Estudios primarios incluidos en esta revisión sistemática

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Estudio primario

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Effect of Lavender Oil on the Anxiety of Patients Before Breast Surgery.

Autores Beyliklioğlu A , Arslan S
Revista Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
Año 2019
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Este artículo está incluido en 1 Revisión sistemática Revisiones sistemáticas (1 referencia)

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Anxiety is a common problem before surgery. This study aimed to investigate the effects of inhaling lavender oil on anxiety levels in patients before breast surgery. A randomized controlled design was used. The study was conducted in surgery clinics of a university hospital in Adana, Turkey. The study included a total of 80 patients, 40 patients in the intervention group, and 40 patients in the control group, who were scheduled for breast surgery. Lavender oil was used by inhalation. A Personal Information Form and the State Anxiety Inventory were used to collect data. The mean State Anxiety Inventory pretest and post-test scores were 43.00 ± 11.48 and 37.28 ± 9.93, respectively, in the intervention group, indicating a statistically significant difference (P <.05). The mean pretest and post-test State Anxiety Inventory scores were 44.6 ± 11.45 and 42.43 ± 11.48, respectively, in the control group; however, the difference was not statistically significant (P >.05). Inhalation of lavender oil before breast surgery decreased anxiety levels of patients. Our study results suggest that the inhalation of lavender oil offered by nurses has positive effects in reducing anxiety levels.

Estudio primario

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Massage therapy alone and in combination with meditation for breast cancer patients undergoing autologous tissue reconstruction: A randomized pilot study.

Revista Complementary therapies in clinical practice
Año 2016
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Este artículo está incluido en 2 Revisiones sistemáticas Revisiones sistemáticas (2 referencias)

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This study explored whether massage combined with meditation is more helpful than massage alone for women recovering from autologous tissue reconstruction after mastectomy for breast cancer. Forty patients were randomly assigned to either massage therapy or massage plus meditation on postoperative days 1 through 3. Outcome measures were 1) visual analog scale (VAS) scores for stress, anxiety, relaxation, insomnia, alertness, fatigue, tension, pain, mood, and energy, and 2) Perceived Stress Scale-14 scores. Nineteen patients in each group finished the study. Preintervention and postintervention mean total VAS scores improved significantly in both groups ( P < .001), but no significant difference occurred between groups.

Estudio primario

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Assessing the impact of acupuncture on pain, nausea, anxiety, and coping in women undergoing a mastectomy.

Revista Oncology nursing forum
Año 2016
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Este artículo está incluido en 1 Revisión sistemática Revisiones sistemáticas (1 referencia)

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Purpose/OBJECTIVES: To compare the effect of acupuncture to a standard-of-care (control) group on pain, nausea, anxiety, and ability to cope. DESIGN: Pilot randomized, controlled trial. SETTING: Abbott Northwestern Hospital, a large, urban, tertiary care hospital in Minneapolis, Minnesota. Sample: 30 adult women undergoing surgery for breast cancer. METHODS: Women were randomly assigned to two hospital-based acupuncture treatments versus usual care after breast cancer surgery. Pain, nausea, anxiety, and the patient's ability to cope pre- and post-treatment were compared within and between groups at two different time points postoperatively. Main Research Variables: Mean change In pain, nausea, anxiety, and ability to cope by treatment group. FINDINGS: Compared to women assigned to the control group, women who received acupuncture reported a statistically significant greater reduction in pain, nausea, anxiety, and increase in ability to cope on the first postoperative day and in pain on the second postoperative day following mastectomy surgery. CONCLUSIONS: Acupuncture delivered postoperatively in the hospital after mastectomy can reduce the severity of symptoms experienced, as well as Increase the patient's ability to cope with her symptoms. However, before Implementation as a standard of care, further research needs to be conducted. Implications for Nursing: Acupuncture adds a nonpharmacologic intervention for symptom management In women undergoing mastectomies for breast cancer. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Estudio primario

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Both lavender fleur oil and unscented oil aromatherapy reduce preoperative anxiety in breast surgery patients: a randomized trial.

