Comparing the effects of aromatherapy massage with passion flower and sesame essential oils on pain intensity among patients undergoing coronary artery bypass grafting: a randomized parallel trial

Document Type : Original Article

Authors

1 Department of Anesthesia, Ahvaz Anesthesiology and Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Nursing and Midwifery Care Research Center AND Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Cardiac Anesthesia Unit, Cardiovascular Research Center, Department of Anesthesiology, School of Medicine Anesthesiology and Critical Care Research Center Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

4 Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Pain is one of the most common complaints of patients after coronary artery bypass graft (CABG) surgery.
Objectives: The aim of this study was to compare the effects of aromatherapy massage with passion flower and sesame essential oils on postoperative pain intensity among patients with CABG surgery.
Methods: This double-blind randomized parallel trial was conducted from November 2019 to April 2020. Sixty candidates for CABG were conveniently selected from Chamran hospital, Isfahan, Iran, and randomly allocated to group A (aromatherapy massage with passion flower essential oil) and group B (aromatherapy massage with sesame essential oil). Aromatherapy massage for all participants was provided in four twenty-minute sessions on four consecutive days. Pain intensity was assessed before and thirty minutes after aromatherapy massage using a visual analogue scale. The Chi-square, independent-samples t, were used to analyze the data.
Results: The mean score of pain intensity in groups A and B was respectively 8.03±.08 and 7.23±1.38 on the first day, and 4.43±1.19 and 5.4±1.1 on the fourth day. A significant difference between the two groups was observed respecting the mean score of pain in the first, third, and fourth days (P < 0.05).
Conclusion: Aromatherapy massage with passion flower essential oil is more effective than aromatherapy massage with sesame essential oil in significantly reducing pain intensity among patients with CABG surgery.

