Analysis of Experimental Researches in Korea on the Effects of Aromatherapy to Relieve Pain

아로마테라피의 통증 감소 효과에 관한 국내 실험논문 분석

  • Received : 2010.08.26
  • Accepted : 2011.01.14
  • Published : 2011.03.01

Abstract

Purpose: This study identifies research trends and provides fundamental data related to curative power of aromatherapy to relieve pain in Korea. Methods: The study analyzed 44 experimental studies on humans that were published in Korea before the end of December, 2009. The key words used for searching were: aroma, aromatherapy, hyang-yobeob, hyanggi-yobeob, hyanggichilyo, aromatherapy and pain, headache, scapulodynia, omodynia, feeling uncomfortable in the perineal region, sense of pain, labor pains, arm pain, menstrual pain, aches, and dysmenorrheal. Those words were found on websites, including those for Korea Education & Research Information Service, the National Assembly Library, KISS, KoreaMed, and NDSL. Collected data were analyzed using descriptive statistics. Results: The results showed that most of essential oils to relieve pain is composed of three to four kinds of oils, including Lavender, Roman chamomile, Rosemary, and Clarysage. Aromatherapy is applied usually by means of massage (50%), inhalation (13.6%), or a combination of the above two (13.6%). Measuring instruments as a dependent variable include VAS, questionnaire, GRS, blood pressure, pulse, and Algometer. Aromatherapy plays an important role in soothing headaches and arthralgia. However, when it comes to labor and menstrual pain, it doesn't seem to be effective. Conclusion: The study found that different kinds of oil, frequencies, and periods of time are used for the same symptoms. Further research should employ standardized oil blending, application, duration, and measuring instruments, and more systematically analyze the effects of aromatherapy to establish the effects on relieving pain.

목적: 아로마테라피가 통증에 미치는 효과에 관한 국내 실험논문을 분석하여 연구동향을 파악하고 향후 통증감소를 위한 아로마테라피 중재 개발의 기초자료를 제공하고자 한다. 방법: 2009년 12월 말까지 국내에서 출판된 논문 중 '아로마, 아로마테라피, 향요법, 향기요법, 향기치료, 아로마요법과 통증, pain, 두통, 견갑통, 견통, 회음부 불편감, 통각, 분만진통, 상지통증, 생리통, 월경통, 동통, 분만동통, 월경곤란증' 등의 키워드를 사용하여 한국교육 학술정보원, 국회도서관, KISS, KoreaMed, 국가과학기술 정보센터(NDSL) 등의 사이트에서 검색된 논문 중 사람을 대상으로 한 실험연구 44편을 최종 분석 대상으로 하였다. 수집된 자료는 분석기준에 따라 정리하여, 빈도 및 백분율로 자료를 분석하였다. 결과: 본 연구에서 분석된 논문에서는 3~4종류의 오일을 블랜딩한 경우가 가장 많았고 라벤더, 로만카모마일, 로즈마리, 클라리세이지 등의 오일을 가장 많이 사용하였다. 적용방법으로는 마사지 22편(50.0%), 흡입, 마사지와 흡입을 병행한 연구가 각 6편(13.6%)이었다. 사용된 측정도구는 VAS, 설문지, GRS, 관찰 등과 같은 주관적인 측정도구가 85.7%를 차지하였다. 효과 분석 결과, 두통과 관절통 경감에는 아로마테라피가 효과적인 것으로 나타났으나, 월경통, 분만통, 회음부 불편감 및 월경통의 경우 효과가 "있음"과 "없음"이 비슷한 빈도로 분석되었다. 결론: 아로마테라피는 통증 감소에 효과적이었으나 통증 종류와 적용방법에 따라 차이가 있었다. 추후 연구에서는 아로마테라피의 통증완화 효과에 대한 근거를 확립하기 위해 이중맹검 순수실험연구를 시행할 필요가 있고, 생리적 측정변수를 종속변수로 사용하여 통증감소 중재방법에 대한 과학적 근거를 마련할 필요가 있겠다. 아울러 통증 종류에 따라 오일 블랜딩, 적용방법, 적용시간 및 측정도구를 표준화하여 적용함으로써 아로마테라피의 정확한 효과 분석이 이루어져야 할 것이다.

