Quality of Life Clinical Trial
Official title:
Hao-Yuan Chang, Assistant Professor, School of Nursing, National Taiwan University
Background: Our pilot study showed that the prevalence of headaches is 43.5% among nurses
working in critical care units in a medical center in Taiwan. In the pilot study, 70% nurses
with headache are willing to participate in this intervention study with essential oil. The
effect of aromatherapy (essential oils through smelling) is convenient for nurses but still
lacks strong evidences regarding relieving headaches.
Purpose: Thus, in this intervention study, we will examine whether the necklace with
essential oil can (1) improve the pain intensity and frequency of headache; (2) reduce the
score of headache disability inventory (HDI) and (3) improve the nurses' quality of life and
care quality.
Method: Cluster randomized control trial from 16 critical care units at a medical center in
Taiwan. The International Classification of Headache Disorders (ICHD, 3rd edition) was used
to identify the headache type as "migraine" or "tension-type headache." We will recruit the
nurses from 16 critical care units who has migraine or tension-type headache and cluster
random assign (according to the ward unit) to group A and B. The intervention of necklace
with essential oil will use to compare with the other group. According to power analysis and
possible attrition rate, 103 nurses will be recruited. All participants will be asked to
complete self-administrated questionnaires, including headache information questions,
headache disability inventory (HDI), Migraine Specific Quality of Life Questionnaire version
2.1 (MSQv2.1), Copenhagen burnout inventory (CBI), Service Quality Scale (SERVQUAL),
Intention to leave inventory (ITL), Depression, Anxiety and Stress Scale (DASS-21), Tasks
Undone-13 (TU-13). The quantitative data will analyze by percentage, mean, standard
deviation, chi-square test, and generalized estimating equation (GEE).
Expected outcomes and future implications: The aromatherapy (necklace with essential oil) can
reduce the pain intensity, frequency, disability of headaches, as well as enhance nurses'
quality of life and care quality.
This study adopts an experimental design with cluster randomization based on the ward unit. Eligible subjects are diagnosed migraine or tension-type headache nurses who are working in the critical care units and also have nurse license. Before conducting this study, the study has been approved by the institutional review board (IRB). The researcher (co-PI) and research assistances will approach potential participants during the ward meeting and invite them to participate in the study. Potential participants would be informed of the study purposes and interventions process, and be assessed and confirmed their type of headache. After completing the written-informed consent, the interventions will be arranged. In order to control the quality of data collection, PI and co-PI have trained the research assistants. Research training included standardized research process and ethical concerns about collection of research data, methods of approaching eligible subjects, interviewing techniques of data collection. ;
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