Rohi Ganji M. et al., 2022: The Effect of Inhalation Aromatherapy and Music Therapy on Anxiety in Patients Undergoing Shockwave Lithotripsy: A Randomized Controlled Clinical Trial.
Rohi Ganji M, Jafari F, Rezaeian S, Abdi H, Farzaei MH, Khatony A.
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Infectious Diseases Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Abstract
Patients undergoing shock wave lithotripsy (SWL) have a high level of anxiety. This study was aimed to compare the effect of music therapy and aromatherapy on patients' anxiety levels during SWL. In this clinical trial, 176 patients undergoing SWL were randomly assigned to four groups: music therapy, aromatherapy, combined music therapy and aromatherapy, and control. The state-trait anxiety inventory (STAI) was used to collect data. In the aromatherapy group, three drops of rosemary essential oil were used during SWL. For the music therapy group, soft music was played during SWL. In the music therapy and aromatherapy group, soft music and three drops of rosemary essential oil were used simultaneously. In the control group, three drops of aromatic distilled water were used. The results showed that all patients had moderate anxiety before the intervention. The analysis of variance test did not show a statistically significant difference between the groups, but this difference was significant after the intervention. The levels of anxiety after the intervention were higher in the music therapy, aromatherapy, and combined music therapy and aromatherapy groups than in the control group. The results of the paired t-test showed the level of anxiety after the intervention was significantly increased in the intervention group (P < 001). In conclusion, the results indicated that music therapy, aromatherapy, and combined music therapy and aromatherapy had no effect on reducing patients' anxiety during SWL.
Evid Based Complement Alternat Med. 2022 Jun 29;2022:8015798. doi: 10.1155/2022/8015798. eCollection 2022. PMID: 35815287. FREE ARTICLE
Comments 1
In this article the authors studied the effect of aroma therapy and music on patients’ anxiety in relation to SWL.
The effect of these auxiliary measures was recorded before during and after SWL. But did the authors really follow the anxiety during treatment? If so, how?
The aroma therapy was accomplished by 3 drops of rosemary essential oil 15 minutes before SWL. Also, obviously during SWL? Was there an additional administration? If so when and how?
Unfortunately, there is no information on which lithotripter that was used and neither if any kind of pain treatment was used. The only note in that regard is that medical treatment sometimes was required. My own experience during almost four decades is that SWL without pain treatment almost always is insufficient.
Stones up to 20 mm were treated but there is no information on the outcome.
Bottomline: Aroma and music therapy had no effect on patient’ anxiety, but the lower anxiety recorded after treatment is expected.
Hans-Göran Tiselius