Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial

PurposeTo investigate the effects of lavender essential oil (LEO) on postoperative sleep quality and perioperative neurocognitive disorders (PNDs) in patients with intracranial tumors.Patients and methodsThis study was a randomized controlled trial in which all patients were randomly assigned to eit...

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Main Authors: Yang Liu, Yanmei Dong, Xin Wang, Yeqin Huang, Fan Wu, Fei Xia, Hongtong Bai, Hui Li, Lei Shi, Baoguo Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1584998/full
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author Yang Liu
Yanmei Dong
Yanmei Dong
Xin Wang
Yeqin Huang
Yeqin Huang
Fan Wu
Fei Xia
Fei Xia
Hongtong Bai
Hongtong Bai
Hui Li
Hui Li
Lei Shi
Lei Shi
Baoguo Wang
author_facet Yang Liu
Yanmei Dong
Yanmei Dong
Xin Wang
Yeqin Huang
Yeqin Huang
Fan Wu
Fei Xia
Fei Xia
Hongtong Bai
Hongtong Bai
Hui Li
Hui Li
Lei Shi
Lei Shi
Baoguo Wang
author_sort Yang Liu
collection DOAJ
description PurposeTo investigate the effects of lavender essential oil (LEO) on postoperative sleep quality and perioperative neurocognitive disorders (PNDs) in patients with intracranial tumors.Patients and methodsThis study was a randomized controlled trial in which all patients were randomly assigned to either the control group, which received no intervention, or the experimental group, which received LEO. Postoperative sleep quality was assessed using a dedicated sleep monitor. The PNDs were evaluated by the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the Mini-Mental State Examination (MMSE), using education-adjusted cutoffs recommended by the latest Chinese Dementia Guidelines (2023).ResultsCompared with the control group, the total sleep duration and the deep sleep duration were significantly longer in the experimental group only on the fourth postoperative day (418.48 ± 21.95 vs. 389.57 ± 49.29, P = 0.019; 95.10 ± 19.98 vs. 66.86 ± 32.69, P = 0.002). The experimental group exhibited significantly shorter sleep latency compared with the control group (13.24 ± 8.46 vs. 28.62 ± 19.86; p = 0.002). Additionally, the apnea-hypopnea index and frequency of awakenings were lower in the experimental group (14.05 ± 9.85 vs. 21.00 ± 10.78; p = 0.035; 2.67 ± 1.32 vs. 5.05 ± 2.97; p = 0.002). The duration of postoperative delirium was shorter in the experimental group compared with the control group (2.00 ± 0.82 vs. 3.80 ± 1.30; p = 0.048). On the seventh postoperative day, participants in the experimental group had lower anxiety scores than those in the control group (3.38 ± 2.27 vs. 6.14 ± 5.43; p = 0.038).ConclusionLEO inhalation aromatherapy could effectively improve postoperative sleep quality, particularly on the fourth postoperative day. It also positively impacted anxiety and reduced the duration of postoperative delirium.Clinical Trial Registrationhttps://www.chictr.org.cn/index.html, identifier ChiCTR2300073091.
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spelling doaj-art-1fd6296465834ba9aa4eaf08f32e95182025-08-20T03:00:25ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-08-011610.3389/fphar.2025.15849981584998Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trialYang Liu0Yanmei Dong1Yanmei Dong2Xin Wang3Yeqin Huang4Yeqin Huang5Fan Wu6Fei Xia7Fei Xia8Hongtong Bai9Hongtong Bai10Hui Li11Hui Li12Lei Shi13Lei Shi14Baoguo Wang15Department of Anesthesiology, Sanbo Brain Hospital, Capital Medical University, Beijin, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaChina National Botanical Garden, Beijing, ChinaDepartment of Anesthesiology, Sanbo Brain Hospital, Capital Medical University, Beijin, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaDepartment of Chemistry “G. Ciamician”, University of Bologna, Bologna, ItalyDepartment of Anesthesiology, Sanbo Brain Hospital, Capital Medical University, Beijin, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaChina National Botanical Garden, Beijing, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaChina National Botanical Garden, Beijing, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaChina National Botanical Garden, Beijing, ChinaState Key Laboratory of Plant Diversity and Specialty Crops, Institute of Botany, Chinese Academy of Sciences, Beijing, ChinaChina National Botanical Garden, Beijing, ChinaDepartment of Anesthesiology, Sanbo Brain Hospital, Capital Medical University, Beijin, ChinaPurposeTo investigate the effects of lavender essential oil (LEO) on postoperative sleep quality and perioperative neurocognitive disorders (PNDs) in patients with intracranial tumors.Patients and methodsThis study was a randomized controlled trial in which all patients were randomly assigned to either the control group, which received no intervention, or the experimental group, which received LEO. Postoperative sleep quality was assessed using a dedicated sleep monitor. The PNDs were evaluated by the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the Mini-Mental State Examination (MMSE), using education-adjusted cutoffs recommended by the latest Chinese Dementia Guidelines (2023).ResultsCompared with the control group, the total sleep duration and the deep sleep duration were significantly longer in the experimental group only on the fourth postoperative day (418.48 ± 21.95 vs. 389.57 ± 49.29, P = 0.019; 95.10 ± 19.98 vs. 66.86 ± 32.69, P = 0.002). The experimental group exhibited significantly shorter sleep latency compared with the control group (13.24 ± 8.46 vs. 28.62 ± 19.86; p = 0.002). Additionally, the apnea-hypopnea index and frequency of awakenings were lower in the experimental group (14.05 ± 9.85 vs. 21.00 ± 10.78; p = 0.035; 2.67 ± 1.32 vs. 5.05 ± 2.97; p = 0.002). The duration of postoperative delirium was shorter in the experimental group compared with the control group (2.00 ± 0.82 vs. 3.80 ± 1.30; p = 0.048). On the seventh postoperative day, participants in the experimental group had lower anxiety scores than those in the control group (3.38 ± 2.27 vs. 6.14 ± 5.43; p = 0.038).ConclusionLEO inhalation aromatherapy could effectively improve postoperative sleep quality, particularly on the fourth postoperative day. It also positively impacted anxiety and reduced the duration of postoperative delirium.Clinical Trial Registrationhttps://www.chictr.org.cn/index.html, identifier ChiCTR2300073091.https://www.frontiersin.org/articles/10.3389/fphar.2025.1584998/fulllavender essential oilintracranial tumorsleep qualityperioperative neurocognitive disordersanxiety
spellingShingle Yang Liu
Yanmei Dong
Yanmei Dong
Xin Wang
Yeqin Huang
Yeqin Huang
Fan Wu
Fei Xia
Fei Xia
Hongtong Bai
Hongtong Bai
Hui Li
Hui Li
Lei Shi
Lei Shi
Baoguo Wang
Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
Frontiers in Pharmacology
lavender essential oil
intracranial tumor
sleep quality
perioperative neurocognitive disorders
anxiety
title Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
title_full Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
title_fullStr Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
title_full_unstemmed Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
title_short Effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors: a randomized controlled trial
title_sort effects of lavender essential oil inhalation aromatherapy on postoperative sleep quality in patients with intracranial tumors a randomized controlled trial
topic lavender essential oil
intracranial tumor
sleep quality
perioperative neurocognitive disorders
anxiety
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1584998/full
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