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Aromatherapy Plus Music Therapy Improve Pain Intensity and Anxiety Scores in Patients With Breast Cancer During Perioperative Periods: A Randomized Controlled Trial

  • Chao Deng
    Affiliations
    National Clinical Research Center for Metabolic Diseases and Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, China
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  • Yijia Xie
    Affiliations
    Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
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  • Yan Liu
    Affiliations
    Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China

    Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China
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  • Yamin Li
    Affiliations
    Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
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  • Yangfan Xiao
    Correspondence
    Correspondence authors: Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
    Affiliations
    Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China

    Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China
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      Abstract

      Introduction

      To investigate the effect of perioperative aromatherapy (AT) or/plus music therapy (MT) on pain and anxiety level, and the potential mechanism in women experiencing breast cancer surgery.

      Methods

      A total of 160 patients with breast cancer were randomly assigned in a 1:1:1:1 ratio to receive usual care (UC), AT, MT, or combination therapy (CT) during perioperative periods. Pain intensity and anxiety scores were measured by visual analog scale. Interleukin (IL)-6 and high mobility group box 1 (HMGB-1) were measured by enzyme-linked immunosorbent assay.

      Results

      There was a significant group effect on pain, anxiety, and IL-6 and HMGB-1 levels, with the greatest improvement occurring in the CT group (P < .001). Compared with the UC group, the AT and MT groups had lower mean changes of pain intensity and IL-6 and HMGB-1 levels, and greater anxiety reduction (P < .001). However, the differences between the AT and MT groups did not reach significance (P > .05).

      Conclusion

      In patients with breast cancer, perioperative CT achieves greater pain improvement and anxiety reduction and less marked increase in IL-6 and HMGB-1 levels. These results suggest that CT is an acceptable complementary and alternative medicine for breast cancer patients.

      Key words

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