To evaluate the efficacy and safety of standardized aromatherapy compared with placebo in improving sleep quality among hospitalized elderly female patients with insomnia.
Female, aged ≥60 years.
Hospitalized in the Second Affiliated Hospital of Anhui Medical University.
Athens Insomnia Scale (AIS) >6.
Ability to communicate and understand instructions.
Cognitive impairment-.
History of hypersensitivity to aromatherapy oils.
Use of sedative-hypnotic medications within past 2 weeks.
Sleep disorders secondary to organic or psychiatric diseases.
Parallel
Aromatherapy
Other interventionVerify patient identity and explain the intervention. Ensure comfortable supine or semi-recumbent position. Drop 2 drops of lavender essential oil onto a sterile cotton ball; place inside disposable urine cup. Position cup 20 cm from patient's nostrils; instruct patient to perform 10 deep breaths. Place cup at bedside until morning. Lay treatment cloth under patient's wrists. Apply 1 drop of lavender oil to both thumbs, perform bilateral Shenmen (HT7) acupoint pressure on the wrist Shenmen acupoint pressure for 10 minutes per side, moderate pressure causing mild local distension but no pain. Restore patient to comfortable position; remove materials; wash hands. Record any immediate reactions or discomfort.
Placebo
Other interventionIdentical procedure using odorless fractionated coconut oil. Sham acupoint pressure on a non-acupoint location near the wrist performed identically to maintain blinding.
Athens Insomnia Scale
Total score 0-24; higher scores indicate worse insomnia.
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