Wpływ aromaterapii i słuchania muzyki na sen i utlenienie mózgu u dzieci z epilepsją

PURPOSE: This study compared aromatherapy and music listening with routine care regarding sleep parameters and cerebral oxygenation in children with epilepsy. DESIGN AND METHODS: This three-arm, parallel-group randomized controlled trial was conducted between February and December 2023. Ninety-six children with epilepsy were randomized to aromatherapy, music listening, or control (32 per group), and ninety were included in the per-protocol analyses (30 per group). Interventions were delivered at home during a single evening. Sleep was assessed using 24-h actigraphy, and regional cerebral oxygen saturation (rSO) was monitored for 150 min. Data were collected using the Patient Introduction and Follow-up Form, actigraphy, and the Cerebral Oxygen Monitoring Form. One-way ANOVA, Kruskal-Wallis, chi-square, Mann-Whitney U, LSD, Dunnett's C, and ANCOVA were used. RESULTS: Both interventions were associated with longer sleep duration, higher sleep efficiency, shorter sleep-onset latency, and higher rSO than routine care (p < 0.05). Aromatherapy was also associated with longer time in bed than routine care and longer sleep duration than music listening. Wake after sleep onset and nighttime awakenings did not differ significantly among groups. CONCLUSION: Both interventions were associated with favorable short-term sleep outcomes and higher rSO. The clinical significance and persistence of these findings remain uncertain. PRACTICE IMPLICATIONS: These preliminary findings support further evaluation of brief bedtime interventions in pediatric epilepsy nursing, with family education, respect for children's willingness to participate, and monitoring. TRIAL REGISTRATION: Retrospectively registered at ClinicalTrials.gov (NCT07827729; first posted September 11, 2026).