대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

아로마테라피가 산모의 회음부 치유에 미치는 효과

Clinical trial of Aromatherapy on Postpartum Mother′s Perineal Healing

  • 허명행 (을지의과대학교 간호대학) ;
  • 한선희 (원광보건대학 간호과)
  • 발행 : 2004.02.01
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초록

Purpose This study was designed to verify the effect of aromatherapy on a postpartum mother's perineal healing. Method The research design was a clinical trial. The methods of aromatherapy were applied sitz bath or soap application using essential oils with Lavender, Myrrh, Neroli, Rose, Grapefruit, Mandarin, Orange, and Roman Chamomile. The subjects of this experiment were postpartum mothers who delivered vaginally with an episiotomy. They were allocated to one of three groups; the aroma-sitz bath group, aroma-soap application group or control group. To evaluate the effect of aromatherapy, the perineal healing status was measured using the REEDA scale and smears of episiotomy wound were obtained. The data were analyzed by repeated measures of ANOVA, ANCOV A, x$^2$- test, and multiple response analysis via SPSS program. Results The REEDA scale was significantly low in the experimental group at postpartum 5th and 7th days (P=.009, P=.003), respectively. Most were observed ‘few’(5-10 bacteria per field) bacteria in the smears of episiotomy wound. The one bacteria was identified in the 50.8% of subjects in pretest and two bacteria in the 60.3% in posttest. Most frequently identified bacteria were Escherichia coli and Enterococcus faecalis. Conclusion In conclusion, these findings indicate that postpartum aromatherapy for perineal care could be effective in healing the perineum perineal care could be effective in healing the perineum.

키워드

참고문헌

  1. Clifford, F. R. (1997). Aromatherapy during your pregnancy. Saffron Walden : The C. W. Daniel Company
  2. Coss, M. (1998). The handmade soap book. Vermont : Story Books
  3. Cunningham, F. G., Gant, N. F., Leveno, K. J., Gilstrap III, L. C., Hauth J. C., & Wenstrom, K. D.(2001). Williams obstetrics, NewYork : McGrow-Hill
  4. Dale, A., & Cornwell, S. (1994). The role of lavender oil in relieving perineal discomfort following childbirth: a blind randomized clinical trial. J Adv Nurs, 19(1), 89-96
  5. Davis, P. (1999). Aromatherapy an A-Z. Saffron Walden; The C. W. Daniel Company
  6. Dye, J. (1997). Aromatherapy for women & childbirth. Saffron Walden : The C. W. Daniel Company
  7. England, A. (1994). Aromatherapy for mother & baby. Vermont : Healing Arts Press
  8. Faoagali, J., George, N., & Leditschke, J. F. (1997). Does tea tree oil have a place in the topical treatment of bums? Burns, 23(4), 349-351
  9. Fleming, N., Newton, E. R., & Roberts, J. (2003). Changes in Postpartum perineal muscle function in women with and without episiotomies. J Midwifery Women Health, 48(1), 53-59
  10. Gibson, P. S., Powrie, R. & Star, J. (2001). Herbal and Alternative Medicine use during pregnancy: A Cross-sectional Survey. Obstet Gynecol, 97(4), 44S -45S
  11. Harrison, R. F., Brennam, M., North, P. M., Reed, J. V., Wickham, E. A. (1984). Is routine episiotomy necessary? BMJ, 288(6435), 1971-1975
  12. Harrison, R. F., Brennam, M., Reed, J. V., & Wickham, E. A. (1987). A review of post-episiotomy pain and its treatment. Curr Med Res Opin, 10(6), 359-363
  13. Hill, P.D. (1989). Effects of Heal and Cold on the perineum after Episiotomy/Laceration. J Obstet Gynecol Neonatal Nurs, 18(2), 124-129
  14. Kekki, M., Kurki, T., Pelkonen, J., Kurkinen-Raty, M., Cacciatore, B., & Paavonen, J. (2001). Vaginal clindamycin in preventing preterm birth and peripartal infections in asymptomatic women with bacterial vaginosis: A Randomized, Controlled Trial. Obstet Gynecol, 97(5), 643-648
  15. Kerr, J. (2002). The use of Essential oils in healing wounds. Int J Aromatherapy, 12(4), 202-206
  16. LaFoy, J. & Geden, E. A. (1989). Postepisiotomy pain: Warm versus Cold sitz bath. J Obstet Gynecol Neonata Nurs, 18(5), 399-403
  17. Lee, S. (2000). Psychoneuroimmunologic effect of aromatherapy massage. Korean J Women Health Nurs, 6(2). 305-315
  18. VIinassian, V. A., Jazayeri, A., Prien, S. D., Timmons, R.L., & Stumbo, K. (2002). Randomized Trial of Lidocaine Ointment versus Placebo for the treatment of postpartum perineal pain. Obstet Gynecol, 100(6),1239-1242
  19. Raimer, D., & Roberts, J.(1986). A Comparison of Cold and Warm Sitz baths for relief of postpartum perineal pain. J Obstet Gynecol Neonatal Nurs, 15, 471-474 https://doi.org/10.1111/j.1552-6909.1986.tb01426.x
  20. Ronald, C., & Wayne, J. (1997). The Challenge of Complementary and alternative medicine. Am J Obstet Gynecol, 177(5), 1156-1161
  21. Shin, H.(1996). The influence of cold therapy on the perineal discomfort and the healing stage of the postpartum women. Unpublished master degree dissertation, Korea University, Seoul
  22. Sleep, J., & Grant, A. (1988). Effects of salt and savlon bath concentrate post-partum. Nurs Times, 84(21), 55-57
  23. Snyder, L. & Lindquist, R. (2002). Complementary/alternative therapies in nursing (4th Ed.). New York : Springer Publishing Company
  24. The Korean society of Obstetrics and Gynecology (1997). Obstetrics. Seoul : Calvin Books
  25. Tiran, D.(2000). Clinical aromatherapy for pregnancy and childbirth (2nd Ed.). London: Churchill Livingstone
  26. Weber, A. M., & Meyn, L. (2002). Episiotomy use in the United States, 1979-1997. Obstet Gynecol, 100(6), 1177-1182
  27. Whalley, J. (1990). Kegel exercise after Warm sitz bath recommended. J Obstet Gynecol Neonatal Nurs, 19(1), 13
  28. Wildwood, C. (1996). The Encyclopedia of aromatherapy. Vermont : Healing Arts Press
  29. Yoo, E., & Kim, J. (2001). A study on women's level of educational need & knowledge about routine episiotomy and the degree of discomforts and pain after episiotomy. Korean J Women Health Nurs, 7(3), 393-406
  30. Yoo, Y. (1990). Relief of postpartum perineal discomfort through cold and warm sitz bath. Unpublished master degree dissertation, Ewha Woman University, Seoul