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The Effect of Lavender Oil Application via Inhalation Pathway on Hemodialysis Patients' Anxiety Level and Sleep Quality

Şentürk, Arzu, MD; Tekinsoy Kartın, Pınar, PhD

doi: 10.1097/HNP.0000000000000292

Sleep and anxiety problems occur in hemodialysis (HD) patients due to physical symptoms, lifestyle changes, and psychosocial changes. To remove these sleep and anxiety problems, lavender oil inhalation is one of the nonpharmacological treatment options with less adverse effects than pharmacological methods. The purpose of this study was to determine the effect of lavender oil application via inhalation pathway on HD patients' anxiety level and sleep quality. The study was conducted with 34 HD patients who have been on HD treatment at 2 dialysis centers. The patients of the intervention group (n = 17) were told to drip 2 drops into the box and to place it 15 to 20 cm away from the pillow, 30 minutes before going to bed for 1 week. Control group (n = 17) received no intervention. Data were collected with questionnaire form, Visual Analog Scale, and Hamilton Anxiety Assessment Scale with a face-to-face interview. Subjective sleep quality of the intervention group was higher than that of control group, mean Visual Analog Scale daytime sleepiness score declined (P < .05), and mean score of sleep duration increased (P < .001) in the intervention group. However, the differences of mean score of time for falling asleep between the 2 groups were not different. The mean score of total and subdimensions of Hamilton Anxiety Assessment Scale of intervention group and control group was significantly different (P < .001). These study results provide new promising information about the effect of lavender inhalation on sleep problems and anxiety and these have made significant contributions to nursing, especially for dialysis nurses.

Department of Nursing, Niğde Zübeyde Hanım School of Health, Niğde Ömer Halisdemir University, Niğde, Turkey (Dr Şentürk); and Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey (Dr Tekinsoy Kartın).

Correspondence: Arzu Şentürk, MD, Department of Nursing, Niğde Zübeyde Hanım School of Health, Niğde Ömer Halisdemir University, PO Box 51240, Niğde, Turkey (

This paper was presented at the 17.İç Hastalıkları Kongresi, Antalya, Turkey 14-18 Ekim, 2015.

Pınar Tekinsoy Kartın was responsible for the conception, design, analysis, and interpretation of data and the final approval of the version to be published. Arzu Şentürk and Pınar Tekinsoy Kartın were responsible for drafting the article and revising it critically for important intellectual content.

This research was funded by a Master Research 08/2015(P0041/2013B) from Erciyes University, Turkey.

This study was conducted with the approval of the Medical Ethics Committee, Erciyes University, Turkey (Issue: MEC Ref. No.2014/388).

There are no financial and personal relationships of other people or organizations that could inappropriately influence to the work. The authors declare that they have no conflict of interest in publishing this research article.

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