향기흡입법이 제왕절개술 산모의 주관적 수면의 질, 상태불안 및 우울에 미치는 효과

Effects of Aroma Inhalation Method on Subjective Quality of Sleep, State Anxiety, and Depression in Mothers Following Cesarean Section Delivery

  • Lee, Sun-Ok (Department of Nursing, Silla University) ;
  • Hwang, Jin-Hee (Department of Nursing, Gyoungnam Provincial Geochang College)
  • 투고 : 2010.09.01
  • 심사 : 2010.10.31
  • 발행 : 2011.02.28

초록

Purpose: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report. ${\chi}^2$-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. Results: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). Conclusion: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.

키워드

참고문헌

  1. Byun, S. H. (2002). Researches for the influence on ache and mental health of the cerebral apoplexy handicapped by aromatherapy. Unpublished doctoral dissertation, University of Burney, Chatsworth, California.
  2. Cho, Y. S. (1988). The effects of the husband's emotional support on the prevention of postpartum depression: using an experimental teaching intervention. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  3. Chung, J. J., & Hwang, J. I. (2004). A plan of health promotion of maternity: with Cesarean section delivery. Seoul: Korean Women's Development Institute.
  4. Cohen, J. (1988). Statistical power analysis for behavioral sciences. New York: Academic Press.
  5. Graham, P. H., Browne, L., Cox, H., & Graham, J. (2003). Inhalation aromatherapy during radiotherapy: results of a placebo-controlled double-blind randomized trial. Journal of Clinical Oncology, 21, 2372-2376. https://doi.org/10.1200/JCO.2003.10.126
  6. Hong, J. J. (1997). The effect of pain management method of post-operative pain, pain relived level and postpartum depression in Cesarean section. Korean Central Journal of Medicine, 62, 713-731.
  7. Hudson, R. (1996). The value of lavender for rest and activity in the elderly patient. Complementary Therapies in Medicine, 4, 52-57. https://doi.org/10.1016/S0965-2299(96)80057-4
  8. Hur, M. H., Oh, H. Y., & Park, Y. S. (2005). Effects of aromatherapy on labor pain and perception of childbirth experience. Korean Journal of Women Health Nursing, 11, 135-141.
  9. Hwang, J. H. (2006). The effects of the inhalation method using essential oils on blood pressure and stress responses of clients with essential hypertension. Journal of Korean Academy of Nursing, 36, 1123-1134.
  10. Kim, H. J. (2007). Postpartum depression of maternities with or without occupation. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI for Korea. New Medical Journal, 21(11), 69-75.
  12. Kim, O. J. (2007). The effect of aroma inhalation method on stress, anxiety and sleep pattern in patients undergoing hemodialysis. Unpublished master's thesis, Chung-Ang University, Seoul.
  13. Kim, S. H. (2004). The effects of hand massage on the anxiety, sleeping satisfaction and pain of hysterectomy patients. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Kim, S. Y. (2003). Effects of massage using foot reflexology to diuresis and duration of recovery room stay among Cesarean section delivery cases. Unpublished master's thesis, Chonbuk National University, Jeonju.
  15. Kim, Y. C. (2003). A study on the Cesarean section primiparous mothers' relationship among the discomfort, the self-confidence and satisfaction for the maternal role performance. Unpublished master's thesis, Hanyang University, Seoul.
  16. Kwon, M. J. (2006). The comparison of postpartum depression between vaginal delivery and Cesarean delivery in primiparas according to time flow. Chungnam Journal of Nursing Academy, 9(1), 1-13.
  17. Korean Nurses Association. (2002). Aromatherapist (a foundation course). Seoul: Korean Nurses Association.
  18. Korean Statistical Information Service. (2007). Decreasing rate of Cesarean section delivery, expecting change of birth culture. Retrieved March 20, 2010, from http://kosis.kr/wnsearch/totalSearch.jsp
  19. Lee, J. Y. (2006). Fatigue, parenting stress and sleep patterns of women according to period of postpartum. Unpublished master's thesis, Keimyung University, Daegu.
  20. Lee, K. H. (2000). The effect of inhalation method using lavender essential oil on sleep disturbance and depression in middle-aged women. Unpublished master's thesis, Keimyung University, Daegu.
  21. Lee, M. H. (2007). The effect of aroma therapy on the comfort, anxiety and sleep of heart stent spiled patients hospitalized in intensive care unit. Unpublished master's thesis, Dong-A University, Busan.
  22. Lee, S. H. (2000). Effects of postpartum massage program on stress response in the Cesarean section mothers. Journal of Korean Academy of Nursing, 30, 488-497.
  23. Lee, Y. J. (2003). The effects of lavender aromatherapy on sleep and depression of elderly. Unpublished doctoral dissertation, Chungnam National University, Daejeon.
  24. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation of Korea Sleep Scale A. Journal of Korean Academy of Nursing, 28, 563-572.
  25. Park, S. O. (2001). Reduction effect of aromatherapy on stress and insomnia. Unpublished master's thesis, Yeungnam University, Daegu.
  26. Selye, H. (1956). The stress of life (Rev. ed). New York: McGraw-Hill.
  27. Soung, H. S. (1982). Comparative study on state-anxiety response of gravida before and after Cesarean section and normal delivery. Unpublished master's thesis, Ewha Womans University, Seoul.
  28. Spielberger, C. D. (1975). Anxiety: state-trait process: stress and anxiety. New York: John Wiley & Sons.
  29. Worwood, V. A. (1991). The complete book of essential oils & aromatherapy. San Rafael CA: New World Library.
  30. Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008