Keywords

Main Subjects

References

  1. Paryad E, Rouhi Balasi L. Smoking cessation: Adherence based on patients' illness perception after coronary artery bypass grafting surgery. Indian Heart J 2018; 70:4-7. doi:10.1016/j.ihj.2018.01.025 PMid:30595298 PMCid:PMC6309235
  2. Varaei S, Bakhshi F, Mirhosseini SJ, Namayandeh SM, Sarebanhassanabadi M. Comparing the effects of nicotine replacement therapy and nursing counseling on smoking cessation among the candidates for coronary artery bypass graft surgery: A clinical trial. Nurs Midwifery Stud 2017; 6:156-61. doi:10.4103/nms.nms_32_17
  3. Jannati M, Attar A. Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature. Ther Clin Risk Manag 2019;15:773-781. doi:10.2147/TCRM.S195267 PMid:31417264 PMCid:PMC6592068
  4. Tadayyonfar M, Khosrojerdi H, Amadani M, Tajabadi A, Tabarraee Y. Comparison of promethazine and morphine to control pain of appendectomy surgery: A randomized clinical trial. JSUMS 2015; 22:589-95.
  5. Liu C, Chen X, Wu S. The effect of massage therapy on pain after surgery: A comprehensive meta-analysis. Complement Ther Med 2022; 71:102892. doi:10.1016/j.ctim.2022.102892 PMid:36309174
  6. Staveski SL, Boulanger K, Erman L, Lin L, Almgren C, Journel C, et al. The impact of massage and reading on children's pain and anxiety after cardiovascular surgery: A pilot study. Pediatr Crit Care Med 2018;19:725-732. doi:10.1097/PCC.0000000000001615 PMid:29912070 PMCid:PMC6086725
  7. Lee SH, Kim JY, Yeo S, Kim SH, Lim S. Meta-analysis of massage therapy on cancer pain. Integr Cancer Ther 2015;14:297-304. doi:10.1177/1534735415572885 PMid:25784669
  8. Shafiei Z, Nourian K, Babaee S, Nazari A. Effectiveness of light pressure stroking massage on pain and fatigue of patients after coronary artery bypass graft surgery-A randomized clinical trial. J Clin Nurs Midwifery 2013; 2:28-38
  9. Gok Metin Z, Ozdemir L. The effects of aromatherapy massage and reflexology on pain and fatigue in patients with rheumatoid arthritis: A randomized controlled trial. Pain Manag Nurs 2016; 17:140-9. doi:10.1016/j.pmn.2016.01.004 PMid:27091583
  10. Khaledifar A, Nasiri M, Khaledifar B, Khaledifar A, Mokhtari A. The effect of reflexotherapy and massage therapy on vital signs and stress before coronary angiography: An open-label clinical trial. ARYA atherosclerosis. 2017;13:50-55.
  11. Adib-Hajbaghery M, Abasi A, Rajabi-Beheshtabad R. Whole body massage for reducing anxiety and stabilizing vital signs of patients in cardiac care unit. Med J Islam Repub Iran 2014;28:47. PMID: 25405113 PMCID: PMC4219878
  12. da Fonseca LR, Rodrigues RA, Ramos AS, da Cruz JD, Ferreira JLP, Silva JRA, et al. Herbal medicinal products from passiflora for anxiety: An unexploited potential. Sci World J 2020;2020:6598434. doi:10.1155/2020/6598434 PMid:32765195 PMCid:PMC7387951
  13. Braun LA, Stanguts C, Casanelia L, Spitzer O, Paul E, Vardaxis NJ, et al. Massage therapy for cardiac surgery patients-a randomized trial. J Thorac Cardiovasc Surg 2012; 144:1453-9. doi:10.1016/j.jtcvs.2012.04.027 PMid:22964355
  14. Koriem KM. Importance of Herba passiflorae in medicinal applications: Review on experimental and clinical pharmacology. Biointerface Res Appl Chem 2021;11:12886-900. doi:10.33263/BRIAC115.1288612900
  15. Miroddi M, Calapai G, Navarra M, Minciullo PL, Gangemi S. Passiflora incarnata L.: ethnopharmacology, clinical application, safety and evaluation of clinical trials. J Ethnopharmacol 2013;150:791-804. doi:10.1016/j.jep.2013.09.047 PMid:24140586
  16. Aman U, Subhan F, Shahid M, Akbar S, Ahmad N, Ali G, et al. Passiflora incarnata attenuation of neuropathic allodynia and vulvodynia apropos GABA-ergic and opioidergic antinociceptive and behavioural mechanisms. BMC Complement Altern Med 2016;16:77. doi:10.1186/s12906-016-1048-6 PMid:26912265 PMCid:PMC4765057
  17. Boitor M, Martorella G, Maheu Ch, Laizner AM, Gelinas C. Effects of massage in reducing the pain and anxiety of the cardiac surgery critically ill-a randomized controlled trial. Pain Med 2018; 19: 2556-2569. doi:10.1093/pm/pny055 PMid:29618079
  18. Albert NM, Gillinov AM, Lytle BW, Feng J, Cwynar R, Blackstone EH. A randomized trial of massage therapy after heart surgery. Heart Lung 2009;38:480-90. doi:10.1016/j.hrtlng.2009.03.001 PMid:19944872
  19. Bedigian D. History and lore of sesame in Southwest Asia. Econ bot 2004;58:329-53. doi:10.1663/0013-0001(2004)058[0330:HALOSI]2.0.CO;2
  20. Periasamy S, Chien SP, Chang PC, Hsu DZ, Liu MY. Sesame oil mitigates nutritional steatohepatitis via attenuation of oxidative stress and inflammation: a tale of two-hit hypothesis. J Nutr Biochem 2014;25:232-40. doi:10.1016/j.jnutbio.2013.10.013 PMid:24445049