Revista Journal of clinical anesthesia
Año 2016
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Este artículo está incluido en 1 Revisión sistemática Revisiones sistemáticas (1 referencia)

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<b>Study OBJECTIVE: </b>The objective of this study was to determine whether lavender fleur oil (LFO) aromatherapy would reduce anxiety when administered to women before undergoing breast surgery.<b>DESIGN: </b>This was a single-site, randomized study comparing the effect of LFO to unscented oil (UO).<b>SETTING: </b>The study was conducted in the preoperative holding area of the ambulatory surgery department of NYU Langone Medical Center.<b>PATIENTS: </b>Ninety three women, 18 years and older, scheduled for breast surgery. Women meeting inclusion/exclusion criteria were randomized to either LFO or UO aromatherapy and were blind to their assigned treatment.<b>Outcome Measures: </b>Subjects completed a Speilberger State Anxiety Inventory for Adults (STAI) before and after aromatherapy. Vital signs were recorded before and after aromatherapy.<b>RESULTS: </b>STAI-State questions were divided into positive and negative emotions for analysis. Before aromatherapy, there was no significant difference between groups by individual questions or overall average answer of either positive or negative questions. The use of both LFO and UO increased the positive STAI score totals, with the LFO group having a slightly, but statistically significant, greater increase. Both resulted in a statistically significant decrease in the negative score totals after treatment. There were no differences in vital signs between groups for either treatment. Following the conclusion of the trial LFO was analyzed and found to contain a very low content of the 2 major Lavandula angustifolia constituents.<b>CONCLUSIONS: </b>Both LFO and UO aromatherapy treatments lowered anxiety before surgery despite no significant changes in vital signs. LFO treatment generated a slight but statistically significant increase in positive feelings compared with UO treatment. It is probable that the beneficial effect observed was due to both aromatherapy with LFO and a placebo effect related to the added attention given to the patients.

Estudio primario

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Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: A randomized controlled trial

Revista Journal of clinical oncology : official journal of the American Society of Clinical Oncology
Año 2015
Enlaces Pubmed DOI PubMed Central

Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias)

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Purpose To investigate the effect of live and recorded perioperative music therapy on anesthesia requirements, anxiety levels, recovery time, and patient satisfaction in women experiencing surgery for diagnosis or treatment of breast cancer. Patients and Methods Between 2012 and 2014, 207 female patients undergoing surgery for potential or known breast cancer were randomly assigned to receive either patient-selected live music (LM) preoperatively with therapist-selected recorded music intraoperatively (n = 69), patient-selected recorded music (RM) preoperatively with therapist-selected recorded music intraoperatively (n = 70), or usual care (UC) preoperatively with noise-blocking earmuffs intraoperatively (n = 68). Results The LM and the RM groups did not differ significantly from the UC group in the amount of propofol required to reach moderate sedation. Compared with the UC group, both the LM and the RM groups had greater reductions (P < .001) in anxiety scores preoperatively (mean changes [and standard deviation: -30.9 [36.3], -26.8 [29.3], and 0.0 [22.7]), respectively. The LM and RM groups did not differ from the UC group with respect to recovery time; however, the LM group had a shorter recovery time compared with the RM group (a difference of 12.4 minutes; 95% CI, 2.2 to 22.5; P = .018). Satisfaction scores for the LM and RM groups did not differ from those of the UC group. Conclusion Including music therapy as a complementary modality with cancer surgery may help manage preoperative anxiety in a way that is safe, effective, time-efficient, and enjoyable.

Estudio primario

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Efectos de la musicoterapia sobre el dolor en pacientes con cáncer de mama de la mujer después de la mastectomía radical: resultados de un ensayo controlado aleatorio.

