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Effects of lavender essential oil for colorectal cancer patients with permanent colostomy on elimination of odor, quality of life, and ostomy adjustment: A randomized controlled trial

Published:August 31, 2019DOI:https://doi.org/10.1016/j.ejon.2019.08.001

      Highlights

      • Individuals with ostomy often experience odor as a problem, that may affect their quality of life and ostomy adjustment.
      • Informing individuals with ostomy about odor-preventive measures and using lavender essential oil in colostomybag:
        • o
          Can decrease the proportion of patients who complain of odor as a problem caused by uncontrolled gas and stool output.
        • o
          May increase the quality of life, ostomy adjustment, life satisfaction level, and acceptance of challenges.
        • o
          May decrease negative feelings related to work, social function, sexuality, body image, anxiety, preoccupation, and anger.

      Abstract

      Purpose

      To examine the effects of the addition of lavender essential oil to the colostomy bag of the patients with permanent colostomy on the elimination of odor, quality of life, and ostomy adjustment.

      Methods

      As a parallel group, single-blinded randomized controlled trial with repeated measures, this study was conducted between November 2016 and February 2018. Patients with a permanent colostomy that had opened at least three months before the study were stratified according to age and sex and were randomized according to days of week. The study sample included 15 patients in the experimental group and 15 in the control group. Patients in the experimental group used lavender essential oil in the ostomy bag, and patients in the control group continued their routine practices about nutrition and stoma care for 1 month.

      Results

      There were no statistically significant differences in demographic characteristics between the experimental and control groups (p > 0.05). As compared with the control group patients, the experimental group patients who used lavender essential oil in the ostomy bag experienced statistically significant less odor, a higher quality of life, and better adjustment to ostomy (all p < 0.05).

      Conclusions

      The use of lavender essential oil in the ostomy bag is a simple, low-cost, easy-to-use, and natural method that is effective for increasing both ostomy adjustment and quality of life levels and for eliminating odor in permanent colostomy patients.

