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Review Article
Effects of Aromatherapy on Sleep Quality: A Systematic Review and Meta-Analysis
Mi-Eun Kim, Ji Hee Jun, Muyng-Haeng Hur
J Korean Acad Nurs 2019;49(6):655-676.   Published online December 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.655
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of aromatherapy on sleep quality.

Methods

This is a systematic review of randomized controlled trial studies (PROSPERO registration number CRD42017064519). In this study, the PICO were adults and the elderly, aromatherapy intervention, a comparative intervention with the control and placebo oil groups, and sleep. The selected articles were in English, Korean, and Chinese.

Results

The results of the meta-analysis showed that the effect sizes of the experimental group were 1.03 (n=763, SMD=1.03, 95% CI 0.66 to 1.39) (Z=5.47, p<.001). In the aromatherapy intervention group, the effect size of sleep was statistically significant (QB=9.39, df=2, p=.009), with a difference of 0.77 for inhalation, 1.12 for oral intake and 2.05 for massage. A post-analysis showed that the effect of massage on sleep was significantly greater than the inhalation method. The regression coefficient of the intervention period, B=0.01 (Z=1.43, p=.154), also showed that the longer the intervention period, the larger the effect size; however, it was not statistically significant.

Conclusion

A total of 23 literature analyses showed that aromatherapy is effective in improving quality of sleep, and the massage method is more effective in improving quality of sleep than the inhalation method. A meta-ANOVA showed that the aromatherapy intervention affected the high heterogeneity of the effect size. Thus, future research with stricter control in methods and experimental procedures is necessary.

Citations

Citations to this article as recorded by  
  • The effects of aroma inhalation on the quality of sleep, professional quality of life, and near-misses in medication errors among emergency room nurses on night duty in Korea: a randomized controlled trial
    Jungha Son, Chul-Gyu Kim
    Journal of Korean Biological Nursing Science.2025; 27(1): 25.     CrossRef
  • Effects of a Multimodal Intervention on Sleep Quality and Duration in Intensive Care Unit Patients
    Jieun Nam, Sukhee Ahn
    Journal of Korean Critical Care Nursing.2025; 18(1): 70.     CrossRef
  • Efficacy of Aromatherapy Against Behavioral and Psychological Disturbances in People With Dementia: A Meta-Analysis of Randomized Controlled Trials
    Po-Hao Wang, Ho-Wei Lin, Truc Tran Thanh Nguyen, Chaur-Jong Hu, Li-Kai Huang, Ka-Wai Tam, Yi-Chun Kuan
    Journal of the American Medical Directors Association.2024; 25(11): 105199.     CrossRef
  • Meta-analysis of the Effect Size of Lavender Essential Oil and Lavender Blended Essential Oils on Psychological Factors in Adults
    Mi-Na Yu, Ae-Jung Kim
    Asian Journal of Beauty and Cosmetology.2024; 22(3): 477.     CrossRef
  • THE EFFECT OF LAVENDER AROMA THERAPY ON THE SLEEP QUALITY OF PREGNANT WOMEN TM III
    Hajar Nur Fathur Rohmah
    Jurnal Midpro.2024; 16(1): 59.     CrossRef
  • Effects of aromatherapy on sore throat, nasal symptoms and sleep quality in adults infected with COVID-19: A randomized controlled trial
    Hye-Young Kang, Hye Young Ahn, Mi-Jung Kang, Myung-Haeng Hur
    Integrative Medicine Research.2023; 12(4): 101001.     CrossRef
  • Pain and sleep after open-heart surgery-inhalation peppermint essence: double-blind randomized clinical trial
    Mahla Maghami, Mohammad-Sadegh Pour‑Abbasi, Safoura Yadollahi, Mahboobeh Maghami, Ismail Azizi-fini, Mohammad-Reza Afazel
    BMJ Supportive & Palliative Care.2023; 13(e3): e1318.     CrossRef
  • Effects of Aromatherapy on Cancer Patients' Sleep and Fatigue: A Systematic Review and Meta-Analysis
    Ju Hyun Ahn, Myoungsuk Kim
    Journal of Integrative and Complementary Medicine.2023; 29(4): 212.     CrossRef
  • Harnessing the power of a good night's sleep
    Karen Colombo
    Nursing Made Incredibly Easy!.2023; 21(1): 34.     CrossRef
  • Effectiveness of aromatherapy on anxiety and sleep quality among adult patients admitted into intensive care units: A systematic review
    Jie Xi Jassie Tan, Junyao Stefanie Cai, Jeanette Ignacio
    Intensive and Critical Care Nursing.2023; 76: 103396.     CrossRef
  • Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis
    Ji-Ah Song, Hyejin Yang
    Korean Journal of Women Health Nursing.2022; 28(2): 87.     CrossRef
  • Aromatherapy with single essential oils can significantly improve the sleep quality of cancer patients: a meta-analysis
    Hui Cheng, Lu Lin, Shaotong Wang, Yueyue Zhang, Tingting Liu, Yang Yuan, Qiuyun Chen, Li Tian
    BMC Complementary Medicine and Therapies.2022;[Epub]     CrossRef
  • Effects of aromatherapy on fatigue, quality of sleep and quality of life in patients with inflammatory bowel disease: A feasibility study
    Lili You, Na Guo, Tiantian Wang, Xiang Yu, Xiaofeng Kang, Yuxia Guan, Hongpeng Liu, Jing Dong, Peili Bian, Siyao Wang, Chenxiao Bai
    Complementary Therapies in Clinical Practice.2022; 49: 101648.     CrossRef
  • The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis
    Sun Ok Jung, Hyeyoung Kim, Eunju Choi
    Journal of Korean Academy of Community Health Nursing.2022; 33(3): 340.     CrossRef
  • Visualizing Research Trends and Identifying Hotspots of Traditional Chinese Medicine (TCM) Nursing Technology for Insomnia: A 18-Years Bibliometric Analysis of Web of Science Core Collection
    Junxin Wang, Yufeng Chen, Xing Zhai, Yupeng Chu, Xiangdi Liu, Xueling Ma
    Frontiers in Neurology.2022;[Epub]     CrossRef
  • Effects of aromatherapy on sleep disorders
    Xin Song, Jiahua Peng, Weiyu Jiang, Minghua Ye, Lisheng Jiang
    Medicine.2021; 100(17): e25727.     CrossRef
  • Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis
    Jihoo Her, Mi-Kyoung Cho
    Complementary Therapies in Medicine.2021; 60: 102739.     CrossRef
  • Effect of Rosa damascena on improvement of adults’ sleep quality: a systematic review and meta-analysis of randomized controlled trials
    Mohammad Sadegh Ghorbani Rami, Morteza Nasiri, Mohammad Sadegh Aghili Nasab, Zohre Jafari, Mahya Torkaman, Shahoo Feizi, Behnam Farahmandnia, Masoomeh Asadi
    Sleep Medicine.2021; 87: 8.     CrossRef
  • The Mediating Effect of Sleep Quality in the Relationship between Academic Stress and Social Network Service Addiction Tendency among Adolescents
    Eun Sook Bae, Hye Seung Kang, Ha Na Lee
    Journal of Korean Academy of Community Health Nursing.2020; 31(3): 290.     CrossRef
  • 822 View
  • 28 Download
  • 13 Web of Science
  • 19 Crossref
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Original Article
Structural Equation Model for Sleep Quality of Female Shift Work Nurses
Ji Yeong Jeong, Mee Ock Gu
J Korean Acad Nurs 2018;48(5):622-635.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.622
AbstractAbstract PDF
Purpose

