精油按摩對焦慮指標之影響──以使用呼吸器病人為例

Effects of Essential oil Massage on Anxiety Indices-Using Ventilator-Dependent Patients as an Example

目的：焦慮對加護病房的病人而言，可能會造成負面影響，包括延遲傷口之癒合、潛在呼吸道感染及免疫功能改變等問題進而延長住院，增加死亡率等，本研究目的為探討精油按摩對使用呼吸器病人之焦慮指標之影響。方法：本研究採實驗性研究方法，以隨機方式分成實驗組47人及對照組44人。實驗組給予精油按摩5分鐘，而控制組則以30分鐘休息。於介入前後收集病人之焦慮情境量表、脈搏、呼吸、血壓及血液皮質醇等焦慮指標，並以進行Difference in Difference及ANCOVA前後測之比較。結果：本研究結果顯示兩組在基本屬性與焦慮指標在前測具同質性，而比較兩組病人焦慮相關指標之差異，相較於對照組，實驗組接受精油按摩介入後其脈搏平均下降-2.15，p＜0.0001，焦慮情境量表平均下降-2.49，p=0.0137，而後測模式解釋力分別為0.8416及0.7000，呼吸、收縮壓、舒張壓及皮質醇並無達顯著差異。結論：精油按摩介入對於呼吸器使用患者可緩解脈搏次數及自覺焦慮指數。 Purposes: Anxiety may have adverse effects on patients in intensive care units, including delayed wound healing, potential respiratory infections, and changes in immune function, thereby prolonging hospitalization and increasing mortality. The aim of this study was to investigate the effects of essential oil massage on an anxiety index among patients on mechanical ventilation. Methods: An experimental study was conducted. Patients on mechanical ventilation were recruited and randomly assigned into either the experimental group (n=47) or the control group (n=44). The experimental group received 5 minutes of essential oil massage, while the control group received 30 minutes of rest. An anxiety scale (the C-STAI) was administered, and the heart rate, blood pressure, and serum cortisol levels were recorded before and after the intervention. To compare changes before and after the experiment, ANCOVA and difference-in-difference were used. Results: The results showed that both groups were homogeneous in terms of demographic characteristics and pre-test anxiety index scores. In the experimental group, the heart rate (p＜0.0001) and C-STAI scores (p=0.0137) were significantly decreased by -2.15 and -2.49, respectively, after receiving the essential oil massage. In addition, the post-test mode explanatory power values were 0.8416 and 0.7000, respectively. There was no significant difference in respiration, systolic pressure, diastolic pressure, and cortisol levels. Conclusions: Providing essential oil massage to patients on mechanical ventilation could slow down their pulse rates and improve self-perceived anxiety indices.