NCT05573256

Brief Summary

Self-care non-pharmacological methods can help reduce the negative health effects of sleep problems or insomnia. This trial aims to investigate the effects of sleep hygiene education and lavender oil inhalation alone and in combination on sleep quality, fatigue, and health-related quality of life in adults with a stoma.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jun 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 14, 2022

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 14, 2022

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 15, 2022

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

October 7, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 10, 2022

Completed
Last Updated

October 31, 2022

Status Verified

October 1, 2022

Enrollment Period

1 month

First QC Date

October 7, 2022

Last Update Submit

October 27, 2022

Conditions

Keywords

OstomySleep HygieneLavander oilSleepFatigueQuality of Life

Outcome Measures

Primary Outcomes (3)

  • Pittsburgh Sleep Quality Index (PSQI)

    . It consists of seven subscales with a total of 19 items, of which 18 are included in scoring. Each item is evaluated over 0-3 points, and the sum of the seven subscale scores constitutes the total PSQI score. The total score that can be obtained from the scale ranges from 0 to 21, and a high total score indicates poor sleep quality. A total PSQI score of ≤5 indicates 'good sleep', and a score of \>5 indicates 'poor sleep'.

    a month

  • Chalder Fatigue Scale (CFS)

    The scale consists of 11 items, seven evaluating physical fatigue and four evaluating mental fatigue. There are four options for response to the items in the scale (less than usual, no more than usual, more than usual, and much more than usual). The overall fatigue score is obtained by summing the scores in the physical and mental fatigue subscales. The physical fatigue subscale score ranges from 0 to 21, the mental fatigue subscale score ranges from 0 to 12, and the total fatigue score ranges from 0 to 33. An increase in the scale score indicates an increase in the severity of fatigue.

    a month

  • Stoma Quality of Life Scale (SQLS)

    The remaining items are grouped into three subscales: work/social life (six items), sexuality/body image (five items), and stoma function (six items). In addition, there is one item related to the economic situation and one item related to skin irritation, which do not fall into any of the previously mentioned subscales. Minimum and maximum scores for each subscale are 0 and 100, respectively, with high scores indicating an increase in quality of life. If two items in any subscale are left unanswered in the scale, the relevant subscale is not taken into consideration during scoring, but if one item is left unanswered, it can be included in evaluation.

    a month

Study Arms (4)

Group 1 (Sleep hygiene education together with lavender oil inhalation)

EXPERIMENTAL

the participants assigned to Group 1 will be given sleep hygiene education and instructed how to apply lavender oil inhalation. The participants will be provided with charts on sleep hygiene education and lavender oil inhalation and shown how to regularly keep daily records using their charts. The participants in this group will be given a copy of the sleep hygiene education brochure and lavender oil in a 10 ml bottle.

Behavioral: Lavender oil inhalationBehavioral: Sleep hygiene education

Group 2 (Sleep hygiene education)

EXPERIMENTAL

The participants assigned to Group 2 will only be given sleep hygiene education. They will be provided with a copy of the sleep hygiene education brochure and a chart on which to record their sleep hygiene practices.

Behavioral: Sleep hygiene education

Group 3 (Lavender oil inhalation)

EXPERIMENTAL

The participants assigned to Group 3 will only be instructed on how to apply lavender oil inhalation and keep regular daily records on the chart given. The participants in this group will be given lavender oil in a 10 ml bottle.

Behavioral: Lavender oil inhalation

Group 4 (Routine care)

NO INTERVENTION

Participants assigned to Group 4 will be given routine care and no application will be made. Patient care and follow-up are routinely performed as follows: Following the patient's admission to the clinic, the first evaluation of the patient is made by the ostomy and wound care nurses within 24 hours, and patient education is initiated accompanied by the primary caregiver from the family. Throughout the period from admission to clinic to discharge, the ostomy care and education of the patient is repeated by the ostomy and wound care nurses every 72 hours. In addition, the patient and caregiver are given the contact information of the ostomy and wound care nurses and informed that they can call them at any time when they need it after discharge from the hospital.

Interventions

Lavender oil inhalation;During the trial, the participants will be asked to practice lavender oil inhalation as follows: Every night before going to bed (21:00-24:00), the participants will drop two drops of 2% lavender essential oil on a 2x2 cm cotton gauze pad in a bowl, place it at a distance of 15-20 cm from their pillows, and breath normally for 20 minutes. The participants will be instructed to repeat this process by dripping lavender oil onto a new gauze pad every night for four weeks.

Group 1 (Sleep hygiene education together with lavender oil inhalation)Group 3 (Lavender oil inhalation)

Sleep hygiene education;The participants assigned to Groups 1 and 2 will receive sleep hygiene education using the sleep hygiene education brochure, which has been prepared by the researchers based on the literature concerning the improvement of general sleep quality in individuals with a stoma.