  21. Gholami M, Torabi Davan S, Gholami M, Bolandparvaz S, Gholami M, Chamanpara P, et al. Effects of topical sesame oil extracted from tahini (Ardeh) on pain severity in trauma patients: a randomized double-blinded placebo-controlled clinical trial. Bull Emerg Trauma 2020;8:179-185. doi: 10.30476/BEAT.2020.82561. PMID: 32944578 PMCID: PMC7468223
  22. Pehlivan S, Karadakovan A. Effects of aromatherapy massage on pain, functional state, and quality of life in an elderly individual with knee osteoarthritis. Jpn J Nurs Sci 2019; 16:450-458 doi:10.1111/jjns.12254 PMid:31144450
  23. Rafiei F, Ameri F, Haghani H, Ghobadi A. Effect of aromatherapy massage with lavender and chamomile oil on the intensity of background pain in burn patients. Iran J Nurs 2018;31:28-37 doi:10.29252/ijn.31.114.28
  24. Gok Metin Z, Arikan Donmez A, Izgu N, Ozdemir L, Arslan IE. Aromatherapy massage for neuropathic pain and quality of life in diabetic patients. J Nurs Scholarsh 2017; 49:379-388. doi:10.1111/jnu.12300 PMid:28605119
  25. Hosseini SE, Keramaty F, Safavy Naeiny Kh. A Comparative Study of massage with lavender (Lavandula) essential oil and almond oil on pain relief after cesarean operation in primiparous women. Med J Tabriz Uni Med Sciences Health Services 2016; 38:22-27
  26. Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015;16:354-66. doi:10.1016/j.pmn.2014.08.014 PMid:26025795
  27. Cutshall SM, Wentworth LJ, Engen D, Sundt TM, Kelly RF, Bauer BA. Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study. Complement Ther Clin Pract 2010;16:92-5. doi:10.1016/j.ctcp.2009.10.006 PMid:20347840
  28. Yaban ZS. Usage of non-pharmacologic methods on postoperative pain management by nurses: Sample of turkey. Int J Caring Sci 2019; 12:529-41.
  29. Miladinia M, Voss JG, Molavynejad S, Malehi AS, Zarea K, Nouri EM, et al. Slow-stroke back massage compared with music therapy for leukemia-related pain and fatigue: a randomized controlled trial. JCO Oncol Pract. 2021;17:e1614-e1621. doi:10.1200/OP.21.00156 PMid:34077243
  30. Hsu DZ, Chen SJ, Chu PY, Liu MY. Therapeutic effects of sesame oil on monosodium urate crystal-induced acute inflammatory response in rats. Springerplus 2013;2:659. doi:10.1186/2193-1801-2-659 PMid:24353977 PMCid:PMC3866373
  31. Monteiro EM, Chibli LA, Yamamoto CH, Pereira MC, Vilela FM, Rodarte MP, et al. Antinociceptive and anti-inflammatory activities of the sesame oil and sesamin. Nutrients 2014; 6:1931-44. doi:10.3390/nu6051931 PMid:24824289 PMCid:PMC4042560
  32. Bigdeli Shamloo MB, Nasiri M, Dabirian A, Bakhtiyari A, Mojab F, Alavi Majd H. The effects of topical sesame (sesamum indicum) oil on pain severity and amount of received non-steroid anti-inflammatory drugs in patients with upper or lower extremities trauma. Anesth Pain Med 2015;5:e25085. doi:10.5812/aapm.25085v2 PMid:26161326 PMCid:PMC4493737
  33. AtashzadeShouride F, Mohammadi S, Abedsaeidi j, Alavi Majd H, Salehi Sormeghi M. Effects of aromatherapy and massage on pain of patients with multiple sclerosis. Adv Nurs Midwifery 2009; 58: 28-2.
  34. Meshgin Abadi N, ramezanibadr F, mahmoodi K. Effect of aromatherapy massage on anxiety among patients undergoing
    percutaneous coronary intervention. Prev Care Nurs Midwifery J 2012; 2:14-22.
  35. Aman U, Subhan F, Shahid M, Akbar S, Ahmad N, Ali G , et al. Passiflora incarnata attenuation of neuropathic allodynia and vulvodynia apropos GABA-ergic and opioidergic antinociceptive and behavioural mechanisms. BMC Complement Altern Med 2016;16:77. doi:10.1186/s12906-016-1048-6 PMid:26912265 PMCid:PMC4765057
  36. Antonelli M, Donelli D. Efficacy, safety and tolerability of aroma massage with lavender essential oil: an overview. Int J Ther Massage Bodywork 2020;13:32-36. doi:10.3822/ijtmb.v13i1.529 PMID: 32133043 PMCID: PMC7043716
  37. Salarvand S, Heidari ME, Farahi K, Teymuri E, Almasian M, Bitaraf S. Effectiveness of massage therapy on fatigue and pain in patients with multiple sclerosis: A systematic review and meta-analysis. Mult Scler J Exp Transl Clin 2021;7:20552173211022779. doi:10.1177/20552173211022779 PMid:34188950 PMCid:PMC8209836
  38. Hasheminia A, Salehi S, Khaledifar A, Sedehi M. Effect of hand and foot surface stroke massage on pain intensity and anxiety level in hospitalized patients with acute coronary syndrome: a clinical trial. Int Cardiovasc Res J 2021;15:e118446
Nursing and Midwifery Studies
Volume 12, Issue 4
December 2023
Pages 206-212

Files

History

  • Receive Date: 20 August 2023
  • Revise Date: 11 October 2023
  • Accept Date: 15 October 2023

Share

How to cite

Statistics