Roghaye Koohestani Ein-O-Din, Aref Faghih, Zakie Ahmadi, Reza Jamhiri, Saeed Hosseini Teshnizi, Hossein Farshidi,
Volume 26, Issue 3 (9-2020)
Abstract
Background & Aim: Anxiety is one of the most important mental problems in patients who are candidate for coronary angiography, which can have negative physiological and psychological consequences and ultimately lead to the increased hospital stay, increased patient need for analgesics, increased costs and increased incidence of angiographic complications. Therefore, the aim of this study was to determine the effect of aromatherapy on anxiety in patients undergoing coronary angiography.
Methods & Materials: In this randomized clinical trial, 80 patients undergoing coronary angiography referred to the post-cath. ward of Shahid Mohammadi hospital in Bandar Abbas in 2018 were selected and allocated into two groups of intervention and control through the random numbers table. In the intervention group, the eye pads impregnated with 0.2 ml of peppermint oil were used, and in the control group, the pads impregnated with 0.2 ml of placebo were placed on their chest for 20 minutes. Patient’s anxiety levels were recorded before and after the intervention. A demographic characteristics questionnaire and the Spielberger standard questionnaire were used for the data collection. The data were analyzed by the SPSS software version 24 using the descriptive and inferential statistical methods in accordance with the objectives of the study.
Results: The results of data analysis showed that aromatherapy reduced the anxiety of patients in the intervention group, which was significantly different from the control group (P=0.006). Paired t-test also showed that in the intervention group, the mean score of anxiety after the intervention was significantly lower than that of before the intervention (P<0.001), however this difference was not significant in the control group (P=0.90).
Conclusion: Based on the findings of the study, we can conclude that aromatherapy with the inhalation of peppermint aroma has been effective in reducing anxiety in patients undergoing coronary angiography. It is recommended that nurses use aromatherapy as a non-pharmacological approach to reduce the patients' anxiety.
Clinical trial registry: IRCT20190225042844N1
Zakieh Ahmadi, Afsaneh Alaei Sheikh Robat, Saeed Hosseini Teshnizi, Reza Jamhiry, Aref Faghih,
Volume 27, Issue 2 (7-2021)
Abstract
Background & Aim: Stress and anxiety are one of the major problems in patients undergoing semi-invasive and invasive procedures such as endoscopy. Different methods to reduce anxiety do not have the same effects. The aim of this study is to compare the effect of thought distraction by music therapy and the presence of caregiver on anxiety level of patients undergoing endoscopy.
Methods & Materials: In this randomized clinical trial, 105 patients referred to endoscopy ward of Shahid Mohammadi hospital and Persian Gulf Bandar Abbas hospital in 2018 were selected by the convenience sampling method and assigned into three groups of music therapy, presence of caregiver and control using the random allocation (35 in each group). The demographic information form and the Spielberger anxiety questionnaire (STAL) were completed before and after the intervention. In the music therapy group, patients received natural sounds through headphones. In the caregiver’s presence group, endoscopy was performed with the presence of caregiver, and the control group only received routine pre-endoscopic care. Data were analyzed using descriptive and inferential statistics through the SPSS software version 24 at a significance level of 0.05.
Results: The result of analysis of variance showed that there was no significant difference in the anxiety mean score between the three groups before the intervention (P=0.77), but a significant difference was observed after the intervention (P<0.005). The decrease in scores in the music therapy group was significant (P=0.044), but in the caregiver’s presence group (P=0.571) and the control group (P=0.663), no significant change was observed before and after endoscopy.
Conclusion: The results of this study showed that distraction with music therapy is an effective way to help patients undergoing endoscopy, and the use of this method can help the procedure to be performed better and enhance patient satisfaction.
Clinical trial registry: IRCT20190715044215N1
