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Use of Aromatherapy for Pediatric Surgical Patients

Published:September 18, 2022DOI:https://doi.org/10.1016/j.pmn.2022.08.003

      Abstract

      Background

      Children having surgery experience distress from a myriad of sources. Aromatherapy may present an opportunity to promote a healing environment and decrease distress for children following surgery.

      Aim

      Evidence regarding the use of aromatherapy with children is growing. The purpose of this project was to describe our implementation process, subsequent use of and response to aromatherapy for children undergoing surgery.

      Methods

      This quality improvement project and subsequent retrospective chart review included all patients with documentation of aromatherapy use over an 8-month period. Data collection included demographic data, patient diagnosis, location, information about which oils were used, for which indications, and any outcome the nurse was able to observe (e.g., improved, no change, worsening of symptoms). A nurse-led workgroup developed and implemented a process for aromatherapy in a limited scope when discomfort, nausea/vomiting, nervousness, and sleep disturbances were reported . Charts of all patients with documented aromatherapy use were reviewed for indication/reason for use, oil, and patient response.

      Results

      Results suggest a successful implementation process. Aromatherapy was used by 191 patients (aged 3-22 years). Upset stomach, discomfort, and nervousness were most frequently reported as leading to aromatherapy use. Lavender and peppermint were the most frequently used oils. Of those patients with documented responses, the majority reported improvement.

      Conclusions

      We were able to successfully implement a new aromatherapy program as an adjunct to care in children undergoing surgery. No adverse events were reported. Documentation is crucial to evaluating any new service.
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      References

