Browse > Article
http://dx.doi.org/10.4069/kjwhn.2017.23.1.33

Effects of Aroma Inhalation Therapy on Stress, Anxiety, Depression, and the Autonomic Nervous System in High-risk Pregnant Women  

Go, Gee Youn (College of Nursing, Ewha Womans University)
Park, Hyojung (College of Nursing, Ewha Womans University)
Publication Information
Women's Health Nursing / v.23, no.1, 2017 , pp. 33-41 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effect of aroma inhalation therapy on stress, anxiety, depression, and an autonomic nervous system reaction in high-risk hospitalized pregnant women. Methods: A quasiexperimental study used a non-equivalent control group non-synchronized design. Fifty high-risk hospitalized pregnant women were selected as participants on delivery room and maternity ward at university hospital. Twenty-five were selected for the experimental group while 25 were assigned to a control group. Neroli essential oil was used for aroma therapy and was already identified as not being hazard to pregnant women. It provided emotional stability from previous study. The participants inhaled Neroli 2 minutes, 3 times (9 am to 10 am, 4 pm to 5 pm, just before sleep) a day. A total of 15 sessions were held from the day of the preliminary investigation. Pre and post written survey and measuring an autonomic nervous system reaction were collected from both groups. Results: The data were analyzed by $x^2$ test, t-test, and paired t-test. There was a statistically significant difference in stress (t=-3.98, p<.001) between the experimental group and the control group. Conclusion: These findings indicate that aroma inhalation therapy is effective as a nursing intervention for the stress relief of hospitalized high-risk pregnant women.
Keywords
Aroma inhalation; Stress; Autonomic nervous system; High-risk pregnant women;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Queenan JT, Spong CY, Lockwood CJ. Management of highrisk pregnancy: An evidence-based approach. 5th ed. New Jersey: Wiley-Blackwell; 2007. 488 p.
2 Maloni JA, Park S. Postpartum symptoms after antepartum bed rest. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2005;34(2):163-171.   DOI
3 Leichtentritt RD, Blumenthal N, Elyassi A, Rotmensch S. Highrisk pregnancy and hospitalization: The women's voices. Health & Social Work. 2005;30(1):39-47.   DOI
4 Biondo J, MacDonald AP Jr. Internal-external locus of control response to influence attempts. Journal of Personality. 1971;39 (3):407-419.   DOI
5 Namazi M, Amir Ali Akbari S, Mojab F, Talebi A, Alavi Majd H, Jannesari S. Aromatherapy with citrus aurantium oil and anxiety during the first stage of labor. Iranian Red Crescent Medical Journal. 2014;16(6):e18371.
6 Lee SO, Hwang JH. Effects of aroma inhalation method on subjective quality of sleep, state anxiety, and depression in mothers following cesarean section delivery. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(1):54-62.
7 Koh HJ. Review on the emotional effect of aromatherapy. Asian Journal of Beauty and Cosmetology. 2006;4(2):129-141.
8 Oh HG. The practice of aromatherapy. Anyang: Academya; 2010. 191 p.
9 Kim OJ, Kim KH, Park KS. The effect of aroma inhalation on stress, anxiety and sleep pattern in patients with hemodialysis. Clinical Nursing Research. 2007;13(2):99-111.
10 Cha HS, Kim MY, Moon DH. Effects of stress relief by aromatherapy among the nurses in operating theater. Journal of Korean Society of Cosmetology. 2012;18(3):623-631.
11 Lim EJ, Lee KY. Effects of aroma inhalation therapy on pain in patients following a tonsillectomy. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(1):63-70.
12 Choi EM, Lee KS. Effects of aroma inhalation on blood pressure, pulse rate, sleep, stress, and anxiety in patients with essential hypertension. Journal of Korean Biological Nursing Science. 2012;14(1):41-48.   DOI
13 Kim IH. The effects of essential oil inhalation on the blood pressure, salivary cortisol, perceived stress in prehypertensive and hypertensive subjects [dissertation]. Daejeon: Eulji University; 2012. 110 p.
14 Cha JH, Lee SH, Yoo YS. Effects of aromatherapy on changes in the autonomic nervous system, aortic pulse wave velocity and aortic augmentation index in patients with essential hypertension. Journal of Korean Academy of Nursing. 2010;40(5):705-713.   DOI
15 Yun SH, Cha JH, Yoo YS, Kim YI, Chung SM, Jeong HL. Effects of aromatherapy on depression, anxiety and autonomic nervous system in breast cancer patients undergoing adjuvant radiotherapy. Korean Journal of Hospice and Palliative Care. 2012;15(2):68-76.
16 Lee PH, Ru LJ, Han SH. The effect of aroma inhalation method on the preoperative anxiety & safety of ophthalmic surgical patients. The Chung-Ang Journal of Nursing. 2009;13(1):49-57.
17 Igarashi T. Physical and psychologic effects of aromatherapy inhalation on pregnant women: A randomized controlled trial. Journal of Alternative and Complementary Medicine. 2013;19 (10):805-810.   DOI
18 Lee MK, Hur MH. Effects of the spouse's aromatherapy massage on labor pain, anxiety and childbirth satisfaction for laboring women. Korean Journal of Women Health Nursing. 2011; 17(3):195-204.   DOI
19 Yang JI. The actuality of aromatherapy: Focusing on the use of pregnant women. Korean Society of Maternal and Child Health Conferences. 2003;4:57-64.
20 Jung YJ. Effects of aromatherapy on blood pressure, heart rate variability, and serum catecholamines in the pre-hypertension middle aged women [dissertation]. Seoul: The Catholic University of Korea; 2007. 29 p.
21 Ahn HL. An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. Journal of Korean Academy of Nursing. 1985; 15(1):5-16.
22 Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of General Psychiatry. 1961;4(6):561-571.   DOI
23 Spielberger CD. Anxiety as an emotional state. In: Spielberger CD, editor. Anxiety: Current trends in theory and research. New York: Academic Press; 1972. p. 24-54.
24 Hahn DW, Lee CH, Tak JK. Standardization of Spielberger state-trait anxiety inventory. Journal of Student Guidance. 1993;10(1):214-229.
25 Sung HM, Kim JB, Park YN, Bai DS, Lee SH, Ahn HN. A study on the reliability and the validity of Korean version of the Beck Depression Inventory-II(BDI -II). Journal of Korean Society of Biological Therapies in Psychiatry. 2008;14(2):201-212.
26 Suh SG. Relationship between hypertension and stress measured by heart rate variability in a rural area, Korea [dissertation]. Seoul: Hanyang University; 2007. 67 p.
27 Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010;16(2): 95-104.   DOI
28 Lim SK, Lee DH, Kwon YJ, Lee JC, Jung CJ, Kim YS, et al. Effects of fixed-intensity and varied-intensity electroacupuncture on heart rate variability in healthy people with stress task. Journal of Korean Acupuncture & Moxibustion Medicine Society. 2011;28(2):107-116.