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Original Article
Effects of Aromatherapy on Changes in the Autonomic Nervous System, Aortic Pulse Wave Velocity and Aortic Augmentation Index in Patients with Essential Hypertension
Jung-Hee Cha, Sun-Hee Lee, Yang-Sook Yoo
Journal of Korean Academy of Nursing 2010;40(5):705-713.
DOI: https://doi.org/10.4040/jkan.2010.40.5.705
Published online: October 31, 2010

1Director of Nursing, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

2Unit Manager of Inpatient Nursing, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

3Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Yoo, Yang-Sook. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: 82-2-2258-7411, Fax: 82-2-2258-7772, ysyoo@catholic.ac.kr
• Received: October 1, 2009   • Accepted: October 14, 2010

Copyright © 2010 Korean Society of Nursing Science

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  • Purpose
    To investigate the effectiveness of aromatherapy on blood pressure, heart rate variability, aortic pulse wave velocity and the aortic augmentation index of essential hypertensive patients.
  • Methods
    Using a coin toss, 22 participants were assigned to the experimental group and 20 to the control. The experimental group was given a blend of oils of lemon (Citrus limonum), lavender (Lavandula angustifolia), and ylang ylang (Cananga odorata) which were prepared in the ratio of 2:2:1, respectively. The control group was given an artificial lemon fragrance of Limonene (35 cc) and Citral (15 cc) mixture. The experiment, inhalation, was conducted for 3 weeks (2 min per inhalation, 2 times per day) to both groups.
  • Results
    There was a noticeable difference in systolic blood pressure between the groups (p=.001), however the difference in diastolic blood pressure between the two groups was not significant. There was a notable difference in sympathetic nerve system activity of heart rate variability (p=.047). However, the differences in aortic pulse wave velocity or the aortic augmentation index were not significant.
  • Conclusion
    Aromatherapy is effective in lowering systolic blood pressure and sympathetic nerve system activity.
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Figure 1
Research design.
jkan-40-705-g001.jpg
Table 1
Homogeneity Test for Characteristics and Research Variables between Groups
jkan-40-705-i001.jpg

*Fisher's exact test.

BMI=body mass index; RAS antagonists=renin angiotensin system antagonists; CC blockers=Ca channel blockers; HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

Etc.: RAS antagonists+β-blocker, RAS antagonists+diuretics, β-blocker+CC blockers, diuretics, RAS antagonists+CC blockers+diuretics; LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.

Table 2
Comparisons of Research Variables between Groups before & after Aromatherapy
jkan-40-705-i002.jpg

HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.

Figure & Data

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        Effects of Aromatherapy on Changes in the Autonomic Nervous System, Aortic Pulse Wave Velocity and Aortic Augmentation Index in Patients with Essential Hypertension
        J Korean Acad Nurs. 2010;40(5):705-713.   Published online October 31, 2010
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      Effects of Aromatherapy on Changes in the Autonomic Nervous System, Aortic Pulse Wave Velocity and Aortic Augmentation Index in Patients with Essential Hypertension
      Image
      Figure 1 Research design.
      Effects of Aromatherapy on Changes in the Autonomic Nervous System, Aortic Pulse Wave Velocity and Aortic Augmentation Index in Patients with Essential Hypertension

      Homogeneity Test for Characteristics and Research Variables between Groups

      *Fisher's exact test.

      BMI=body mass index; RAS antagonists=renin angiotensin system antagonists; CC blockers=Ca channel blockers; HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

      Etc.: RAS antagonists+β-blocker, RAS antagonists+diuretics, β-blocker+CC blockers, diuretics, RAS antagonists+CC blockers+diuretics; LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.

      Comparisons of Research Variables between Groups before & after Aromatherapy

      HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

      LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.

      Table 1 Homogeneity Test for Characteristics and Research Variables between Groups

      *Fisher's exact test.

      BMI=body mass index; RAS antagonists=renin angiotensin system antagonists; CC blockers=Ca channel blockers; HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

      Etc.: RAS antagonists+β-blocker, RAS antagonists+diuretics, β-blocker+CC blockers, diuretics, RAS antagonists+CC blockers+diuretics; LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.

      Table 2 Comparisons of Research Variables between Groups before & after Aromatherapy

      HRV=heart rate variability; PWV=pulse wave velocity; AIx=augmentation index.

      LF norm: sympathetic nerve system activity; HF norm: parasympathetic nerve system activity.


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