 내 여성 치매 노인의 수면에 미치는 효과. 가톨릭학교 대학원, 1999.
  10. 백윤아. 입원노인환자의 수면장애요인들과 그 상대적 중요도에 관한 연구, 서울대학교 대학원, 2000.
  11. Colling J. Sleep disturbance in aging : A theoretic and empiric analysis. Advances in Handbook of the biology of aging. New york. Van Nostrand Reinhold. 1983 ; 692-717.
  12. Closs SJ. Assessment of sleep in hospital patients : A review of methods. Journal of Advanced Nursing 1988 ; 13 : 501-510. https://doi.org/10.1111/j.1365-2648.1988.tb02857.x
  13. Livingston G, Bilzard B, Mann A. Does sleep disturbance predict depression in elderly people. A study in inner London (See comment), British J, of DE, Kamerow DB : Epidemiologic study of sleep disturbance and psychiatric disorders. JAMA 1993 ; 262 : 1479-1484. https://doi.org/10.1001/jama.262.11.1479
  14. Ford DE, and Kamerow DB. Epidemiologic study of sleep disturbance and psychiatric disorders. Journal of American Medical Association 1989 ; 262 : 1479-1484. https://doi.org/10.1001/jama.262.11.1479
  15. Ancoli-Israel S, Kripke DF, Mason Wand Kaplan OJ. Sleep Apnea and periodic Movement in an Aging Sample. Journal of Gerontology 1985 ; 40(4) : 419-425. https://doi.org/10.1093/geronj/40.4.419
  16. Roerig JL. Awakenings in the management of sleep disorders. Drug Topics 2001 ; 65-74.
  17. Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE and Hardy M. Sweet scented dreams. IJA 1991 ; 3 : 12-13.
  18. 최지호. 노인의 불면증, 노인병, 1999 ; 3(2) : 7-18.
  19. Starbuck J. Sweet dreams. Better Nutrition 2000 ; 10 : 61-66.
  20. Hardy M, Kirk-Smith MD and Stretch D. Replacement of chronic drug treatment for insomnia in psychogeriatric patients by ambient odour. Lancet 1995 : 346 : 701-712.
  21. Kupfer DJ and Reynolds III. Management of insomnia. N Engl J Med. 1997 ; 336(5) : 341-346. https://doi.org/10.1056/NEJM199701303360506
  22. Kryger MH, Roth T and Dement WC. Principles and practice of sleep medicine (2nd ed). Philadelphia, Saunders Co 1994.
  23. Chase JE and Gidal B. Melatonin : therapeutic use in sleep disorders. Ann Pharmacother 1997 ; 31(10) : 1218-1226.
  24. Buckle J. Clinical aromatherapy and touch: complementary therapies for nursing practice. Critical Care Nurse 1998 ; 18(5) : 54-61.
  25. 사공정규, 김양희. 교과서 아로마테라피, 제1판, 서울, 현문출판사, 2006.
  26. 사공정규, 김양희. 정신과 영역에서의 아로마테라피 활용, 한국 허브, 아로마테라피학회지, 2005 ; 1(1) : 14-23.
  27. 이윤정. 라벤더 향요법이 노인의 수면 및 우울에 미치는 효과, 충남대학교 대학원, 2003.
  28. 이인숙, 이경주. 라벤더 향요법이 여대생의 불면증과 우울에 미치는 영향, 대한간호학회지, 2006 ; 36(1) : 136-143.
  29. 김경숙. 향기흡입이 중년기 여성의 심리와 생리 반응에 미치는 효과, 연세대학교 대학원, 2003.
  30. Sanderson H, Ruddle J. Aromatherapy and occupational therapy. British Journal of Occupational Therap 1992 ; 55(8) : 210-314.
  31. 대한간호협회. 아로마요법사 과정, 서울, 대한간호협회, 2001.
  32. 하혜정, 김희숙, 강선희 옮김, Jane Buckle 저. 임상 아로마테라피, 서울, 현문사, 2003.