Keywords

References

  1. Ignatavicius DD, Workman ML. Medical-surgical nursing: critical thinking for collaborative care. Park JS, Ko JK, Kim ES, Kim JA, Park MH, Seo YO et al., translator. Seoul:Elsevier Korea; 2009.
  2. Choi IR. Effects of aromatherapy massage on pain, physical function, sleep disturbance and depression in elderly women with osteoarthritis. Korean J Women Health Nurs 2006;12(2):168-76.
  3. Buckle J. Clinical aromatherapy in nursing. Ha HJ, Kim HS, Kang HS, translator. Seoul:Hyunmoon;2003.
  4. Shin KR, Kim AJ, eds. Complementary and alternative therapies in nursing. Seoul:Hyunmoon;2007.
  5. Thomas DV. Aromatherapy: Mythical, magical, or medicinal? Holist Nurs Pract 2002;16(5):8-16.
  6. Kang SJ, Kim NY. The effects of aroma hand massage on pruritus, fatigue and stress of hemodialysis patients. J Korean Acad Adult Nurs 2008;20(6):883-94.
  7. Chung Y, Kim J, Cho SI. The effect of rosemary aromatherapy on memory. Korean J Herbology 2006;21(4):207-12.
  8. Ha BJ. Aromatherapy. Seoul:Soomoonsa;2000.
  9. Cerrato PL. Aromatherapy: is it for real? RN 1998;61(6):51-2.
  10. Franchomme P, Penoel D, Mars J. L'aromatherapie exactement: encyclopedie de l'utilistation therapeutique des huiles essentielles: fondements, demonstration, illustration et applications d'une science medicale naturelle. Limoges:Roger Jollois Editeur;1991.
  11. Cabo J, Crespo ME, Jimenez J, Zarzuelo A. The spasmolytic activity of various aromatic plants from the province of Granada. I. The activity of the major components of their essential oils. Plantes Medicinales et Phytotherapie 1986;20:213-8.
  12. Smith MC, Kyle L. Holistic foundations of aromatherapy for nursing. Holist Nurs Pract 2008;22(1):3-9. https://doi.org/10.1097/01.HNP.0000306321.03590.32
  13. Song MR, Park KJ, Jo SH, Cha JH. An analysis of the researches on aromatherapy intervention. J Korean Complement Altern Nurs Res 2009;1(1):47-56.
  14. Kim KD, Suh SR. Meta-analysis about effect of aromatherapy on stress. Korean J Hosp Palliat Care 2008;11(4):188-95.
  15. Roh KH, Park HA. A meta-analysis of the effects of aromatherapy on psychological variables in nursing. J Korean Acad Community Health Nurs 2009;20(2):113-22.
  16. Kim EK. The effects of aromatherapy on pain and depression in women with osteoarthritis [master's thesis]. Daejeon: Daejeon Univ.; 2004. Korean.
  17. Park JE. The effect of aromatherapy combined with heat therapy on pain, ROM of lower limb joint and discomfort activities on daily living of rheumatoid arthritis patients [master's thesis]. Daegu: Keimyung Univ.; 2005. Korean.
  18. Won SJ. The effects of qromatherapy massage on the osteoarthritis pain, sleep, and stride length in older adults [master's thesis]. Chuncheon: Kangwon Univ.; 2010. Korean.
  19. Chee HJ. Effect of aroma massage therapy in the elderly with knee osteoarthritis [master's thesis]. Seoul: Chung-Ang Univ.; 2007. Korean.
  20. Han SH, Nam ES, Uhm DC, Kim KS, Paek SI, Park SH. Effects of aromatherapy on pain and inflammatory responses in patients with rheumatoid arthritis. J Muscle Joint Health 2010;17(1):25-34. https://doi.org/10.5953/JMJH.2010.17.1.025
  21. Kim YJ. Effects of aromatherapy on the menstrual pain and anxiety during menstruation for nurses [master's thesis]. Daejeon: Eulji Univ; 2007. Korean.
  22. Kim HK, Kim HG, Cheong YS, Park EW, Yoo SM. The effect of aromatherapy on dysmenorrhea from high school girls. J Korean Acad Fam Med 2001;22(6):922-9.
  23. Cho SE, Yun BR, Chung YK. The effect of self-application with aroma therapy upon the menstrual pain and the premenstrual discomfort of women. Korean J Aesthetic Society 2004;2(3):35-52.
  24. Kim JE. The effects of aromatherapy massage on post-stroke central pain and depression [master's thesis]. Daegu: Kyungbook Univ.; 2006. Korean.
  25. Park JE, Kim MA. A pilot study on the effect of aroma massage on stroke patients' upper arm pain. Clin Nurs Res 2004;10(1):184-95.
  26. Shin YS, Cho YS, Jung YJ. The effects of aromatherapy on autonomic nerve system and physical resistance of a stress. J Korean Biol Nurs Sci 2004;6(2):5-17.
  27. Joyce MB, Jane HH, Annabelle MK. Medical-surgical nursing. Seoul:Jungdammedia;2007.
