Integrating Aromatherapy for Enhanced Postoperative Recovery in Orthopedic Fracture Patients Experiencing Pain and Nausea: A Case Study
DOI:
https://doi.org/10.71341/bmwj.v2i1.32Keywords:
Aromatherapy, Fracture, Nausea, Pain, PostoperativeAbstract
Introduction: Fractures are common injuries that often result in postoperative pain and nausea. Managing these symptoms effectively is important for patient recovery, and aromatherapy has emerged as a non-pharmacological option.
Case Description: This study involved two adult patients who experienced pain and nausea following orthopedic fracture surgery. Each morning, the patients inhaled either lemon or lavender aromatherapy. The effects were assessed 15 minutes after administration over a period of four days using assessment and observation sheets.
Discussion: The results showed that both patients experienced a reduction in pain and nausea levels. The first patient’s pain decreased from 6 to 2, and nausea from 5 to 0, while the second patient’s pain decreased from 5 to 1, and nausea from 3 to 0. These findings suggest that lemon and lavender aromatherapy may be effective in alleviating postoperative pain and nausea.
Conclusion: The use of lemon and lavender aromatherapy appeared to reduce pain and nausea in these cases, indicating potential benefits as supportive nursing interventions. Further research with larger samples is needed to confirm these preliminary observations.
References
Amir, & Rantesigi, N. (2021). The effect of lemon aromatherapy and guided imagery on reducing pain scale in patients with limb fractures. Madago Nursing Journal, 2(1), 9-14.
Andriani, R. (2022). Lavender aromatherapy to reduce labor pain. Multi Science Scientific Journal of Health, 14(2). https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/
Ariawan, I. G. N., Raya, N. A. J., & Swedarma, K. E. (2022). Application of Complementary and Alternative Medicine Therapy on Patients with Postoperative Pain After Cardiac Surgery: a Literature Review. NurseLine Journal, 7(1), 48. https://doi.org/10.19184/nlj.v7i1.27901
Astuti, L., Aini, L., Ilmi_Journal, B., Multi, I., Health, S., Studi, P., et al. (2020). The effect of lavender aromatherapy on pain scale in postoperative fracture patients (Vol. 12).
Bargi, S., Bahraminejad, N., Jafari, S., & Fallah, R. (2023). The effect of aromatherapy with Citrus aurantium aroma on pain after orthopedic surgery: A randomized clinical trial. Journal of Caring Sciences, 12(2), 116-122.
Belbachir, A., Fuzier, R., & Biau, D. (2020). Unexplained pain after scheduled limb surgery. Orthopaedics & Traumatology: Surgery & Research, 106(1), S13-S18.
Boby, H. (2022). Aromatherapy, a complementary technique in perioperative medicine. Oxymag, 35(183), 10-14. https://doi.org/10.1016/j.oxy.2022.02.005
Durust Sakalli, G., & Kara, O. (2022). Use of Complementary and Integrative Methods in the Management of Postoperative Pain: A Narrative Literature Review. Mediterranean Nursing and Midwifery, 2(2), 84-93. https://doi.org/10.5152/MNM.2022.222346
Fitria, A., Prawita, A. A., & Yana, S. (2021). The effect of lemon aromatherapy on first trimester emesis gravidarum. Jurnal Bidan Cerdas, 3(3), 96-102.
Hermawan, D. P. (2024). An overview of the incidence of postoperative nausea and vomiting in the conscious recovery room of Bunda Purwokerto General Hospital. Scientific Journal of Science and Technology, 2(7).
Komalasari, C. D., Roro, N., Suryani, L., & Hanum, F. (2024). Giving peppermint aromatherapy to prevent nausea and vomiting in postoperative patients with general anesthesia at Jatiwinangun Purwokerto hospital. Journal of Global Innovation, 2(9). https://doi.org/10.58344/jig.v2i6
Marsh, E., Millette, D., & Wolfe, A. (2022). Complementary intervention in postoperative care: Aromatherapy's role in decreasing postoperative nausea and vomiting. Journal of Holistic Nursing, 40(4), 351-358.