This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses.

Methods

This cross-sectional study used structural equation modeling and recruited 285 female shift work nurses from four general and university hospitals with over 300 beds located in C and J cities in Gyeongsangnamdo. Data were collected from September 27 to October 20, 2016, and then analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling. The study used SPSS/Win 18.0 and AMOS 18.0 in processing the data.

Results

The final model showed good fit to the empirical data: χ2/df=2.19, SRMR=.07, RMSEA=.07, AGFI=.85, TLI=.91, GFI=.93, GFI=.89, NFI=.87. The factors that influenced sleep quality were sleep hygiene (β=.32), perceived shift work status (β=−.16), stress response (β=.16), shift work experience (β=.15), perceived health status (β=−.14), and circadian rhythm (β=−.13) explaining 36.0% of the variance.

Conclusion

The model of sleep quality of the shift work nurses constructed in this study is recommended as a model to understand and predict the sleep quality of shift work nurses. The results suggest that strategies for improving the sleep quality of shift work nurses should focus on sleep hygiene, perceived health status, stress response, circadian rhythm, perceived shift work status, and shift work experience.

Citations

Citations to this article as recorded by  
  • The influence of COVID-19-related resilience on depression, job stress, sleep quality, and burnout among intensive care unit nurses
    Sojin Hwang, Jungmin Lee
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Holistic sleep improvement strategies for frontline nurses served during a public health emergency (COVID‐19) in Wuhan, China: A quasi‐experimental study
    Yanli Zhang, Manli Tang, Yanrong Zhou
    Nursing Open.2023; 10(3): 1471.     CrossRef
  • Associations between the Timing and Nutritional Characteristics of Bedtime Meals and Sleep Quality for Nurses after a Rotating Night Shift: A Cross-Sectional Analysis
    Jung Hoon Park, Hyuntae Park, Seongryu Bae, Jiyeon Kang
    International Journal of Environmental Research and Public Health.2023; 20(2): 1489.     CrossRef
  • Predictors of dropout in university students participating in an 8-week e-mail-based cognitive-behavioral therapy for insomnia intervention
    Hyojin Nam, Jinyoung Chang, Mickey Trockel, Isa Okajima, Chien-Ming Yang, Ngan Yin Chan, Shirley Li, Sooyeon Suh
    Sleep and Breathing.2023; 27(1): 345.     CrossRef
  • Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
    Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
    International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
  • Psychosocial factors affecting sleep quality of pre-employed firefighters: a cross-sectional study
    MyeongSeob Lim, Solam Lee, Kwanghyun Seo, Hyun-Jeong Oh, Ji-Su Shin, Sung-Kyung Kim, Hee-Tae Kang, Kyeong-Sook Jeong, Sung-Soo Oh, Sang-Baek Koh, Yeon-Soon Ahn
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
    Minjeong Yu, Smi Choi-Kwon
    Journal of Korean Academy of Nursing.2020; 50(5): 646.     CrossRef
  • Sleep quality among shift-work nurses: A systematic review and meta-analysis
    Jiwon Kang, Wonjung Noh, Youngjin Lee
    Applied Nursing Research.2020; 52: 151227.     CrossRef
  • Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
    Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
    Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
  • 533 View
  • 11 Download
  • 9 Web of Science
  • 9 Crossref
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