  28. Thorgrimsen L, Spector A, Wiles A, Orrell M. Aroma therapy for dementia. Cochrane Database Syst Rev 2003;(3):CD003150.
  29. Oh HK. Aromatherapy handbook. Seoul:Yangmoon;2002.
  30. Yoo KM. Aromatheraphy textbook: clinical aromatherapy. Seoul: Crown Publishing Co.;2006.
  31. Sakong JK, Kim YH. Aromatherapy. Seoul:Hyunmoon;2006.
  32. Worwood VA. The complete book of essential oils & aromatherapy. San Rafael, CA:New World Liberary;1991.
  33. Burns E, Blamey C. Complementary medicine. Using aromatherapy in childbirth. Nurs Times 1994;90(9):54-60.
  34. Reed L, Norfolk L. Aromatherapy in midwifery. Int J Altern Complement Med 1993;11(12):15-7.
  35. Jang SY. Effects of aroma hand mssage on pain, state anxiety and depression in hospice patients with terminal cancer. J Korean Acad Nurs 2008;38(4):493-502. https://doi.org/10.4040/jkan.2008.38.4.493
  36. Sung KW, Kim MH. The effects of aroma Foot massage on the anxiety, pain and sleep satisfaction during colonoscopy under conscious sedation. J Korean Acad Community Health Nurs 2006;17(1):91-101.
  37. Park KS, Han DW. The effects of aromatic oil on shoulder pain in the middle-aged woman patients. Korean Academy of Physical Therapy Science 2005;12(4):11-24.
  38. Kim JE, Suh SR. The effects of aroma massage therapy on post-stroke central pain and depression. J Kyungpook Nursing Science 2008;12(1):23-34.
  39. Kim MJ, Nam ES, Baek SI. The effects of aromatherapy on pain, depression, and life satisfaction of arthritis patients. J Korean Acad Nurs 2005;35(1):186-94. https://doi.org/10.4040/jkan.2005.35.1.186
  40. Yang KM, Choi IR. Effects of aromatherapy massage on pain, depression and powerlessness of Elderly patients with Osteoarthritis. Medical Journal of Occupational Health 2005;3(2):605-11.
  41. Jung IT, Kim SY, Kim KS, Lee DI, Lee JD, Lee YH, et al. A clinical study of aroma acupuncture on chronic headache patients. J Korean Acupuncture & Moxibustion Society 2004;21(5):123-36.
  42. Hur MH. Effects of aromatherapy on postpartum mother's perineal discomfort and breast milk IgA concentration. J Korean Soc Matern Child Health 2004;8(1):109-19.
  43. Hyun JS, Hur MH. Effect of aromatherapy on the menstrual pain in cadet women. J Military Nurs Res 2004;22(1):64-87.
  44. Cho SE, Yun BR, Chung YK. The effect of self-application with aroma therapy upon the menstrual pain and the premenstrual discomfort of women. Korean J Aesthetic Society 2004;2(3):35-52.
  45. Hur MH, Park MH. Effects of aromatherapy on labor process, labor pain, labor stress response and neonatal status of primipara: randomized clinical trial. Korean J Obstet Gynecol 2003;46(4):776-83.
  46. Kim HK, Kim HG, Cheong YS, Park EW, Yoo SM. The effect of aromatherapy on dysmenorrhea from high school girl. J Korean Acad Fam Med 2001;22(6):922-9.
  47. Choi IR. Effects of aromatherapy massage on pain, physical function, sleep disturbance and depression in elderly women with osteoarthritis. Korean J Women Health Nurs 2006;12(2):168-76.
  48. Lee HJ, Lee YS, Sin HY, Song EY Son HS, Kim IO, et al. Comparative analysis on the effects of abdominal massage using aroma oil and ordinary oil on nurses' dysmenorrhea and painful menstruation. Clin Nurs Res 2006;11(2):121-33.
  49. Sohn KJ, Choi YS, Kim MJ, Lee JY, Lee JB, Kim SH, et al. The effects of aroma self massage in hands on pain, depressive mood and anxiety in breast cancer patients. Korean J Hosp Palliat Care 2005;8(1):18-29.
  50. Park JE, Kim MA, Oh DH. The effect of aroma-therapy combined with heat application on the pain, range of motion of lower limb joint, and discomfort of activities of daily living among patients with rheumatoid Arthritis. J Korean Acad Adult Nurs 2008;20(6):839-51.
  51. Hur MH, Oh HY, Park YS. Effects of aromatherapy on labor pain & perception of childbirth experience. Korean J Women Health Nurs 2005;11(2):135-41.
  52. Han SH, Ro YJ, Hur MH. Effects of aromatherapy on menstrual cramps and dysmenorrhea in college student woman. J Korean Acad Adult Nurs 2001;13(3):420-30.
  53. Kim NH, Kim CS, Kim YS. Effect that aromatherapy gets in woman's period pains. J Korean Soc Cosm 2008;14(2):378-83.
