The effect of lavender oil aromatherapy on the shoulder-tip pain after laparoscopic cholecystectomy: A randomized controlled trial

Authors

1 Department of Operating Room, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Nursing and Midwifery Care Research Center, Department of Operating Room, Isfahan University of Medical Sciences, Isfahan, Iran

3 Nursing and Midwifery Care Research Center, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Postoperative shoulder pain is one of the complications after laparoscopic cholecystectomy (LC). Medications used to treat shoulder pain have side effects. Objectives: The aim of this study was to examine the effect of lavender oil aromatherapy on shoulder pain after LC. Methods: In this single-blind randomized controlled trial, 64 patients who underwent LC were randomly allocated into two groups to receive lavender oil aromatherapy or routine treatment. The intervention began in the recovery room after the patient responded to stimuli. First, the patient's pain was assessed. Then, aromatherapy was started for the intervention group, and afterward, pain measurement was repeated at 5, 25, and 60 min after the intervention. The pain intensity was assessed using a visual analog scale. Patients in the control group received no intervention other than routine care and treatment, but their pain intensity was measured at the same time as patients in the intervention group. Data analysis was performed using the Chi-square, independent-samples and paired t-tests, and repeated-measures analysis. Results: The mean baseline pain severity of the control and aromatherapy groups was 6.26 ± 1.44 and 7.20 ± 1.44, respectively, and changed to 9.06 ± 0.65 and 3.73 ± 0.86 at the end of the study. Repeated-measures analysis showed that over time, the mean pain intensity was decreasing in the intervention group (P < 0.05), while it had an increasing trend in the control group. Conclusion: Lavender oil aromatherapy was effective in reducing the postsurgical shoulder pain after LC.

Keywords


1. Small C, Laycock H. Acute postoperative pain management. Br J
Surg 2020;107:e70‑80.
2. Arjmand GR, Bahraminezhad N, Jafari S, Faghihzadeh S,
Lotfinia I, Shimia M. The effect of inhalation of aromatherapy
lavender (essential oil) on post‑operative discectomy pain. J Adv
Med Biomed Res 2017;25:83‑933.
3. Lin YC, Wan L, Jamison RN. Using integrative medicine in pain
management: An evaluation of current evidence. Anesth Analg
2017;125:2081‑93.
4. Sao CH, Chan‑Tiopianco M, Chung KC, Chen YJ, Horng HC,
Lee WL, et al. Pain after laparoscopic surgery: Focus on
shoulder‑tip pain after gynecological laparoscopic surgery.
J Chin Med Assoc 2019;82:819‑26.
5. Safari MH. Comparative study of intravenous diclofenac and
tramadol effect on postoperative pain relief and reduced side
effects in patients undergoing laparoscopic cholecystectomy. Iran
J Surg 2019;27:52‑61.
6. Kaloo P, Armstrong S, Kaloo C, Jordan V. Interventions to
reduce shoulder pain following gynaecological laparoscopic
procedures. Cochrane Database Syst Rev 2019;1:CD011101.
7. Abo Elfadl GM, Osman AM, Ghalyoom MF, Gad Al‑Rab NA,
Bahloul M. Preoperative duloxetine to prevent postoperative
shoulder pain after gynecologic laparoscopy: A randomized
controlled trial. Braz J Anesthesiol 2021.
8. Dey A, Malik VK. Shoulder tip pain following laparoscopic
cholecystectomy – A randomized control study to determine the
cause. Indian J Surg 2015;77:381‑4.
9. Zahedian A, Shoja M, Mollazade H, Taiebi M. Shoulder pain
following laparoscopic: A randomized clinical trial: A brief
report. Tehran Univ Med J 2014;72:129‑33.
10. Nurhayati N, Nuraeni NS, Marfuah DH. Effectiveness of
lavender aromatherapy on perineum pain intensity among
postpartum mothers with normal labor: A literature review. KnE
Life Sci 2021;6:719‑25.
11. Kazeminia M, Abdi A, Vaisi‑Raygani A, Jalali R, Shohaimi S,
Daneshkhah A, et al. The effect of lavender (Lavandula stoechas L.)
on reducing labor pain: A systematic review and meta‑analysis.
Evid Based Complement Alternat Med 2020;2020:4384350.
12. Azizi A, Oshvandi K, Farhadian M, Lashani A. The effect of
inhalation aromatherapy with lavender essence on pain intensity
and anxiety in burn patients: A clinical randomized trial. Sci J
Hamadan Nurs Midwifery Fac 2019;26:416‑27.
13. Salamati A, Mashouf S, Mojab F. Effect of inhalation of lavender
essential oil on vital signs in open heart surgery ICU. Iran J
Pharm Res 2017;16:404‑9.
14. Marofi M, Siros Fard M, Alimohammadi NI. The effect of
aromatherapy with Rosa damascene mill and pelargonium
graveolens on post‑operative pain intensity in pediatric.
J Anesthesiol Pain 2015;5:64‑73.
15. Farahmand M, Khooshab E, Hasanzadeh F, Amooee S,
Akbarzadeh M. The effect of warm compress Bi‑stage on pain
strength in labor stages and after delivery. Int J Womens Health
Reprod Sci 2020;8:46‑52.
16. Najafi Doulatabad Sh, Rezanejad MT, Afrasiabifar A, Chaman R.
The effect of massage of hugo point on severity of pain in
patients undergoing laparoscopic cholecystectomy: A randomized
clinical trial. World Fam Med J 2017;15:86‑90.
17. World Medical Association. World medical association
declaration of helsinki: Ethical principles for medical research
involving human subjects. JAMA 2013;310:2191‑4.
18. Rohimah S, Utami LT. Pemberian aromaterapi lavender terhadap
penurunan intensitas nyeri persalinan kala i fase aktif pada ibu
bersalin primipara. J Hum Care 2021;6:416‑22.
19. Huang SH, Fang L, Fang SH. The effectiveness of aromatherapy
with lavender essential oil in relieving post arthroscopy pain.
JMED Res 2014;2014:1‑9.
20. Shahnazi M, Nikjoo R, Yavarikia P,
Mohammad‑Alizadeh‑Charandabi S. Inhaled lavender effect
on anxiety and pain caused from intrauterine device insertion.
J Caring Sci 2012;1:255‑61.
21. Rizvi A, Mishra A, Mahdi AA, Ahmad M, Basit A. Natural and
herbal stress remedies: A review. Int J Pharmacogn 2015;2:155‑60.