Sunday, November 9, 2014

Lavendar Oil Aromatherapy and reducing pre-procedural anxiety



Aromatherapy and reducing pre-procedural anxiety: a controlled prospective study.


Abstract:
The purpose of this study was to evaluate the use of aromatherapy to reduce anxiety prior to a scheduled colonoscopy or esophagogastroduodenoscopy. A controlled, prospective study was done on a convenience sample of 118 patients. The "state" component of the State Trait Anxiety Inventory (STAI) was used to evaluate patients' anxiety levels pre- and post-aromatherapy. The control group was given an inert oil (placebo) for inhalation, and the experimental group was given the essential oil, lavender, for inhalation. The STAI state anxiety raw score revealed that patients were at the 99th (women) and 96th (men) percentiles for anxiety. The intervention group and the control group had similar levels of state anxiety prior to the beginning of the study (t[116] = .47, p = .64). There was no difference in state anxiety levels between pre- and post-placebo inhalation in the control group (t[112] = .48, p = .63). There was no statistical difference in state anxiety levels between pre- and post-lavender inhalation in the experimental group (t[120] = .73, p = .47). Although this study did not show aromatherapy to be effective based on statistical analysis, patients did generally report the lavender scent to be pleasant. Lavender is an inexpensive and popular technique for relaxation that can be offered to patients as an opportunity to promote pre-procedural stress reduction in a hospital setting.

Published:
Muzzarelli, L.,  Force,  M.,  Sebold,  M. (2006). Aromatherapy and reducing pre-procedural anxiety: a controlled prospective study. Gastroenterology Nursing, 29, 466-471. doi: http://dx.doi.org.hal.weber.edu:2200/10.1016/j.phymed.2009.10.006
    










Lavender Essential Oil instead of Lorazepam for generalized anxiety disorder


A multi-center, double-blind, randomised study of the Lavender oil preparatiom in comparison to 


Lorazepam for generalized anxiety disorder, 2010



Conclusions:

Since lavender oil showed no sedative effects in our study and has no potential for drug abuse, silexan appears to be an effective and well tolerated alternative to benzodiazepines for amelioration of generalised anxiety.


Abstract:






Generalized and persistent anxiety, accompanied by nervousness and other symptoms (Generalised Anxiety Disorder, GAD) is frequent in the general population and leads to benzodiazepine usage. Unfortunately, these substances induce sedation and have a high potential for drug abuse, and there is thus a need for alternatives. As the anxiolytic properties of lavender have already been demonstrated in pharmacological studies and small-scale clinical trials, it was postulated that lavender has a positive effect in GAD. A controlled clinical study was then performed to evaluate the efficacy of silexan, a new oral lavender oil capsule preparation, versus a benzodiazepine. In this study, the efficacy of a 6-week-intake of silexan compared to lorazepam was investigated in adults with GAD. The primary target variable was the change in the Hamilton Anxiety Rating Scale (HAM-A-total score) as an objective measurement of the severity of anxiety between baseline and week 6. The results suggest that silexan effectively ameliorates generalized anxiety comparable to a common benzodiazepine (lorazepam). The mean of the HAM-A-total score decreased clearly and to a similar extent in both groups (by 11.3+/-6.7 points (45%) in the silexan group and by 11.6+/-6.6 points (46%) in the lorazepam group, from 25+/-4 points at baseline in both groups). During the active treatment period, the two HAM-A subscores "somatic anxiety" (HAM-A subscore I) and "psychic anxiety" (HAM-A subscore II) also decreased clearly and to a similar extent in both groups. The changes in other subscores measured during the study, such as the SAS (Self-rating Anxiety Scale), PSWQ-PW (Penn State Worry Questionnaire), SF 36 Health survey Questionnaire and Clinical Global Impressions of severity of disorder (CGI item 1, CGI item 2, CGI item 3), and the results of the sleep diary demonstrated comparable positive effects of the two compounds. In conclusion, our results demonstrate that silexan is as effective as lorazepam in adults with GAD. The safety of silexan was also demonstrated. Since lavender oil showed no sedative effects in our study and has no potential for drug abuse, silexan appears to be an effective and well tolerated alternative to benzodiazepines for amelioration of generalised anxiety.


