The Effectiveness of a Combination of Lavender Aromatherapy and Sleep Hygiene in Improving Sleep Quality in Patients with Diabetes Mellitus: A Quasi Experimental Study
DOI:
https://doi.org/10.23917/bik.v18i1.8241Keywords:
Type 2 diabetes mellitus (T2DM), Lavender aromatherapy, sleep hygiene, sleep qualityAbstract
Type 2 diabetes mellitus (T2DM) is often accompanied by sleep disturbances that can worsen glycemic control and increase the risk of complications. The combination of lavender aromatherapy and sleep hygiene is a non-pharmacological intervention that can potentially improve sleep quality in T2DM patients. This study aims to evaluate the effectiveness of lavender aromatherapy and sleep hygiene in improving sleep quality in T2DM patients. The study used a quasi-experimental design with a pre-test and post-test approach. The sample consisted of 15 inpatients with T2DM at PKU Muhammadiyah Gamping Hospital, who were selected using an accidental sampling method. Interventions included lavender aromatherapy inhalation and sleep hygiene implementation, including ablution, prayer, sleeping position, and lighting. Data were analyzed using paired t-tests to see changes in Pittsburgh Sleep Quality Index (PSQI) scores before and after the intervention. The mean PSQI score of the patients decreased significantly from 8.67 before the intervention to 5.40 after the intervention (p=0.001), indicating a significant improvement in sleep quality. The combination of lavender aromatherapy and sleep hygiene effectively improves sleep quality in T2DM patients. This intervention can be adopted in nursing practice to manage sleep disorders holistically.
Downloads
References
Andriani, R., Orita Satria, Nurhadia, N., & Crasdian Afri Yudi. (2023). Sleep And Hba1c In Adult Patients With Type 2 Diabetes Mellitus. Jurnal Berita Ilmu Keperawatan, 16(2), 150–160. https://doi.org/10.23917/bik.v16i2.1764
Ariska, M., & Faridah, I. (2020). Study Literature Review: Pengaruh Aromaterapi Terhadap Kualitas Tidur, Kualitas Hidup, Kelelahan & Kecemasan Pada Pasien Diabetes Melitus. Interest : Jurnal Ilmu Kesehatan, 9(2), 237–259. https://doi.org/10.37341/interest.v9i2.229
Azharuddin, M., Kapur, P., Adil, M., Ghosh, P., & Sharma, M. (2020). Health-related quality of life and sleep quality among North Indian type 2 diabetes mellitus patients: evidence from a cross-sectional study. Sleep Medicine, 73, 93–100. https://doi.org/10.1016/j.sleep.2020.04.022 PubMed: PMID: 32799030
Bellon, F., Mora-Noya, V., Pastells-Peiró, R., Abad-Corpa, E., Gea-Sánchez, M., & Moreno-Casbas, T. (2021). The efficacy of nursing interventions on sleep quality in hospitalized patients: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 115, 103855. https://doi.org/10.1016/j.ijnurstu.2020.103855 PubMed: PMID: 33383270
Buckner, C. A., Lafrenie, R. M., Dénommée, J. A., Caswell, J. M., & Want, D. A. (2018). Complementary and alternative medicine use in patients before and after a cancer diagnosis. Current Oncology (Toronto, Ont.), 25(4), e275–e281. https://doi.org/10.3747/co.25.3884 PubMed: PMID: 30111972
Chung, K. F., Lee, C. T., Yeung, W. F., Chan, M. S., Chung, E. W. Y., & Lin, W. L. (2018). Sleep hygiene education as a treatment of insomnia: A systematic review and meta-analysis. Family Practice, 35(4), 365–375. https://doi.org/10.1093/fampra/cmx122 PubMed: PMID: 29194467
Chusnan, M., Fajrini, F., Latifah, N., Julis, D., Saputra, N., & Herdiansyah, D. (2021). Indonesian Journal of Islam and Public Health Ablution Before Sleep As a Preventive Therapy for Sleep Disorders. Indonesian Journal of Islam and Public Health •, 1(1), 73. https://e-journal.fkmumj.ac.id/index.php/IJIPH/article/view/190/134
Darraj, A. (2023). The Link Between Sleeping and Type 2 Diabetes: A Systematic Review. Cureus, 15(11). https://doi.org/10.7759/cureus.48228 PubMed: PMID: 38050514
Febriani, D. H. (2024). Predictors of Sleep Quality Among Type 2 Diabetes Mellitus Patients. Jurnal Berita Ilmu Keperawatan, 17(1), 9–16. https://doi.org/10.23917/bik.v17i1.3529
Hatami, F., Tahmasbi, F., & Hatami Shahmir, E. (2017). تأث یر تصو و مشاهده یرسازی ر سرکوب بر عمل یتم م یو بسکتبال آزاد پرتاب در * فرزانه حاتم ی 1 ، فرش ید طهماسب ی 2 ، حاتم الهام ی شاه میر 3. Neuropsychology, 3(8), 85–102.
