吸入性芳香疗法对于围手术期患者焦虑情绪影响效果的Meta分析

吸入性芳香疗法对于围手术期患者焦虑情绪影响效果的Meta分析

汪袁云子刘小琴张志刚张彩云蒲小金寇彩艳李文娟雷艳萍杨丽萍田金徽

兰州大学第一医院普外二科（汪袁云子，蒲小金，李文娟，雷艳萍）；心内监护病房（刘小琴）；重症医学科（张志刚，杨丽萍）；护理部（张彩云）；特需外科（寇彩艳）；循证医学中心（田金徽）

出版日期:2016-12-25 发布日期:2016-12-25

The effect of inhaled aromatherapy for perioperative anxiety: a Meta analysis

Online:2016-12-25 Published:2016-12-25

摘要/Abstract

摘要： 目的：评价吸入性芳香疗法对于围手术期患者焦虑情绪的影响。方法：计算机检索PubMed、Web of Science、Cochrane Library、中国学术期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)和万方数据库，并辅助其他检索，全面收集吸入性芳香疗法对于围手术期患者焦虑情绪影响的相关研究。采用Cochrane 系统评价方法，对纳入研究进行质量评价和资料提取后，采用RevMan5.3 软件进行Meta 分析。结果：共纳入7 篇随机对照试验，450 例患者。状态- 特质焦虑量表（STAI）评分干预前后差值的Meta 分析结果显示WMD =-5.39，95%CI（-9.34 ～ -1.43），Z =2.67，P =0.008，合并效应有统计学意义；视觉模拟疼痛评分（VAS）干预前后差值Meta 分析结果显示WMD =-1.03，95%CI（-1.20 ～ -0.86），Z =11.86，P <0.001，合并效应有统计意义；收缩压、舒张压干预前后差值结果均小于0，心率、呼吸频率干预前后差值结果部分小于0。结论：吸入性芳香疗法能够缓解围手术期患者焦虑情绪和疼痛，能够降低血压或降低血压升高幅度，对心率和呼吸频率影响效果不明显。

Abstract: Objective: To evaluate the effects of inhaled aromatherapy on anxiety among perioperative patients.Methods: We searched the following databases such as PubMed, Web of Science, Cochrane Library, CNKI, CBM, and WanFang Data electronically. The retrieval time was up to April 15, 2016 and other sources as applying were also retrieved.According to the evaluation method of Cochrane system, the quality evaluation and data extraction were carried out, and the RevMan 5.3 software was used for Meta analysis. Results: A total of 7 randomized controlled trials (RCTs) with 450 patients were recruited. Meta analysis of the score difference of the State Trait Anxiety Inventory (STAI) before and after the intervention showed that WMD was -5.39 with 95% CI (-9.34, -1.43), Z=2.67, and P=0.008, and the combined effect was statistically significant. Meta analysis of the Visual Analog Score (VAS) difference before and after the intervention showed that WMD was -1.03 with 95% CI (-1.20, -0.86), Z=11.86, and P<0.001, and the combined effect was statistically significant.The diffidence of the systolic blood pressure and diastolic blood pressure before and after the intervention were less than 0,while the difference of heart rate and respiratory rate before and after the intervention were not all less than 0. Conclusion:Inhaled aromatherapy can relieve anxiety and pain among perioperative patients. It could lower blood pressure or blood pressure climbing extent, but the effect is not obvious for heart rate and respiratory rate.

汪袁云子刘小琴张志刚张彩云蒲小金寇彩艳李文娟雷艳萍杨丽萍田金徽. 吸入性芳香疗法对于围手术期患者焦虑情绪影响效果的Meta分析[J]. , 2016, 16(12): 1643-1648.