Volume 6, Issue 2 (Spring 2020)                   JCCNC 2020, 6(2): 79-86 | Back to browse issues page


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1- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences. Tehran, Iran. , moradi.moj@iums.ac.ir
2- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences. Tehran, Iran.
3- School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Board Member of Acupuncturist, the Board of Iranian Scientific Acupuncture Association of Iran, Tehran, Iran.
5- Department of Statistics, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (9829 Views)
Background: Fatigue is one of the most prevalent and debilitating complications of cancer and its treatments. Patients undergoing radiotherapy experience some degrees of fatigue. Complementary medicine methods have reduced the complications of treatments in many disorders. Accordingly, the present study was conducted to compare the effect of aromatherapy by inhalation and massage on radiotherapy-induced fatigue in patients with cancer.
Methods: In this randomized clinical trial, 105 patients with cancer undergoing radiotherapy in the oncology ward of Firouzgar Hospital in Tehran, Iran were selected conveniently based on the inclusion criteria and were randomly assigned into three groups of inhalation aromatherapy, massage aromatherapy, and control groups. In the first group, viola and almond oil were inhaled, in the second group, the Swedish massage was performed using aromatic oil, and the control group received routine care. Fatigue was measured by the Multidimensional Fatigue Inventory (MFI) before, and at the end of the intervention. The data were analyzed by descriptive and inferential statistics (ANOVA, Paired T-tests, Fischer’s exact, and Chi-square tests) using SPSS software V. 16. The significance level was considered as P≤0.05.
Results: The findings showed that the three studied groups had no significant statistical difference in terms of demographic characteristics before the intervention. Fatigue score was significantly different in all three groups after both interventions (P<0/001), which indicated a decrease in fatigue in the two test groups. However, according to Scheffe post hoc test, massage aromatherapy was more effective in reducing fatigue resulting from radiotherapy.
Conclusion: The results of this study showed that massage aromatherapy was more effective in reducing radiotherapy-induced fatigue in patients with cancer. It is recommended that future studies recruit another group that receives the only massage.
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● Fatigue is considered as one of the most prevalent complications of cancer and its treatments.
● The complementary medicine methods with low cost and low risk can be used in patients with cancer.
● An aromatherapy massage is more effective than aromatherapy by inhalation in reducing fatigue resulting from radiotherapy in patients with cancer.
Plain Language Summary 
Fatigue is one of the most prevalent complications of cancer and its treatments. The current study assessed the effect of aromatherapy by inhalation and massage on radiotherapy-induced fatigue in patients with cancer in Tehran, Iran. Cancer complications affect all aspects of life and disrupt the normal course of family life due to its debilitating nature. Fatigue management includes pharmaceutical and non-pharmaceutical interventions. Aromatherapy by massage and inhalation can be used as a cost-effective, safe, and ordinary complementary therapy to reduce fatigue in patients with cancer; however, aromatherapy by massage is more effective.

Type of Study: Applicable | Subject: Special
Received: 2019/10/4 | Accepted: 2020/03/15 | Published: 2020/05/1

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