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Table 1 Studies included in the meta-analysis

From: Aromatherapy with single essential oils can significantly improve the sleep quality of cancer patients: a meta-analysis

Author, year

Sample size

Mean age(±SD)

gender (male/female)

Ethnicity

Cancer, Cancer stage

Treatment status

Intervention group:

form of intervention, time, frequency, drops/per time, length of intervention

Type of aroma oils

Control group:

control measure, length of program, contamination

Sleep quality scale

Adverse events

Zhou et al.,2021 [15]

AG 43

CG 43

44.00

AG 30/13

CG 23/20

Chinese

liver cancer

Not reported

Perioperative period

Aromatherapy inhalation

9 p.m., 1 time per day,5 drops, 2 weeks

Lavender

Usual care,

2 weeks

PSQI

Not reported

Shammas et al., 2021 [16]

AG 24

CG 17

AG 46.70

CG 48.20

female

American

Breast cancer

Not reported

Perioperative period

Aromatherapy inhalation

One day before surgery until discharge,4 drops

Lavender

Placebo

(Coconut oil),

One day before surgery until discharge

RCSQ

None

Hamzeh et al.,2020 [17]

AG1 40

AG2 40

CG 40

49.47 ± 14.52

AG1 14/26

AG2 16/24

CG 22/18

Iranian

Various

Not reported

Not reported

Aromatherapy inhalation

9 p.m.,1 time per day,3 drops,1 week

AG1 Peppermint

AG2 Lavender

Placebo

(Aromatic distilled water),

1 week

PSQI

Not reported

Kawabata et al.,2020 [18]

AG 27

CG 30

AG 76.50 ± 10.70

11/16

CG 74.90 ± 12.90

13/17

Japanese

Various

Advanced cancer

Not reported

Aromatherapy massage

8 p.m.,1 time,1 day

Compound essential oils

(Lavender and orange)

Usual care,

not reported

RCSQ

Not reported

Li et al.,2020 [19]

AG 52

CG 48

AG40.70 ± 6.20

CG 42.40 ± 7.30

female

Chinese

Breast cancer

I–IV

Undergoing chemotherapy

Aromatherapy inhalation

8 p.m.,1 time per day,2 drops,6 mouths

Lavender

Usual care,

6 courses,

not reported

PSQI

Not reported

Heydarirad et al., 2019 [20]

AG1 15

AG2 15

CG 15

AG1 47.60 ± 10.76

3/12

AG2 50.00 ± 13.94

6/9

CG 50.20 ± 18.54

8/7

Iranian

Not reported

Not reported

Aromatherapy inhalation

Half an hour before going to bed,1 time per day,5 drops,2 weeks

AG1 5% rose

AG2 10% rose

Usual care,

2 weeks,

not reported

PSQI

Headache: 2

Sneezing: 1

Blackburn et al.,2018 [21]

AG 22

CG 28

50.00

22/28

American

Leukemia

Not reported

Undergoing

chemotherapy

Aromatherapy inhalation

9 p.m.,1 time per day,8 drops,3 weeks

Lavender/ Peppermint/ Chamomile

Placebo

(Rose water),

3 weeks

PSQI

None

Ozkaraman et al., 2018 [22]

AG1 30

AG2 20

CG 20

AG1 57.73 ± 12.81

6/24

AG2 57.55 ± 12.87

3/17

CG 59.65 ± 13.37

2/18

Turk

Various

Not reported

Undergoing

chemotherapy

Aromatherapy inhalation

9 p.m.,3 drops,2 courses

AG1 Lavender

AG2 Tea tree oil

Usual care,

not reported

PSQI

Not reported

Li et al., 2018 [23]

AG 60

CG 60

63.20 ± 9.02

89/31

Chinese

Stomach cancer

I–IV

Perioperative period

Aromatherapy inhalation

9 p.m.,1 time per day,1 day

Geranium

Usual care,

not reported

PSQI

Not reported

Qi et al., 2016 [24]

AG 34

CG 35

AG 62.12 ± 10.13

21/13

CG 62.00 ± 8.83

19/16

Chinese

Colorectal cancer

I–III

Perioperative period

Aromatherapy inhalation

Afternoon and night,2 time per day,3 drops,10 days

Compound essential oil

(Lavender, geranium, bergamot, prepared according to 1:2:3)

Usual care

not reported

PSQI

Not reported

  1. Notes: CG Control Group, AG Aromatherapy Group, RCSQ The Richards-Campbell Sleep Questionnaire, PSQI The Pittsburgh Sleep Quality Index