The Effect of Aromatherapy on Delirium in Critically Elderly Patients Undergoing Fracture Surgery

NCT06772129 | Not Yet Recruiting DMC

• 1 other identifier: SGokdemir
• Study Type: interventional
• Target: 108
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this quasi-experimental study was to examine the effect of lavender aromatherapy on delirium in patients who underwent fracture surgery, were in intensive care, and were over 60 years old. The main question of the study was, does lavender aromatherapy affect delirium scale scores? In order to examine the effect of lavender oil on delirium, the researcher will provide routine care to one group and apply aromatherapy to the other group. Both groups will be evaluated by the researcher at eight-hour intervals with the Nu-DESC delirium screening scale and the results will be compared.

Conditions

Delirium - Postoperative

Outcome Measures

Primary Outcomes (1)

• There is a difference between the delirium scores of aromatherapy and control elderly intensive care patients who have undergone fracture surgery.

  The Nu-DESC scale will be used to diagnose delirium. The Nu-DESC is an observational five-item scale that can be completed quickly. Symptoms are graded from 0 to 2 based on the presence and intensity of each symptom. Delirium may be considered if the patient's total score is 2 or higher.

  The Nu-DESC score will be measured and recorded at 8-hour intervals for 24 hours after surgery.

Study Arms (2)

aromatherapy group

ACTIVE COMPARATOR

The intervention to be performed in addition to routine care is to apply 0.3ml lavender oil to the aromatherapy necklace and leave it in an area 30 cm away from the patient's bed.

Other: Aromatherapy

control group

NO INTERVENTION

While normal care and treatment in intensive care will continue to be applied to this group, necessary measurements will be taken and recorded.

Interventions

Aromatherapy OTHER

Studies have been reviewed and no lavender aromatherapy has been found to be used for delirium.

aromatherapy group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having had surgery for a fracture and being treated in the ICU
• Being 60 years of age or older
• Having a first measured Nu-Desc score of less than 2
• Having a Glasgow coma scale score of \>13
• Being able to speak and understand Turkish

You may not qualify if:

• Having trouble smelling
• Being intubated
• Having asthma, COPD or any respiratory disorder
• Having been previously diagnosed with delirium
• Having other cognitive disorders such as Alzheimer\'s or dementia
• The patient needs to be physically restrained.
• Having multiple fractures.

Sponsors & Collaborators

• Senay Gokdemir: lead

Related Publications (3)

• Mosk CA, Mus M, Vroemen JP, van der Ploeg T, Vos DI, Elmans LH, van der Laan L. Dementia and delirium, the outcomes in elderly hip fracture patients. Clin Interv Aging. 2017 Mar 10;12:421-430. doi: 10.2147/CIA.S115945. eCollection 2017.

  PMID: 28331300 RESULT

• French J, Weber T, Ge B, Litofsky NS. Postoperative Delirium in Patients After Brain Tumor Surgery. World Neurosurg. 2021 Nov;155:e472-e479. doi: 10.1016/j.wneu.2021.08.089. Epub 2021 Aug 26.

  PMID: 34455093 RESULT

• Askarkafi F, Rayyani M, Dehghan M. The Effect of Massage With and Without Aromatic Oil on Delirium After Open-Heart Surgery: A Randomized Controlled Trial. J Chiropr Med. 2020 Mar;19(1):49-57. doi: 10.1016/j.jcm.2019.08.001. Epub 2020 Sep 3.

  PMID: 33192191 RESULT

Related Links

• American Delirium Society
• American Nursing Association

MeSH Terms

Conditions

Emergence Delirium

Interventions

Aromatherapy

Condition Hierarchy (Ancestors)

Delirium; Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Phytotherapy; Sensory Art Therapies; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Saide Faydalı, Associate Professor

  Necmettin Erbakan University, Faculty of Nursing

  STUDY DIRECTOR

Central Study Contacts

şenay Gökdemir, specialist nurse

CONTACT

+905373498551; gokdemirsenay@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: specialist nurse

Study Record Dates

• First Submitted: January 4, 2025
• First Posted: January 13, 2025
• Study Start: February 1, 2025
• Primary Completion: February 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: January 13, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will share