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. 2019 Mar;98(9):e14720.
doi: 10.1097/MD.0000000000014720.

The effects of aromatherapy massage on improvement of anxiety among patients receiving palliative care: A systematic review of randomized controlled trials

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The effects of aromatherapy massage on improvement of anxiety among patients receiving palliative care: A systematic review of randomized controlled trials

Chia-Hsien Hsu et al. Medicine (Baltimore). 2019 Mar.

Abstract

Background: Anxiety in patients receiving palliative care is a noteworthy concern because it may affect their quality of life. Aromatherapy has been widely utilized to improve anxiety among patients receiving palliative care.

Objective: To investigate the effectiveness of anxiety improvement in patients receiving palliative care by comparing the intervention group (aromatherapy massage) with the control group (common massage alone).

Methods: A literature search was performed using PubMed, Cochrane Library, Embase, MEDLINE, and CINAHL for all related studies from inception through November 30, 2018 without restriction on language. A quantitative synthesis of randomized controlled trials (RCTs) was conducted to compare the difference in effectiveness scores between the aromatherapy massage and only common massage groups by employing a random-effect model.

Results: We included three RCTs with a total of 160 participants (81 in the intervention group and 79 in the control group) in our systematic review and conducted a quantitative synthesis. The secondary data from the reviewed trials were then pooled using a random-effect model. Anxiety (mean difference = -2.60 [95% confidence interval: -7.82, 2.63], P = .33) was assessed using anxiety scores from the State-Trait Anxiety Inventory.

Conclusion: Compared with common massage alone, aromatherapy massage does not provide significant effectiveness of anxiety improvement among patients receiving palliative care.

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Figures

Figure 1
Figure 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (STAI) flow diagram.
Figure 2
Figure 2
Risk of bias summary: authors’ judgments about each risk of bias item for each included study. (“+” indicates a low risk of bias; “-” indicates a high risk of bias; “?” indicates an unclear risk of bias).
Figure 3
Figure 3
Forest plot of anxiety (State-Trait Anxiety Inventory).
Figure 4
Figure 4
Funnel plot of anxiety (State-Trait Anxiety Inventory).

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