Published:


Woelk, H., Schläfke, S. (2010). A multi-center, double-blind, randomised study of the Lavender oil preparation Silexan in comparison to Lorazepam for generalized anxiety disorder. Phytomedicine, 17, 94-99.




Lavender Essential Oil as an Antimicrobial



Lavender as an antimicrobial

 

Healing advantages of lavender essential oil during episiotomy recovery: 

a clinical trial.  

Conclusions:

This study suggests application of lavender essential oil instead of Povidone-iodine for episiotomy wound care.


Abstract:

Episiotomy is the most common perineal incision in obstetric and midwifery. Nowadays alternative and complementary methods such as Aromatherapy using essential oils are established as an alternative therapy. This research was carried out to assess the effect of lavender oil in wound healing. This randomized control trial was conducted on 120 primiparous women with singleton pregnancy, without any acute and chronic disease and allergy who had undergone normal spontaneous vaginal delivery and episiotomy. They were randomly allocated in case and control groups. Case group received lavender oil and controls received Povidone-iodine. Incision sites were assessed on the 10th day postpartum. 25 out of 60 women in lavender group and 17 mothers in control group had no pain (p = 0.06). There was no significant difference between two groups in surgery site complications. However, redness in lavender group was significantly less than controls (p < 0.001). This study suggests application of lavender essential oil instead of Povidone-iodine for episiotomy wound care.
 
Published:
Vakilian, K.,  Atarha,  M.,  Bekhradi , R., Chaman,  R.  (2011). Healing advantages of lavender essential oil during episiotomy recovery: a clinical trial. Complementary Therapies in Clinical Practice, 17, 50-53. doi: http://dx.doi.org.hal.weber.edu:2200/10.1016/j.ctcp.2010.05.006

Lavender Essential Oil: Decreasing Anxiety in Graduate Nursing Students






Essential Oils


Since Biblical times, essential oils have been utilized for their aromatic and healing properties.  Traditionally, essential oils have been used aromatically or topically with massage. More recently, scientists have studied their many chemical properties.  A single oil can contain terpenes, esters, alcohols, aldehydes, ketones, phenols, and oxides (Aroma Tools, 2011a, p. 5).

Lavender

Lavender is a widely grown essential oil crop throughout the world. Its oil is extracted using steam distillation. Alcohols, esters, and monoterpines are the major chemical constituents. 

Probable properties of Lavender: 

Analgesic                                    Antihistamine                                Antimicrobial
Antidepressant                            Anti-infectious                              Antiseptic
Antifungal                                  Anti-inflammatory                         Sedative  


                                                                                             (Abundant Health, 2012, p. 54)

Lavender to reduce anxiety:


The effects of lavender and rosemary essential oils
on test-taking anxiety among graduate nursing students, 2009

Conclusion:

In this study, the use of lavender and rosemary essential oil sachets reduced test-taking stress in graduate nursing students as evidenced by lower scores on test anxiety measure, personal statements, and pulse rates. 


Abstract:




Test taking in nursing school can produce stress that affects the ability of students to realize their goals of graduation. In this study, the use of lavender and rosemary essential oil sachets reduced test-taking stress in graduate nursing students as evidenced by lower scores on test anxiety measure, personal statements, and pulse rates.

Published:

McCaffrey, R.,  Thomas , D. J.,  Kinzelman,  A. O. (2009). The effects of lavender and rosemary essential oils on test-taking anxiety among graduate nursing students. Holistic Nursing Practice, 23, 88-93. doi: http://dx.doi.org.hal.weber.edu:2200/10.1097/HNP.0b013e3181a110aa






A multi-center, double-blind, randomised study of the
Lavender oil preparation Silexan in comparison to 
Lorazepam for generalized anxiety disorder, 2010



Conclusions:

Since lavender oil showed no sedative effects in our study and has no potential for drug abuse, silexan appears to be an effective and well tolerated alternative to benzodiazepines for amelioration of generalised anxiety.