  33. Buckle J. The smell of relief. Psychology today 2000 ; 33(1) : 24.
  34. Harding J. Secrets of aromatherapy. London, Dorling Kindersley Limited. 2001.
  35. Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing and health 1987 ; 10 : 155-163. https://doi.org/10.1002/nur.4770100307
  36. Worwood VA. The complete book of essential oil and aromatherapy, San Rafael, New World Libar 1991.
  37. Dunn C, sleep J and collett D. Sensing an improvement : an experimental study to evaluate the use of aromatherapy, massage and periods of rest in an intensive care unit. J Adv Nurs 1995 ; 21(1) : 34-40. https://doi.org/10.1046/j.1365-2648.1995.21010034.x
  38. Brett. Aromatherapy in the care of older people. Nursing Times 1999 ; 95(33) : 56-57.
  39. Bedard M. The aroma of lavender : any therapeutic value. Alternative Medicine. 2002 ; 22-23.
  40. Diego Ma, Jones NA, Field T, Hernandez-Rief M, Schanberg S, Kuhn C, Mcadam V, Galamaga R and Galamaga M. Aromatherapy positively affects mood, EEG patterns of alertness and math computations. Int J Neurosci 1998 ; 96(3-4) : 217-224. https://doi.org/10.3109/00207459808986469
  41. 한선희, 허명행, 강지연. 아로마테라피가 생리통이 있는 여대생의 월경 중 스트레스 반응에 미치는 효과, 대한간호학회지, 2002 ; 32(3) : 317-326.
  42. 한국아로마테라피전문가협회. 아로마테라피의 이론과 실제, 서울, 한국아로마테라피협회, 2003.
  43. McCloskey JC, Bulechek GM. Nursing interventions Classification(NIC)(2nd ed), Mosby-Years Book, Inc, Prevalence and correlate. Archives of General Psychiatry 1996 ; 42 : 225-232.
  44. 오진주, 송미순, 김신미. 수면측정도구의 개발을 위한 연구, 대한간호학회지, 1998 ; 8(3) : 563-572.
  45. Battle T. Relationship between self-esteem and depression. Psychological Repot 1978 ; 42 : 745-746. https://doi.org/10.2466/pr0.1978.42.3.745
  46. 기백석. 한국판 노인 우울 척도 단축형의 표준화 예비연구, 신경정신의학, 1996 ; 35(2) : 298-307.
  47. Buckle J. Massage and aromatherapy massage ; Nursing art and science. International Journal of Palliative Nursing 2003 ; 8(6) : 276-280.
  48. 최인령. 향요법 마사지가 골관절염 여성노인의 통증, 신체기능, 수면장애 및 우울에 미치는 효과, 전남대학교 대학원, 2004.
  49. 이정란. 향요법 발반사마사지가 시설노인의 스트레스, 우울 및 수면에 미치는 효과, 경북대학교 대학원, 2005.
  50. Hudson R. The value of lavender for rest and activity in the elderly patients. Complementary Therapies in Medicine 1996 ; 4(1) : 52-57. https://doi.org/10.1016/S0965-2299(96)80057-4
  51. 이경희. 라벤더 향유를 이용한 향기흡입법이 중년기 여성의 수면장애와 우울에 미치는 영향, 계명대학교 대학원, 2000.
  52. Hardbattle L. The use of aromatherapy in recovery from substance abuse. 2001.
  53. Borromeo AR. The effects of aromatherapy on the patient of anxiety and sleep quality in coronary care unit patients, Dissertation Abstract International, Section B. The Science Engineering 1999 ; 59(7-B) : 33-43.
  54. 이명화, 고광욱, 송명숙, 우경미, 조선화. 아로마요법이 혈액투석환자의 불안과 우울에 미치는 효과, 기초자연과학회, 2004 ; 6(1) : 53-64.
  55. Combest WL. Alternative therapies : lavender. US Pharmacist 1999 ; 24(8) : 24-33.
  56. Teuscher E, Melzig M, Villmann E and Moritz KU. Untersuchungen zum Wirkungsmechanismus atherischer Ole. Zeitschrift fur Phytotherapie 1990 ; 11 : 87-92.
  57. Buchbauer G, Jirovetz L, Jager W, Dirtrich H and Plank C. Aromatherapy : evidence for sedative effects of the essential oil of lavender after inhalation. Z Natutforsch (C) 199 ; 46 : 1067-1072.