芳香疗法对住院心脏病患者睡眠质量的影响：随机对照试验的系统回顾和荟萃分析。

IF 3.5 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-09-21 DOI:10.1016/j.ctim.2025.103247

Cui Ye , Xuan Huang , Ziyu Wang , Shufang Zuo , Lu Lin

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引用次数: 0

摘要

目的：评估芳香疗法对住院心脏病患者睡眠质量的影响，考虑参与者年龄、精油类型、剂量、治疗持续时间和每日使用频率等因素。方法：通过PubMed、Web of Science、Embase、Cochrane Library、CNKI、CBM、VIP、万方等8个数据库，系统检索和筛选自2025年8月8日至8月8日以随机对照试验（RCTs）形式发表的关于芳香疗法对心脏病住院患者睡眠质量影响的文献。纳入研究的方法学质量由两位审稿人使用Cochrane随机对照试验偏倚风险评估工具进行独立和严格的评估。使用预先设计的表格提取相关数据，并使用STATA 17.0进行分析。结果：共纳入9项研究，包括13项试验，涉及740名住院心脏病患者。结果表明，单一精油的芳香疗法在改善这些患者的睡眠质量方面效果中等[SMD=-0.74, 95% CI (-1.06, -0.42), p=0.003]。亚组分析显示，当患者年龄≥60岁时[SMD=-1.08, 95%CI (-1.91,-0.24)， P=0.012]，当使用大马士革玫瑰精油[SMD=-1.43, 95%CI (-2.73,-0.13)， P=0.031]，当剂量为3滴[SMD=-1.10, 95%CI (-1.87,-0.32)， P=0.005]，或当治疗时间≥3天[SMD=-0.99, 95%CI (-1.59,-0.38)， P=0.001]，均有显著改善。无不良事件报告。结论：本研究表明，单一精油可有效改善住院心脏病患者的睡眠质量，可推荐作为改善该人群睡眠质量的补充疗法。

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Effects of aromatherapy on sleep quality in hospitalized cardiac patients: A systematic review and meta-analysis of randomized controlled trials

Objectives

To evaluate the effects of aromatherapy on sleep quality in hospitalized cardiac patients, taking into account factors such as participant age, type of essential oil, dosage, treatment duration, and daily frequency of use.

Methods

A systematic search and screening of literature on the effects of aromatherapy on sleep quality in hospitalized cardiac patients, published as randomized controlled trials (RCTs) in Chinese and English from inception to 8 August, 2025, was conducted across eight databases, including PubMed, Web of Science, Embase, Cochrane Library, CNKI, CBM, VIP, and Wanfang. The methodological quality of the included studies was independently and critically assessed by two reviewers using the Cochrane Risk of Bias Assessment Tool for RCTs. Relevant data were extracted using pre-designed forms and analyzed with STATA 17.0.

Results

A total of nine studies comprising 13 trials with 740 hospitalized cardiac patients were included. The results indicated that aromatherapy with single essential oils was moderately effective in improving sleep quality in these patients [SMD = -0.74, 95 % CI (-1.06, − 0.42), p = 0.003]. Subgroup analyses revealed significant improvements when patients were aged ≥ 60 years [SMD = -1.08, 95 %CI (-1.91,-0.24), P = 0.012], when Rosa damascena essential oil was used [SMD = -1.43, 95 %CI (-2.73,-0.13), P = 0.031], when the dosage was > 3 drops [SMD = -1.10, 95 %CI (-1.87,-0.32), P = 0.005], or when the treatment duration was ≥ 3 days [SMD = -0.99, 95 %CI (-1.59,-0.38), P = 0.001]. No adverse events were reported.

Conclusion

This study reveals that single essential oils are effective in improving sleep quality in hospitalized cardiac patients and can be recommended as a complementary therapy to improve sleep quality in this population.

Registration

PROSPERO: CRD42024535895.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.