  54. Seo JY, Kim MY. The effects of aromatherapy on dysmenorrhea, menstrual pain, anxiety, and depression in nursing students. J Korean Acad Adult Nurs 2008;20(5):756-64.
  55. Park JE, Kim MA. A pilot study on the effect of aroma massage on stroke patients' upper arm pain. Clin Nurs Res 2004;10(1):184-95.
  56. Hur MH, Kim YS, An HY. Effects of aromatherapy sitz bath on perineal discomfort and postpartum depression of postpartum mother. J Korean Soc People Plants Environ 2008;11(4):65-71.
  57. Kim IJ, Kim EK. Effects of aroma massage on pain, activities of daily living and fatigue in patients with knee osteoarthritis. J Muscle Joint Health 2009;16(2):145-53.
  58. Jung HM, Jeon YS. Effects of the aroma massage on shoulder pain, depression, sleep disturbance in hemiparesis patients. Korean J Rehabil Nurs 2004;7(2):231-7.
  59. Choi EH. Comparison of effects lavender abdominal massage and inhalation on dysmenorrhea, pain, anxiety and depression. J Korean Acad Fundam Nurs 2009;16(3): 300-6.
  60. Lim EJ. The Effect of aroma inhalation method on pain of patients with tonsillectomy [master's thesis]. Daejeon: Daejeon Univ.; 2009. Korean.
  61. Hur KM. The effectiveness of aromatherapy for the anxiety and labor pain in primipara [master's thesis]. Seoul: Catholic Univ.;2003. Korean.
  62. Kim MK. A study on the effects of the aromatherapy for dysmenorrhea [master's thesis]. Seosan: Hanseo Univ.; 2003. Korean.
  63. Han MS. The effect of aroma therapy on headache of high school girl students [master's thesis]. Seoul: Sangmyung Univ.; 2005. Korean.
  64. Kim YS. Effects of aromatherapy on postpartum mother's perineal discomfort, fatigue and postpartum depression [master's thesis]. Daejeon: Eulji Univ.; 2008. Korean.
  65. Kim YJ. Effects of aromatherapy on the menstrual pain and anxiety during menstruation for nurses [master's thesis]. Daejeon: Eulji Univ.; 2007. Korean.
  66. Kwon BS. The effect of massage aromatherapy on back pain and the flexion range of the lumbar spine in chronic back pain patients: using peppermint, rosemary camphor and lavender [master's thesis]. Pocheon: Pochon Cha Univ.; 2007. Korean.
  67. Kim EK. Effects of aromatherapy on pain and depression in women with osteoarthritis [master's thesis]. Daejeon: Daejeon Univ.; 2004. Korean.
  68. Kang EK. Effect of aroma foot reflexology on pain and range of motion in patients with total knee replacement [master's thesis]. Seoul: Younsei Univ.; 2003. Korean.
  69. Lee JH. A comparative study on the pain reduction effect of aroma skin massage and aroma inhalation massage: focusing on patients with cervical pain [master's thesis]. Suwon: Kyonggi Univ.; 2007. Korean.
  70. Park KS. Effects of aroma and ultra sound therapy on pain with occupational neck and upper limb disorder [master's thesis]. Daejeon: Daejeon Univ.; 2003. Korean.
  71. Roh HK. Effects of aroma foot relaxation massage on subjective pain and physiological indexes of patients with cerebral apoplexy [master's thesis]. Seoul: Chung-Ang Univ.; 2009. Korean.
  72. Pyun JL. Effect of foeniculum vulgare essential oil on primary dysmenorrhea [master's thesis]. Pocheon: Pochon Cha Univ.; 2003. Korean.
  73. Lee HA. Effect of aromatic essential oil on pain and swelling in acute sprains and strains of the musculoskeletal system [master's thesis]. Pocheon: Pochon Cha Univ.; 2003. Korean.
  74. Kim KR. Clinical observation of aromatherapy on the headache patients [master's thesis]. Gwangju: Chosun Univ.; 2006. Korean.
  75. Jung HJ. Effects of aromaoil massage on labor pain, anxiety, and childbirth experience perception of primiparas [master's thesis]. Seoul: Ewha Womans Univ.; 2004. Korean.
  76. Cha JH. Effects of aromatherapy on headache, anxiety and serum cortisol level in the middle-aged women [dissertation]. Seoul: Catholic Univ.; 2005. Korean.
  77. Lee CS. Study on cerebral blood flow in In-Young (ST9) of chronic daily headache patients [master's thesis]. Iksan: Wonkwang Univ.; 2009. Korean.
  78. Han SH. Effects of aromatherapy on headache, stress and immune response of students with tension-type headache [dissertation]. Seoul: Catholic Univ.; 2002. Korean.