      Keywords

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      References

        • Altaei D.
        Topical lavender oil for the treatment of recurrent aphthous ulcers.
        Am. J. Dent. 2012; 25: 39-43
        • Ambe P.C.
        • Kurz N.R.
        • Nitschke C.
        • Odeh S.F.
        • Moslein G.
        • Zirngibl H.
        Intestinal ostomy.
        Dtsch Arztebl Int. 2018; 115: 182-187
        • Annells M.
        The experience of flatus incontinence from a bowel ostomy: a hermeneutic phenomenology.
        J. Wound, Ostomy Cont. Nurs. 2006; 33: 518-524
        • Baccaglini L.
        There is limited evidence that topical lavender oil is effective for palliative treatment of recurrent aphthous stomatitis.
        J. Evid. Based Dent. Pract. 2013; 13: 47-49
        • Baxter N.N.
        • Novotny P.J.
        • Jacobson T.
        • Maidl L.J.
        • Sloan J.
        • Young-Fadok T.M.
        A stoma quality of life scale.
        Dis. Colon Rectum. 2006; 49: 205-212
        • Bowyer A.J.
        • Royse C.F.
        Postoperative recovery and outcomes–what are we measuring and for whom?.
        Anaesthesia. 2016; 71: 72-77
        • Çakmak A.
        • Aylaz G.
        • Kuzu M.A.
        Permanent stoma not only affects patients' quality of life but also that of their spouses.
        World J. Surg. 2010; 34: 2872-2876
        • Celasin H.
        • Karakoyun R.
        • Yilmaz S.
        • Elhan A.H.
        • Erkek B.
        • Kuzu M.A.
        Quality of life measures in islamic rectal carcinoma patients receiving counselling.
        Colorectal Dis. 2011; 13: 170-175
        • Cengiz B.
        • Bahar Z.
        Perceived barriers and home care needs when adapting to a fecal ostomy: a phenomenological study.
        J. Wound, Ostomy Cont. Nurs. 2017; 44: 63-68
        • Cheng F.
        • Xu Q.
        • Dai X.D.
        • Yang L.L.
        Evaluation of the expert patient program in a Chinese population with permanent colostomy.
        Cancer Nurs. 2012; 35: 27-33
        • Cotrim H.
        • Pereira G.
        Impact of colorectal cancer on patient and family: implications for care.
        Eur. J. Oncol. Nurs. 2008; 12: 217-226
        • Danielsen A.K.
        • Rosenberg J.
        Health related quality of life may increase when patients with a stoma attend patient education–A case-control study.
        PLoS One. 2014; 9(3): e90354https://doi.org/10.1371/journal.pone.0090354
        • Danielsen A.K.
        • Burcharth J.
        • Rosenberg J.
        Patient education has a positive effect in patients with a stoma: a systematic review.
        Colorectal Dis. 2013; 15: 276-283
        • Ferlay J.
        • Soerjomataram I.
        • Ervik M.
        • Dikshit R.
        • Eser S.
        • Mathers C.
        • Rebelo M.
        • Parkin D.M.
        • Forman D.
        • Bray F.
        World Cancer Research Data.
        2012
        • Grant M.
        • McCorkle R.
        • Hornbrook M.C.
        • Wendel C.S.
        • Krouse R.
        Development of a chronic care ostomy self-management program.
        J. Cancer Educ. 2013; 28: 70-78
        • Hoon L.S.
        • Sally C.W.C.
        • Hong-Gu H.
        Effect of psychosocial interventions on outcomes of patients with colorectal cancer: a review of the literature.
        Eur. J. Oncol. Nurs. 2013; 17: 883-891
        • Hooper J.
        • Gutman N.
        Colostomy Guide.
        2017
        • Huang L.
        • Yu H.
        • Sun A.
        • Xu F.
        • Xia C.
        • Gao D.
        • Wang D.
        Effects of continuing nursing on stomal complications, self-care ability and life quality after miles' operation for colorectal carcinoma.
        Int. J. Clin. Exp. Med. 2018; 11: 1021-1026
        • International Agency for Research on Cancer
        GLOBOCAN 2018: Estimated Cancer Incidences, Mortality and Prevalence Worldwide in 2018. Population Fact Sheets: Turkey.
        World Health Organization (WHO), 2018
        • Jones C.
        The efficacy of lavender oil on perineal trauma: a review of the evidence.
        Complement. Ther. Clin. Pract. 2011; 17: 215-220
        • Karabulut H.K.
        • Dinç L.
        • Karadag A.
        Effects of planned group interactions on the social adaptation of individuals with an intestinal stoma: a quantitative study.
        J. Clin. Nurs. 2014; 23: 2800-2813
        • Karadag A.
        • Öztürk D.
        • Çelik B.
        Adaptation of quality life scale for the ostomy patients into Turkish.
        Turkish J Surg. 2011; 21: 173-181
        • Karadag A.
        • Baykara-Göçmen Z.
        • Korkut H.
        • Çelik B.
        Adaptation of the ostomy adjustment inventory into Turkish Language.
        Turkish J Surg. 2011; 27: 206-211
        • Karadag A.
        • Karabulut H.
        • Baykara-Göçmen Z.
        • Harputlu D.
        • Toyluk E.
        • Ulusoy B.
        • Karadağ S.
        • Kahraman A.
        • Ören-Hin A.
        • Altinsoy M.
        • Akıl Y.
        • Leventoğlu S.
        A prospective, multicentered study to assess social adjustment in patients with an intestinal stoma in Turkey.
        Ostomy/Wound Manag. 2015; 61: 16-29
        • Koca-Kutlu A.
        • Ceçen D.
        • Gürgen S.G.
        • Sayın O.
        • Cetin F.
        A comparison study of growth factor expression following treatment with transcutaneous electrical nerve stimulation, saline solution, povidone-iodine, and lavender oil in wounds healing.
        Evid Based Complement Alternat Med. 2013; 2013: 361832
        • Lim S.H.
        • Chan S.W.C.
        • Lai J.H.
        • He H.G.
        A randomized controlled trial examining the effectiveness of a stoma psychosocial intervention programme on the outcomes of colorectal patients with a stoma: study protocol.
        J. Adv. Nurs. 2015; 71: 1310-1323
        • Luo B.J.
        • Qin H.Y.
        • Zheng M.C.
        Correlation between social relational quality and hope among patients with permanent colostomies.
        Int. J. Nurs. Sci. 2014; 1: 405-409
        • Lusby P.E.
        • Coombes A.L.
        • Wilkinson J.
        Comparison of wound healing following treatment with lavandula x allardii honey or essential oil.
        Phyther Res. 2006; 20: 755-757
        • Lynch B.M.
        • Hawkes A.L.
        • Steginga S.K.
        • Leggett B.
        • Aitken J.F.
        Stoma surgery for colorectal cancer.
        J. Wound, Ostomy Cont. Nurs. 2008; 35: 424-428
        • Martinson J.
        • Moore C.
        • Hamburg G.
        • Fischer A.
        The Patient with Colostomy.
        2004
        • Ohlsson-Nevo E.
        • Andershed B.
        • Nilsson U.G.
        • Anderzén-Carlsson A.
        Finding a wider horizon: experiences of being a next-of-kin of a person suffering from colorectal cancer as told after having participated in a psychoeducational program.
        Eur. J. Oncol. Nurs. 2013; 17: 324-330
        • Pinquart M.
        • Duberstein P.
        Depression and cancer mortality: a meta-analysis.
        Psychol. Med. 2010; 40: 1797-1810
        • Raudonyte A.
        • Zaliauskaite U.
        • Gulbiniene J.
        Ostomy patients' reconciliation with body image change.
        Eur. J. Oncol. Nurs. 2010; 14: 44-45
        • Sheikhan F.
        • Jahdi F.
        • Khoei E.M.
        • Shamsalizadeh N.
        • Sheikhan M.
        • Haghani H.
        Episiotomy pain relief: use of lavender oil essence in primiparous Iranian women.
        Complement. Ther. Clin. Pract. 2012; 18 (2012): 66-70
        • Simmons K.L.
        • Smith J.A.
        • Maekawa A.
        Development and psychometric evaluation of the ostomy adjustment inventory-23.
        J. Wound, Ostomy Cont. Nurs. 2009; 36: 69-76
        • The World Medical Association
        WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects.
        2017 (Updated 2017)
        • Vakilian K.
        • Atarha M.
        • Bekhradi R.
        • Chaman R.
        Healing advantages of lavender essential oil during episiotomy recovery: a clinical trial.
        Complement. Ther. Clin. Pract. 2011; 17: 50-53
        • Zhang J.E.
        • Wong F.K.Y.
        • You L.M.
        • Zheng M.C.
        • Li Q.
        • Zhang B.Y.
        • Huang M.R.
        • Ye X.M.
        • Liang M.J.
        • Liu J.L.
        Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients.
        Cancer Nurs. 2013; 36: 419-428