Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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The Effect of Aroma Therapy on Lower Extremity Edema of Terminal Cancer Patients: A Controlled Trial

아로마 요법이 말기 암 환자의 하지부종에 미치는 영향 - 대조군 연구

  • Kim, Sung-Ah (The Institute of Herb & Aroma, Sahmyuk University) ;
  • Kim, Sung-Ju (Department of Hospice, St. Paul's Hospital) ;
  • Chung, Ju-Hye (Department of Family Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Soo-Young (The Institute of Herb & Aroma, Sahmyuk University) ;
  • Han, Myung-Suk (The Institute of Herb & Aroma, Sahmyuk University) ;
  • Oh, Seon-Hee (Department of Hospice, St. Paul's Hospital) ;
  • Kim, Se-Hong (Department of Family Medicine, The Catholic University of Korea College of Medicine)
  • 김성아 (삼육대학교 허브아로마 연구소) ;
  • 김성주 (가톨릭대학교 성바오로병원 완화의료과) ;
  • 정주혜 (가톨릭대학교 의과대학 가정의학교실) ;
  • 이수영 (삼육대학교 허브아로마 연구소) ;
  • 한명숙 (삼육대학교 허브아로마 연구소) ;
  • 오선희 (가톨릭대학교 성바오로병원 완화의료과) ;
  • 김세홍 (가톨릭대학교 의과대학 가정의학교실)
  • Published : 2009.09.01
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Abstract

This study was designed to examine the effect of aroma massage therapy on lower extremity edema of terminal cancer patients. Methods: A total of thirty-six terminal cancer patients with lower extremity edema were divided into two groups: the aroma massage group received massage with blending oil which was applied from toes to 10 cm above the knee of the subject for 15 to 20 minutes in each turn, while the control group received sham aroma massage (applied with carrier oil only). The circumferences of the fore-foot, ankle and calf were measured before massage and 30 minutes, 2 hours, and 12 hours after massage. The blood pressure, pulse and body temperature were also measured to find the change of subject's physiologic conditions. Results: There were no significant differences in blood pressure, heart rate, body temperature and lower extremity circumferences between two groups. However, edema at each site was slightly improved in the treatment group after the aroma massage therapy, compared to baseline data (P<0.05). In addition, the reduction of lower extremity circumference was maximal at 2 hours in foot, 30 min in right ankle and 12 hours in right calf after aroma massage therapy (P<0.05). Conclusion: Our results suggest that aroma massage therapy is not effective on the lower extremity edema of terminal cancer patients.

목적: 본 연구에서는 하지 부종이 있는 말기 암 환자에게 아로마 마사지 치료가 부종 정도 및 혈압, 맥박, 체온 등의 생체 징후 변화에 미치는 영향을 관찰함으로써 말기 암 환자의 삶의 질을 향상시킬 수 있는 대체의학적 치료법으로서의 근거를 마련하고자 한다. 방법: 총 36명의 환자(치료군 26명, 대조군 10명)의 환자를 대상으로 아로마 치료군에서는 블랜딩한 오일을 이용하여 대상자의 발가락부터 무릎 위 10 cm까지 경찰, 강찰, 진동기법을 이용하여 약 15${\sim}$20분간 마사지를 시행하였으며 대조군은 순수하게 마사지의 효과만을 알아보기 위해 캐리어 오일만을 이용한 마사지를 아로마 치료군과 동일한 시간과 방법으로 시행하였다. 마사지 시행 전, 마사지 시행 30분 후, 2시간 후, 12시간 후에 전족부(forefoot)와 발목관절의 가장 좁은 부위, 종아리의 가장 넓은 부위에서 둘레를 측정하였고 혈압, 맥박, 체온도 동시에 측정하였다. 결과: 발등(Rt.: P=0.771, Lt.: P=0.371), 발목(Rt.: P=0.580, Lt.: P=0.407), 종아리(Rt.: P=0.666, Lt.: P=0.158)의 둘레의 변화는 아로마 마사지 치료군과 대조군 사이에 통계적으로 유의한 차이를 보이지 않았다. 하지만, 아로마 치료군에서 좌측 발목과 좌측 종아리를 제외한 나머지 부위에서 치료 전과 비교하여 통계적으로 유의하게 부종이 감소하는 결과를 보였으며 발등은 2시간 후에, 우측 발목은 20분 후에, 우측 장딴지는 12시간 후에 가장 많이 감소되었다(P${\le}$0.05). 결론: 결론적으로 아로마 마사지 치료법이 단순 마사지 치료에 비해 하지 부종의 완화에 큰 영향을 주지 못하며 아로마 마사지 치료의 임상적 적용을 위해서는 향후 보다 많은 연구가 필요할 것으로 생각된다.

Keywords

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