IDF. (2021). International Diabetes Federation. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013
Khalil, M., Power, N., Graham, E., Deschênes, S. S., & Schmitz, N. (2020). The association between sleep and diabetes outcomes – A systematic review. Diabetes Research and Clinical Practice, 161, 1–12. https://doi.org/10.1016/j.diabres.2020.108035 PubMed: PMID: 32006640
Lin, P. C., Lee, P. H., Tseng, S. J., Lin, Y. M., Chen, S. R., & Hou, W. H. (2019). Effects of aromatherapy on sleep quality: A systematic review and meta-analysis. Complementary Therapies in Medicine, 45(June), 156–166. https://doi.org/10.1016/j.ctim.2019.06.006 PubMed: PMID: 31331554
Lou, P., Qin, Y., Zhang, P., Chen, P., Zhang, L., Chang, G., Li, T., Qiao, C., & Zhang, N. (2015). Association of sleep quality and quality of life in type 2 diabetes mellitus: A cross-sectional study in China. Diabetes Research and Clinical Practice, 107(1), 69–76. https://doi.org/10.1016/j.diabres.2014.09.060 PubMed: PMID: 25458325
Lucena, L., dos Santos-Junior, J. G., Tufik, S., & Hachul, H. (2021). Lavender essential oil on postmenopausal women with insomnia: Double-blind randomized trial. Complementary Therapies in Medicine, 59(April), 102726. https://doi.org/10.1016/j.ctim.2021.102726 PubMed: PMID: 33905827
Maharianingsih, N. M., Iryaningrat, A. . S. I., & Brata Putri, D. W. (2020). Administered of Lavender (Lavandula Angustifolia) Aromatherapy To Improve Sleep Quality for the Elderly. Ad-Dawaa’ Journal of Pharmaceutical Sciences, 3(2), 72–81. https://doi.org/10.24252/djps.v3i2.17926
Malloggi, E., Menicucci, D., Cesari, V., Frumento, S., Gemignani, A., & Bertoli, A. (2022). Lavender aromatherapy: A systematic review from essential oil quality and administration methods to cognitive enhancing effects. Applied Psychology: Health and Well-Being, 14(2), 663–690. https://doi.org/10.1111/aphw.12310 PubMed: PMID: 34611999
Marjollet, A., Weiszenstein, M., Henri, M., Thomas, A., Godin-Ribuot, D., & Polak, J. (2015). The impact of sleep disorders on glucose metabolism: Endocrine and molecular mechanisms. Diabetology and Metabolic Syndrome, 7(1), 1–16. https://doi.org/10.1186/s13098-015-0018-3 PubMed: PMID: 25834642
Modarresnia, L., Golgiri, F., Madani, N. H., Emami, Z., & Tanha, K. (2018). Restless Legs Syndrome in Iranian People With Type 2 Diabetes Mellitus: The Role in Quality of Life and Quality of Sleep. Journal of Clinical Sleep Medicine, 14(2), 223–228. https://doi.org/10.5664/jcsm.6938 PubMed: PMID: 29351820
Monika, S., Rayasari, F., & Badirah, S. (2021). Pengaruh Wudhu Sebelum Tidur Terhadap Kualitas Tidur Pasien Hipertensi di RSUD Dr. Chasbullah Abdulmadjid Kota Bekasi. Forikes, 12(1), 148–151. http://dx.doi.org/10.33846/sf12nk127
Nasiri Lari, Z., Hajimonfarednejad, M., Riasatian, M., Abolhassanzadeh, Z., Iraji, A., Vojoud, M., Heydari, M., & Shams, M. (2020). Efficacy of inhaled Lavandula angustifolia Mill. Essential oil on sleep quality, quality of life and metabolic control in patients with diabetes mellitus type II and insomnia. Journal of Ethnopharmacology, 251(December 2019), 112560. https://doi.org/10.1016/j.jep.2020.112560 PubMed: PMID: 31931160