Abstract:



Generalized and persistent anxiety, accompanied by nervousness and other symptoms (Generalised Anxiety Disorder, GAD) is frequent in the general population and leads to benzodiazepine usage. Unfortunately, these substances induce sedation and have a high potential for drug abuse, and there is thus a need for alternatives. As the anxiolytic properties of lavender have already been demonstrated in pharmacological studies and small-scale clinical trials, it was postulated that lavender has a positive effect in GAD. A controlled clinical study was then performed to evaluate the efficacy of silexan, a new oral lavender oil capsule preparation, versus a benzodiazepine. In this study, the efficacy of a 6-week-intake of silexan compared to lorazepam was investigated in adults with GAD. The primary target variable was the change in the Hamilton Anxiety Rating Scale (HAM-A-total score) as an objective measurement of the severity of anxiety between baseline and week 6. The results suggest that silexan effectively ameliorates generalized anxiety comparable to a common benzodiazepine (lorazepam). The mean of the HAM-A-total score decreased clearly and to a similar extent in both groups (by 11.3+/-6.7 points (45%) in the silexan group and by 11.6+/-6.6 points (46%) in the lorazepam group, from 25+/-4 points at baseline in both groups). During the active treatment period, the two HAM-A subscores "somatic anxiety" (HAM-A subscore I) and "psychic anxiety" (HAM-A subscore II) also decreased clearly and to a similar extent in both groups. The changes in other subscores measured during the study, such as the SAS (Self-rating Anxiety Scale), PSWQ-PW (Penn State Worry Questionnaire), SF 36 Health survey Questionnaire and Clinical Global Impressions of severity of disorder (CGI item 1, CGI item 2, CGI item 3), and the results of the sleep diary demonstrated comparable positive effects of the two compounds. In conclusion, our results demonstrate that silexan is as effective as lorazepam in adults with GAD. The safety of silexan was also demonstrated. Since lavender oil showed no sedative effects in our study and has no potential for drug abuse, silexan appears to be an effective and well tolerated alternative to benzodiazepines for amelioration of generalised anxiety.


Published:




Woelk, H., Schläfke, S. (2010). A multi-center, double-blind, randomised study of the Lavender oil preparation Silexan in comparison to Lorazepam for generalized anxiety disorder. Phytomedicine, 17, 94-99.




Aromatherapy and reducing pre-procedural anxiety: 
a controlled prospective study, 2006

Conclusion:

Although this study did not show aromatherapy to be effective based on statistical analysis, patients did generally report the lavender scent to be pleasant. Lavender is an inexpensive and popular technique for relaxation that can be offered to patients as an opportunity to promote pre-procedural stress reduction in a hospital setting.


Abstract:

The purpose of this study was to evaluate the use of aromatherapy to reduce anxiety prior to a scheduled colonoscopy or esophagogastroduodenoscopy. A controlled, prospective study was done on a convenience sample of 118 patients. The "state" component of the State Trait Anxiety Inventory (STAI) was used to evaluate patients' anxiety levels pre- and post-aromatherapy. The control group was given an inert oil (placebo) for inhalation, and the experimental group was given the essential oil, lavender, for inhalation. The STAI state anxiety raw score revealed that patients were at the 99th (women) and 96th (men) percentiles for anxiety. The intervention group and the control group had similar levels of state anxiety prior to the beginning of the study (t[116] = .47, p = .64). There was no difference in state anxiety levels between pre- and post-placebo inhalation in the control group (t[112] = .48, p = .63). There was no statistical difference in state anxiety levels between pre- and post-lavender inhalation in the experimental group (t[120] = .73, p = .47). Although this study did not show aromatherapy to be effective based on statistical analysis, patients did generally report the lavender scent to be pleasant. Lavender is an inexpensive and popular technique for relaxation that can be offered to patients as an opportunity to promote pre-procedural stress reduction in a hospital setting.


Published:

Muzzarelli, L.,  Force,  M.,  Sebold,  M. (2006). Aromatherapy and reducing pre-procedural anxiety: a controlled prospective study. Gastroenterology Nursing, 29, 466-471. doi: http://dx.doi.org.hal.weber.edu:2200/10.1016/j.phymed.2009.10.006


References:


Abundant Health, (2012). Modern Essentials: A Contemporary Guide to the Therapeutic Use of Essential Oils. Spanish Fork, UT.

    


Aroma Tools, (2011a). An Introduction of Modern Essentials: Your Guide to the Therapeutic Use of Essential Oils.