Group 1 (Sleep hygiene education together with lavender oil inhalation)Group 2 (Sleep hygiene education)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older,
  • At least three months having passed after ostomy,
  • Having a clear level of consciousness and no disease or medication use that can negatively affect the level of consciousness,
  • Being able to communicate in Turkish,
  • Providing informed written consent to participate in the study.

You may not qualify if:

  • Lavender allergy,
  • Respiratory tract infections such as sinusitis and pneumonia,
  • Body mass index (BMI) of \>40,
  • A diagnosis of sleep disorder and/or medication use for sleep problems.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rabia Koca

Istanbul, Eyalet/YerleÅŸke, 34000, Turkey (TĂ¼rkiye)

Location

Related Publications (31)

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    PMID: 27701970BACKGROUND
  • Carlsson E, Berglund B, Nordgren S. Living with an ostomy and short bowel syndrome: practical aspects and impact on daily life. J Wound Ostomy Continence Nurs. 2001 Mar;28(2):96-105. doi: 10.1067/mjw.2001.113261.

    PMID: 11248730BACKGROUND
  • Vorbeck E, Willette-Murphy K, Meiers S, Rudel R, Alakhras M. A descriptive study to assess the impact of surgical stomas on individuals' sleep perceptions & response to sleep hygiene. Ostomy Wound Manage. 2010 Jan 1;56(1):36-44.

    PMID: 20093716BACKGROUND
  • Baldwin CM, Grant M, Wendel C, Hornbrook MC, Herrinton LJ, McMullen C, Krouse RS. Gender differences in sleep disruption and fatigue on quality of life among persons with ostomies. J Clin Sleep Med. 2009 Aug 15;5(4):335-43.

    PMID: 19968011BACKGROUND
  • Furukawa C, Morioka I. Health-Related Quality of Life and Sleep Disorders in Patients With a Urostomy: Is There a Relationship? J Wound Ostomy Continence Nurs. 2017 Jul/Aug;44(4):358-362. doi: 10.1097/WON.0000000000000334.

    PMID: 28549047BACKGROUND
  • Lillehei AS, Halcon LL, Savik K, Reis R. Effect of Inhaled Lavender and Sleep Hygiene on Self-Reported Sleep Issues: A Randomized Controlled Trial. J Altern Complement Med. 2015 Jul;21(7):430-8. doi: 10.1089/acm.2014.0327. Epub 2015 Jun 2.

    PMID: 26133206BACKGROUND
  • Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003 Jun;7(3):215-25. doi: 10.1053/smrv.2001.0246.

    PMID: 12927121BACKGROUND
  • Lytle J, Mwatha C, Davis KK. Effect of lavender aromatherapy on vital signs and perceived quality of sleep in the intermediate care unit: a pilot study. Am J Crit Care. 2014 Jan;23(1):24-9. doi: 10.4037/ajcc2014958.

    PMID: 24382614BACKGROUND
  • van der Ploeg ES, Eppingstall B, O'Connor DW. The study protocol of a blinded randomised-controlled cross-over trial of lavender oil as a treatment of behavioural symptoms in dementia. BMC Geriatr. 2010 Jul 22;10:49. doi: 10.1186/1471-2318-10-49.

    PMID: 20649945BACKGROUND
  • Cho MY, Min ES, Hur MH, Lee MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evid Based Complement Alternat Med. 2013;2013:381381. doi: 10.1155/2013/381381. Epub 2013 Feb 17.

    PMID: 23476690BACKGROUND
  • van der Watt G, Janca A. Aromatherapy in nursing and mental health care. Contemp Nurse. 2008 Aug;30(1):69-75. doi: 10.5172/conu.673.30.1.69.

    PMID: 19072192BACKGROUND
  • Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care. 2017 Mar;22(2):105-112. doi: 10.1111/nicc.12198. Epub 2015 Jul 27.

    PMID: 26211735BACKGROUND
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    PMID: 29458940BACKGROUND
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    PMID: 28985917BACKGROUND
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    PMID: 32282491BACKGROUND
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    PMID: 32308715BACKGROUND
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    PMID: 15364646BACKGROUND
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.

    PMID: 2748771BACKGROUND
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    PMID: 16392025BACKGROUND

MeSH Terms

Conditions

Sleep HygieneFatigue

Condition Hierarchy (Ancestors)

Health BehaviorBehaviorSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Rabia Koca

    Marmara University, Institute of Health Sciences

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
SEQUENTIAL
Model Details: Every night before going to bed (21:00-24:00), the participants will drop two drops of 2% lavender essential oil on a 2x2 cm cotton gauze pad in a bowl, place it at a distance of 15-20 cm from their pillows, and breath normally for 20 minutes. The participants will be instructed to repeat this process by dripping lavender oil onto a new gauze pad every night for four weeks.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 7, 2022

First Posted

October 10, 2022

Study Start

June 14, 2022

Primary Completion

July 14, 2022

Study Completion

July 15, 2022

Last Updated

October 31, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will not share

Locations