Osonoi, Y., Mita, T., Osonoi, T., Saito, M., Tamasawa, A., Nakayama, S., Someya, Y., Ishida, H., Kanazawa, A., Gosho, M., Fujitani, Y., & Watada, H. (2015). Poor sleep quality is associated with increased arterial stiffness in Japanese patients with type 2 diabetes mellitus. BMC Endocrine Disorders, 15(1), 1–7. https://doi.org/10.1186/s12902-015-0026-1 PubMed: PMID: 26084960
Rahmadhani, D. Y. (2022). The Effectiveness of Lavender Aromatherapy on Blood Pressure among Elderly with Essential Hypertension. The Journal of Palembang Nursing Studies, 1(1), 1–8. https://doi.org/10.55048/jpns.v1i1.8
Salamung, N., & Elmiyanti, N. K. (2023). Effect of Aromatherapy on Sleep Quality: A Systematic Review. International Journal of Nursing and Health Services (IJNHS), 6(5), 292–302. https://doi.org/10.35654/ijnhs.v6i5.728
Sokwalla, S. M. R., Joshi, M. D., Amayo, E. O., Acharya, K., Mecha, J. O., & Mutai, K. K. (2017). Quality of sleep and risk for obstructive sleep apnoea in ambulant individuals with type 2 diabetes mellitus at a tertiary referral hospital in Kenya: A cross-sectional, comparative study. BMC Endocrine Disorders, 17(1), 1–8. https://doi.org/10.1186/s12902-017-0158-6 PubMed: PMID: 28166768
Sudayasa, I. P., Rahman, M. F., Eso, A., Jamaluddin, J., Parawansah, P., Alifariki, L. O., Arimaswati, A., & Kholidha, A. N. (2020). Deteksi Dini Faktor Risiko Penyakit Tidak Menular Pada Masyarakat Desa Andepali Kecamatan Sampara Kabupaten Konawe. Journal of Community Engagement in Health, 3(1), 60–66. https://doi.org/10.30994/jceh.v3i1.37
Susiyanti, E., & Dharmayanti, L. (2023). Efektifitas Pemberian Aromaterapi Essential Oil Lavender Terhadap Penurunan Tingkat Nyeri Pada Ibu Bersalin. Pengembangan Ilmu Dan Praktik Kesehatan, 2(2), 71–81. https://doi.org/10.56586/pipk.v2i2.268
Talih, F., Aajaltouni, J., & Kobeissy, F. (2016). Restless leg syndrome in hospitalized psychiatric patients in Lebanon: A pilot study. Neuropsychiatric Disease and Treatment, 12, 2581–2586. https://doi.org/10.2147/NDT.S116271 PubMed: PMID: 27785035
Tsai, Y. W., Kann, N. H., Tung, T. H., Chao, Y. J., Lin, C. J., Chang, K. C., Chang, S. S., & Chen, J. Y. (2012). Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Family Practice, 29(1), 30–35. https://doi.org/10.1093/fampra/cmr041 PubMed: PMID: 21795758
Vitani, R. A., Ongebele, M. G., & Setyaningrum, N. (2020). Tinjauan Literatur:Terapi Spiritual (Doa Dan Relaksasi) Untuk Pasien Diabetes Mellitus Tipe 2. Jurnal Perawat Indonesia, 4(3), 490–498. https://doi.org/10.32584/jpi.v4i3.808
Westman, E. C. (2021). Type 2 Diabetes Mellitus: A Pathophysiologic Perspective. Frontiers in Nutrition, 8(August), 1–5. https://doi.org/10.3389/fnut.2021.707371 PubMed: PMID: 34447776
Downloads
Submitted
Accepted
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Yuli Widyastuti, Fitrian Rayasari, Dewi Anggareni, Wati Jumaiyah, Ita Indraswaty
This work is licensed under a Creative Commons Attribution 4.0 International License.