Meyer, T. A., Hutson, L. R., Morris, P. M., & McAllister, R. K. (2023). A postoperative nausea and vomiting update. Advances in Anesthesia, 41(1), 17-38.
Mongan, N. J. (2023). Application of deep breath relaxation to the level of pain in postoperative fracture patients in the operating room of RSUD Ibu Fatimah Soekarno Surakarta City [Kusuma Husada University Surakarta].
Nalla, S., Golla, U., Palatheeya, S., & Aouta, E. K. (2023). Aromatherapy. In Pharmacological Aspects of Essential Oils (pp. 120-125). CRC Press. https://doi.org/10.1201/9781003389774-8
Nascimento, J. C., Gonçalves, V. S. S., Souza, B. R. S., Nascimento, L. de C., Carvalho, B. M. R., Ziegelmann, P. K., et al. (2022). New approaches to the effectiveness of inhalation aromatherapy in controlling painful conditions: A systematic review with meta-analysis. Complementary Therapies in Clinical Practice, 49, 101628.
Patel, Mcconaghie, Webb, Laing, Philpott, Roach, et al. (2024). Five historical innovations that have shaped modern orthopaedic surgery. Journal of Perioperative Practice, 34(3).
Rizqi Hardhanti. (2023). Implementation of music therapy and lavender aromatherapy to reduce pain in post ORIF fracture patients. Health Information and Promotion, 2(1), 43-51.
Rosalinna. (2019). Lavender aromatherapy on the reduction of nausea and vomiting in pregnant women. Jambura Health and Sport Journal, 1(2).
Setiawan, T., Susaldi, & Tresya, E. (2022). Peppermint aroma therapy can reduce the incidence of nausea in postoperative sectio caesarea patients. Journal of Nursing Education and Practice, (2).
Shell, S., Clinton Frazee, C., & Garg, U. (2024). Quantification of Fentanyl and Norfentanyl in Whole Blood Using Liquid Chromatography-Tandem Mass Spectrometry (pp. 275-282). https://doi.org/10.1007/978-1-0716-3541-4_25
Surya, M., Zuriati, Z., Zahlimar, & Poddar, S. (2020). Nursing aromatherapy using lavender with rose essence oil for post-surgery pain management. Enferm Clin, 30, 171-174.
Taji, Y. G., Parami, P., Putra, K. A. H., & Pradhana, A. P. (2024). An overview of the incidence of postoperative nausea and vomiting after opioid use in gynecological postoperative patients at the Prof. Dr. I Goesti Ngoerah Gde Ngoerah Central General Hospital, Denpasar. Medical Science Digest, 15(1), 144-149.
Tao, L., Zhang, Z., Li, C., Huang, M., & Chang, P. (2024). The therapeutic targets and signaling mechanisms of ondansetron in the treatment of critical illness in the ICU. Frontiers in Pharmacology, 15. https://doi.org/10.3389/fphar.2024.1443169
Trandel-Korenchuk, S. C., Gujral, H., Bode, C., & Bindon, S. L. (2022). Aromatherapy blend for postoperative nausea in ambulatory surgery patients. Journal of PeriAnesthesia Nursing, 37(1), 19-23.
Utami, R. N., & Khoiriyah, K. (2020). Decrease in acute post laparatomy pain scale using lemon aromatherapy. Young Nurses, 1(1), 23.
Wang, J. Y., Huang, H. Y., Chu, W. O., Peng, T. R., Lee, M. C., Chen, S. M., et al. (2024). Aromatherapy for the prevention of postoperative nausea and vomiting: A systematic review and meta-analysis. Tzu Chi Medical Journal, 36(3), 330-339.
Zhang, P., Liao, X., Yuan, Q., Lyu, F., & Xie, S. (2023). Effect of aromatherapy on postoperative pain relief: A systematic review and meta-analysis of randomized controlled trials. European Journal of Integrative Medicine, 62, 102289.
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