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Autores Li XM , Yan H , Zhou KN , Dang SN , Wang DL , Zhang YP
Revista Breast cancer research and treatment
Año 2011
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Este artículo está incluido en 7 Revisiones sistemáticas Revisiones sistemáticas (7 referencias)

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La musicoterapia se ha utilizado en múltiples entornos de atención de salud para reducir la paciente dolor, la ansiedad y el estrés. Sin embargo, pocos estudios disponibles han investigado su efecto sobre el dolor en pacientes con cáncer de mama después de una mastectomía radical. El objetivo de este estudio fue explorar los efectos de la musicoterapia en la reducción del dolor en pacientes con cáncer de mama después de una mastectomía radical. Este ensayo controlado aleatorio se realizó en el Departamento de Cirugía del Centro de Oncología, Primer Hospital Afiliado de la Universidad de Xi'an Jiaotong, de marzo a noviembre de 2009. Un total de 120 pacientes con cáncer de mama que recibieron analgesia controlada Personal (PCA) después de la cirugía (mastectomía) fueron asignados aleatoriamente a dos grupos, un grupo de intervención y un grupo control (60 pacientes en cada grupo). El grupo de intervención aceptó la musicoterapia desde el primer día después de la mastectomía radical al tercer ingreso al hospital para la quimioterapia, además de la atención de enfermería de rutina, mientras que el grupo control recibió sólo la atención de enfermería de rutina. Las puntuaciones de dolor fueron medidos al inicio del estudio y tres post-test utilizando el Cuestionario General y versión china de Short-Form de McGill Pain Questionnaire. El objetivo primario fue el cambio en la puntuación de Clasificación del Dolor Index (PRI-total) desde la línea de base. La musicoterapia fue encontrado para reducir la puntuación PRI-total en el grupo de intervención en comparación significativa con el grupo de control, con una diferencia de medias (IC del 95%) de -2.38 (-2.80, -1.95), -2.41 (-2.85, -1.96) y -1.87 (-2.33, -1.42) para el primero, segundo y tercero después de los ensayos, respectivamente. Se encontraron resultados similares para la Escala Visual Analógica (EVA) y las puntuaciones (PPI) Presente intensidad del dolor. Los resultados del estudio proporcionan alguna evidencia de que la terapia de la música tiene efectos positivos tanto a corto como a largo plazo sobre el alivio del dolor en pacientes con cáncer de mama después de una mastectomía radical.

Estudio primario

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Música perioperatoria y sus efectos sobre la ansiedad, la hemodinámica y el dolor en mujeres sometidas a mastectomía.

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Revista AANA journal
Año 2011
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Este artículo está incluido en 5 Revisiones sistemáticas Revisiones sistemáticas (5 referencias)

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Cada vez hay más interés en evaluar el uso de intervenciones no farmacológicas, como la música para reducir al mínimo los posibles efectos adversos de los medicamentos que reducen la ansiedad. Este estudio utilizó un diseño cuasi-experimental para evaluar los efectos de una intervención perioperatoria música (siempre de forma continua durante todo el preoperatorio, intraoperatorio y postoperatorio) sobre los cambios en la presión arterial media (PAM), frecuencia cardíaca, la ansiedad y el dolor en mujeres con un diagnóstico de cáncer de mama sometidas a mastectomía. Un total de 30 mujeres fueron asignadas al azar a un grupo de control o al grupo de intervención música. Los resultados indicaron que las mujeres del grupo de intervención tuvieron un mayor descenso de la PAM y la ansiedad con menos dolor desde el período preoperatorio al momento del alta de la sala de recuperación en comparación con las mujeres en el grupo de control. La música es una intervención no invasiva y de bajo costo que se puede implementar fácilmente en el contexto perioperatorio, y estos hallazgos sugieren que la música perioperatoria puede reducir MAP, la ansiedad y el dolor en las mujeres sometidas a mastectomía por cáncer de mama.