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Impact of inhalation aromatherapy with Damask Rose (Rosa damascena) on stress, anxiety and hemodynamic parameters of patients undergoing coronary angiography: a single blind randomized clinical trial

  • Ali Bikmoradi , Ghodratollah Roshanaei , Shirin Moradkhani and Azad Fatahi ORCID logo EMAIL logo

Abstract

Objectives

Coronary arteries angiography is used commonly for diagnosing cardiovascular diseases. In spite of the low risk of coronary artery angiography method, it could lead to stress, anxiety and consequently hemodynamic changes in patients. This study aimed to assess the effects of inhalation aromatherapy with Rosa damascena on stress, anxiety, and hemodynamic parameters of patients undergoing coronary angiography.

Methods

A single-blind randomized clinical trial was conducted on 98 patients in Besat Educational Hospital, Hamadan, Iran. Before coronary angiography, patients at aromatherapy group inhaled five drops of 40% Rosa damascena for 20 min and in the control group, patients inhaled distilled water. Stress, anxiety, and hemodynamic parameters were measured before and after the intervention using DASS-21 questionnaire and checklist.

Results

Data were analysed by SPSS 16 software using descriptive and inferential statistics such as paired t-test and non-parametric tests. There were significant differences in terms of stress and anxiety severity in patients at aromatherapy group (p=0.005) and control group (p=0.001). There were significant differences in terms of hemodynamic parameters such as heart rate (p=0.001), mean arterial pressure (p=0.001), systolic (p=0.003) and diastolic blood pressure (p=0.001) and SpO2 (p=0.02).

Conclusions

Inhalation aromatherapy with Rosa damascena can significantly decrease stress and anxiety severity and improve hemodynamic parameters of patients undergoing coronary angiography.

Registry number

This study has registered with the number IRCT201702019759N8 at Iranian Registry Clinical Trial.


Corresponding author: Azad Fatahi, Master of Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran, Mobile: +98 9189468271, Fax: +98 8138380447, E-mail:

Award Identifier / Grant number: IR.UMSHA.REC.1396.249

Acknowledgments

We would like to thank the vice-chancellor of education and the vice-chancellor of research and technology at Hamadan University of Medical Sciences who approved and funded this study. We would also like to thank all the nurses at Cath Lab room of Besat Educational Hospital and all the patients who participated in this study. This article was extracted from a M.Sc. dissertation in medical surgical nursing, School of Nursing and Midwifery of Hamadan University of Medical Sciences.

  1. Research funding: This work was supported by the vice-chancellor of education and the vice-chancellor of research and technology at Hamadan University of Medical Sciences. [P/16/73/4/1926, 2017]. This article was extracted from a M.Sc. dissertation in medical-surgical nursing, Hamadan School of Nursing and Midwifery, approved by the Ethical Committee of Hamadan University of Medical Sciences [IR.UMSHA.REC.1396.249]. This study is registered at Iranian Registry Clinical Trial [IRCT201702019759N8].

  2. Authors’ contribution: AB: the conception and design of the study, and coordinating the acquisition of data, taking part in writing and finalization of the manuscript. AF: the conception and design of the study, data gathering and analyzing, preparing the abstract and writing the manuscript. SM and GR: data analysis and results interpretation, and writing the manuscript. All authors read and approved the final manuscript.

  3. Competing interests: There is no conflict of interest.

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jcim-2020-0415).


Received: 2020-10-23
Accepted: 2021-03-26
Published Online: 2021-05-20

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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