        • Arslan I.
        • Aydinoglu S.
        • Karan N.B.
        Can lavender oil inhalation help to overcome dental anxiety and pain in children? A randomized clinical trial.
        European Journal of Pediatrics. 2020; 179: 985-992
        • Bikmoradi A.
        • Khaleghverdi M.
        • Seddighi I.
        • Moradkhani S.
        • Soltanian A.
        • Cheraghi F.
        Effect of inhalation aromatherapy with lavender essence on pain associated with intravenous catheter insertion in preschool children: A quasi-experimental study.
        Complementary Therapies in Clinical Practice. 2017; 28: 85-91
        • Black L.I.
        • Clarke T.C.
        • Barnes P.M.
        • Stussman B.J.
        • Nahin R.L.
        Use of complementary health approaches among children aged 4-17 years in the United States: National Health Interview Survey, 2007-2012.
        National Health Statistics Reports. 2015; : 1-19
        • Buckle J.
        Clinical aromatherapy: Essential oils in healthcare.
        3rd ed. Churchill Livingstone, London2015
        • Conlon P.M.
        • Haack K.M.
        • Rodgers N.J.
        • Dion L.J.
        • Cambern K.L.
        • Rohlik G.M.
        • Nelson D.E.
        • Barry T.A.
        • Ayres S.J.
        • Cutshall S.M.
        Introducing essential oils into pediatric and other practices at an academic medical center.
        Journal of Holistic Nursing. 2017; 35: 389-396
        • Dyer J.
        • Cleary L.
        • McNeill S.
        • Ragsdale-Lowe M.
        • Osland C.
        The use of aromasticks to help with sleep problems: A patient experience survey.
        Complementary Therapies in Clinical Practice. 2016; 22: 51-58
        • Esparham A.
        • Herbert A.
        • Pierzchalski E.
        • Tran C.
        • Dilts J.
        • Boorigie M.
        • Wingert T.
        • Connelly M.
        • Bickel J.
        Pediatric headache clinic model: Implementation of integrative therapies in practice.
        Children (Basel). 2018; 5: 74
        • France K.G.
        • McLay L.K.
        • Hunter J.E.
        • France M.L.S.
        Empirical research evaluating the effects of non-traditional approaches to enhancing sleep in typical and clinical children and young people.
        Sleep Medicine Reviews. 2018; 39: 69-81
        • Fryatt J.
        The effects of peppermint oil on patients with postoperative urinary retention [Poster presentation].
        in: Society of Pediatric Nursing Annual Conference 2019, Washington, D.C2019
        • Ghaderi F.
        • Solhjou N.
        The effects of lavender aromatherapy on stress and pain perception in children during dental treatment: A randomized clinical trial.
        Complementary Therapies in Clinical Practice. 2020; 40101182
        • Goodier M.C.
        • Zhang A.J.
        • Nikle A.B.
        • Hylwa S.A.
        • Goldfarb N.I.
        • Warshaw E.M.
        Use of essential oils: A general population survey.
        Contact Dermatitis. 2019; 80: 391-393
        • Hayward E.N.
        • Watling C.Z.
        • Balneaves L.G.
        A pre-post evaluation of oncology healthcare providers' knowledge, attitudes, and practices following the implementation of a complementary medicine practice guideline.
        Supportive Care in Cancer. 2021; 29: 7487-7495
        • Jafarzadeh M.
        • Arman S.
        • Pour F.F.
        Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: A randomized controlled clinical trial.
        Advanced Biomedical Research. 2013; 2: 10
        • Kiberd M.B.
        • Clarke S.K.
        • Chorney J.
        • d'Eon B.
        • Wright S.
        Aromatherapy for the treatment of PONV in children: A pilot RCT.
        BMC Complementary and Alternative Medicine. 2016; 16: 450
        • Küçük Alemdar D.
        • Yaman Aktaş Y.
        The use of the buzzy, jet lidokaine, bubble-blowing and aromatherapy for reducing pediatric pain, stress and fear associated with phlebotomy.
        Journal of Pediatric Nursing. 2019; 45: e64-e72
        • Lillehei A.S.
        • Halcón L.L.
        • Savik K.
        • Reis R.
        Effect of inhaled lavender and sleep hygiene on self-reported sleep issues: A randomized controlled trial.
        Journal of Alternative and Complementary Medicine. 2015; 21: 430-438
        • Małachowska B.
        • Fendler W.
        • Pomykała A.
        • Suwała S.
        • Młynarski W.
        Essential oils reduce autonomous response to pain sensation during self-monitoring of blood glucose among children with diabetes.
        Journal of Pediatric Endocrinology and Metabolism. 2016; 29: 47-53
        • Marofi M.
        • Sirousfard M.
        • Moeini M.
        • Ghanadi A.
        Evaluation of the effect of aromatherapy with Rosa damascena Mill. on postoperative pain intensity in hospitalized children in selected hospitals affiliated to Isfahan University of Medical Sciences in 2013: A randomized clinical trial.
        Iranian Journal of Nursing and Midwifery Research. 2015; 20: 247-254
        • Michlig J.R.
        • Stelter A.J.
        • Czarnecki M.L.
        • Norton A.
        • Korom N.
        • Hainsworth K.
        Pediatric healthcare professionals' perceptions, knowledge, and use of essential oils.
        Complementary Therapies in Clinical Practice. 2021; 45101474
        • Nirmala K.
        • Kamatham R.
        Effect of aromatherapy on dental anxiety and pain in children undergoing local anesthetic administrations: A randomized clinical trial.
        Journal of Caring Sciences. 2021; 10: 111-120
        • Nord D.
        • Belew J.
        Effectiveness of the essential oils lavender and ginger in promoting children's comfort in a perianesthesia setting.
        Journal of Perianesthesia Nursing. 2009; 24: 307-312
        • Norton A.
        • Gustafson D.
        Aromatherapy to enhance pediatric post operative comfort [Virtual poster presentation].
        in: Wisconsin Society of Perianesthesia Nurses Spring Potpourri Conference, Milwaukee, Wisconsin2021
        • Posadzki P.
        • Pieper D.
        • Bajpai R.
        • Makaruk H.
        • Könsgen N.
        • Neuhaus A.L.
        • Semwal M.
        Exercise/physical activity and health outcomes: An overview of Cochrane systematic reviews.
        BMC Public Health. 2020; 20: 1724
        • Seyyed-Rasooli A.
        • Salehi F.
        • Mohammadpoorasl A.
        • Goljaryan S.
        • Seyyedi Z.
        • Thomson B.
        Comparing the effects of aromatherapy massage and inhalation aromatherapy on anxiety and pain in burn patients: A single-blind randomized clinical trial.
        Burns. 2016; 42: 1774-1780
        • Soltani R.
        • Soheilipour S.
        • Hajhashemi V.
        • Asghari G.
        • Bagheri M.
        • Molavi M.
        Evaluation of the effect of aromatherapy with lavender essential oil on post-tonsillectomy pain in pediatric patients: A randomized controlled trial.
        International Journal of Pediatric Otorhinolaryngology. 2013; 77: 1579-1581
        • Tianlong D.
        • Sim Y.J.
        Effects of different recovery methods on postboxing sparring fatigue substances and stress hormones.
        Journal of Exercise Rehabilitation. 2019; 15: 258-263
        • Usta C.
        • Tanyeri-Bayraktar B.
        • Bayraktar S.
        Pain control with lavender oil in premature infants: A double-blind randomized controlled study.
        Journal of Alternative and Complementary Medicine. 2021; 27: 136-141
        • Vaziri F.
        • Khosropoor M.
        • Hidari M.
        • Pourahmad S.
        • Morshed Behbahani B.
        • Saki F.
        The effect of aromatherapy by lavender oil on infant vaccination pain: A double blind randomized controlled trial.
        Journal of Caring Sciences. 2019; 8: 17-21