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Effects of a Sleep Improvement Program Combined with Aroma-Necklace on Sleep, Depression, Anxiety and Blood Pressure in Elderly Women
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Nami Chun, Myoungsuk Kim, Gie ok Noh
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J Korean Acad Nurs 2017;47(5):651-662. Published online January 15, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.5.651
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 Abstract
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- Abstract
Purpose
The purpose of this study was to evaluate the effectiveness of a sleep improvement program combined with an aroma-necklace on sleep, depression, anxiety, and blood pressure in elderly women living at home.
Methods
A program consisting of a four-week (one hour per week) sleep improvement intervention plus use of an aroma-necklace, was developed based on Cox's Interaction Model of Client Health Behavior. 70 elderly women were assigned to the experimental (n=35) or control group with no intervention (n=35). Data from 62 participants (32 in the experimental and 30 in the control) were analyzed using the SPSS 21.0 program. Women in the experimental group were instructed to constantly wear the aroma necklace filled with marjoram and orange oil until the program was completed. Sleep quality, sleep duration, sleep satisfaction, depression, anxiety, and blood pressure were measured to identify the effectiveness of the program.
Results
Significant group differences were found in sleep quality (t=-5.10, p<.001), sleep duration (z=-3.10, p=.002), sleep satisfaction (z=-4.13, p=<.001), depression (t=2.53, p=.015), and anxiety (z=-2.47, p=.014). No differences were found in the systolic or diastolic blood pressure.
Conclusion
The results indicate that a sleep improvement program combined with an aroma-necklace was effective in improving sleep disturbances in elderly women living at home. Nurses may contribute to improving sleep among elderly women by applying this program to aged women living in various environments.
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Citations
Citations to this article as recorded by  - Effectiveness of an intervention based on Cox's interaction model of client health behavior for reducing symptom burden among post-stroke patients: a randomized controlled trial
Sumin Ma, Qiaomin Tang, Songlin Li, Cui Zhou, Linyun Hu, Zhiying Wang, Xianyan Liao, Weiya Ma, Lili Hu
BMC Nursing.2025;[Epub] CrossRef - Effects of a Good Sleep Program on Sleep Quality, Stress, and Functional Health in Old-Old Women with Insomnia: A Quasi-Experimental Study
Yujin Suh, Eun-Kyoung Han
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 515. CrossRef - Effects of Orange Oil Aromatherapy on Pain and Anxiety During Invasive Interventions in Patients With Hematopoietic Stem Cell Transplants
Seckin Erdal, Merve Harman Özdoğan, Dilek Yildirim, Ayşem Kuni, Sevinc Selçuk, Azize Güneri, Elif Naz Arslan
Journal of Infusion Nursing.2024; 47(1): 54. CrossRef - Effects of the dual-task training program for Korean older adults with mild cognitive impairment in community
Eunyoung Shin, Hyun Jin Roh, Sohyune Sok
Geriatric Nursing.2024; 60: 5. CrossRef - Effects of aromatherapy on sleep quality in older adults: A meta-analysis
Kun Xu, Shouyan Wang, Quanyue Ji, Yan Ni, Tianyun Liu
Medicine.2024; 103(49): e40688. CrossRef - Effects of Aromatherapy on Mental Health: A Meta-analysis
Xinchen Zheng, Myung-Sun Lee
Asian Journal of Beauty and Cosmetology.2023; 21(3): 347. CrossRef - Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
Hye-Ja Gu, Oi-Sun Lee
International Journal of Environmental Research and Public Health.2023; 20(4): 3101. CrossRef - Effect of a Hospital-To-Home Transitional Intervention Based on an Interaction Model of Client Health Behavior for Adult Patients with Stroke
Su-Jin Cho, Sung Reul Kim, Kyung-Hee Cho, Nah-Mee Shin, Won-Oak Oh
Journal of Community Health Nursing.2023; 40(4): 273. CrossRef - The Effects of Aroma Essential Oil Inhalation on Stress, Pain, and Sleep Quality in Laparoscopic Cholecystectomy Patients: A Randomized Controlled Trial
JiA Lee, Myung-Haeng Hur
Asian Nursing Research.2022; 16(1): 1. CrossRef - Secondary prevention of coronary heart disease: The effect of a nursing intervention using Cox's interaction model of client health behaviour
Qianqian Shen, Pingping He, Min Wen, Juping Yu, Yeshi Chen, Junyi Li, Xinping Ouyang
Journal of Advanced Nursing.2021; 77(10): 4104. CrossRef - Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult
women
Youlim Kim, Hyeonkyeong Lee, Gi Wook Ryu
Korean Journal of Women Health Nursing.2020; 26(2): 120. CrossRef - The Effect of Pain Catastrophizing on Depression among Older Korean Adults with Chronic Pain: The Mediating Role of Chronic Pain Interference and Sleep Quality
Kyoung-eun Lee, Hyunju Ryu, Sun Ju Chang
International Journal of Environmental Research and Public Health.2020; 17(23): 8716. CrossRef
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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy
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Nami Chun, Gie Ok Noh, Hyun Ju Song, Sang Hee Kim
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J Korean Acad Nurs 2016;46(3):400-408. Published online June 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.3.400
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Abstract
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Purpose
This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.
Methods
One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.
Results
Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.
Conclusion
Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.
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Citations
Citations to this article as recorded by - Evaluation of pelvic floor muscle function (PFMF) in cervical cancer patients with Querleu–Morrow type C hysterectomy: a multicenter study
Shiyan Wang, Lei Gao, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Na Yu, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
Archives of Gynecology and Obstetrics.2022; 305(2): 397. CrossRef - Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy
Shiyan Wang, Runzhi Wang, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
Neurourology and Urodynamics.2021; 40(1): 483. CrossRef - Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
Nami Chun, Gie-Ok Noh
Asian Oncology Nursing.2019; 19(3): 150. CrossRef - Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
Eun Jung Yang, Ho Sihn Ryu
Korean Journal of Adult Nursing.2019; 31(1): 28. CrossRef
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