An overview of the comparison of inhalation aromatherapy on emotional distress of female and male patients in preoperative period

Abed Ebrahimi; Jamshid Eslami; Isan Darvishi; Khadijeh Momeni; Marzieh Akbarzadeh

doi:10.1515/jcim-2020-0464

Artikel

An overview of the comparison of inhalation aromatherapy on emotional distress of female and male patients in preoperative period

Abed Ebrahimi , Jamshid Eslami , Isan Darvishi , Khadijeh Momeni und Marzieh Akbarzadeh

Veröffentlicht/Copyright: 12. Mai 2021

Veröffentlicht von

Veröffentlichen auch Sie bei De Gruyter Brill

Manuskript einreichen Informationen für Autor*innen Erkunden Sie dieses Fachgebiet

Aus der Zeitschrift Journal of Complementary and Integrative Medicine Band 19 Heft 1

Abstract

Objectives

Many patients experience anxiety and stress before surgery. Anxiety is also different in men and women so that the prevalence of anxiety disorders in women is higher than men. The present study aimed to compare the effect of inhalation aromatherapy on emotional distress of men and women before surgery.

Methods

This study conducted as a randomized, single blind, placebo-controlled, prospective and clinical trial. It was performed in hospitals affiliated to Shiraz University of Medical Sciences. 90 patients were selected as candidates for surgery and were divided into two intervention groups and one control group. Patients completed the State-Trait Anxiety Inventory questionnaire before the intervention. Patients completed the State-Trait Anxiety Inventory questionnaire (STAI) after 20 min of intervention. Then the data were analyzed using SPSS software, version 16. The significance level in all testes was set at <0.05.

Results

Relatively severe anxiety was not observed in men after intervention with lavender and spring orange. In women, relatively severe anxiety was not observed after the intervention with lavender, but in the spring orange group, only in 6.7% of people, relatively severe anxiety and traits were observed, which has decreased compared to before the intervention. In addition, the severity of anxiety in women in the control group increased after placebo intervention (p<0.05).

Conclusions

The results showed that inhalation of Citrus aurantium and lavender aroma reduces anxiety in male and female patients.

Keywords: anxiety; aromatherapy; Citrus aurantium ; lavender oil

Corresponding author: Marzieh Akbarzadeh, Department of Midwifery, Maternal-Fetal Medicine Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran, Phone: 0711 6474250, Fax: 0711 647425, E-mail: marzieh.akhbar@gmail.com

Acknowledgements

We would like to thank Shiraz University of Medical Sciences, Shiraz, Iran and also Center for Development of Clinical Research of Namazi Hospital. We also thank all the patients who participated in this study.

Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Conflict of interest: The authors declare that they have no competing interests.

References

1. Eslami, J, Ebrahimi, A, Hosseinkhani, A, Khazaei, Z, Darvishi, I. The effect of aromatherapy using Lavender (Lavandula angustifolia Miller) and Citrus aurantium L. extracts to treat anxiety of patients undergoing laparoscopic cholecystectomy: a randomized clinical trial in Iran. Biomed Res Therapy 2018;5:2096–110. https://doi.org/10.15419/bmrat.v5i3.423.Suche in Google Scholar

2. Ebrahimi, A, Ghodrati, F. Investigation of the effectiveness of some complementary medicine and techniques based on religious approach and Islamic spirituality therapy in reducing prenatal and delivery anxiety. Women’s Health Bull 2020;7:1–10.Suche in Google Scholar

3. Akinsulore, A, Owojuyigbe, AM, Faponle, AF, Fatoye, FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East J Anesthesiol 2015;23:235–40.Suche in Google Scholar

4. Nigussie, S, Belachew, T, Wolancho, W. Predictors of preoperative anxiety among surgical patients in Jimma University specialized teaching hospital, South Western Ethiopia. BMC Surg 2014;14:67. https://doi.org/10.1186/1471-2482-14-67.Suche in Google Scholar PubMed PubMed Central

5. Zakerimoghadam, M, Aliasgharpoor, M, Mehran, A, Mohammadi, S. Effect of patient education about pain control on patients’ anxiety prior to abdominal surgery. J Hayat 2010;15:13–22.Suche in Google Scholar

6. Altemus, M, Sarvaiya, N, Epperson, CN. Sex differences in anxiety and depression clinical perspectives. Front Neuroendocrinol 2014;35:320–30. https://doi.org/10.1016/j.yfrne.2014.05.004.Suche in Google Scholar PubMed PubMed Central

7. Scariot, R, Tomaz, CO, Calixto, RD, Gerber, JT, Petinati, MFP, Cavalcante, RC, et al.. Association between gender, estrogen receptors genes and anxiety levels in patients undergoing orthognathic surgery. J Cranio Maxillofacial Surg 2019;47:1300–5. https://doi.org/10.1016/j.jcms.2019.05.003.Suche in Google Scholar PubMed

8. Mulugeta, H, Ayana, M, Sintayehu, M, Dessie, G, Zewdu, T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol 2018;18:155. https://doi.org/10.1186/s12871-018-0619-0.Suche in Google Scholar PubMed PubMed Central

9. Jiwanmall, M, Jiwanmall, SA, Williams, A, Kamakshi, S, Sugirtharaj, L, Poornima, K, et al.. Preoperative anxiety in adult patients undergoing day care surgery: prevalence and associated factors. Indian J Psychol Med 2020;42:87–92. https://doi.org/10.4103/ijpsym.ijpsym_180_19.Suche in Google Scholar

10. Yilmaz, M, Sezer, H, Gürler, H, Bekar, M. Predictors of preoperative anxiety in surgical inpatients. J Clin Nurs 2012;21:956–64. https://doi.org/10.1111/j.1365-2702.2011.03799.x.Suche in Google Scholar PubMed

11. Matthias, AT, Samarasekera, DN. Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiol Taiwanica 2012;50:3–6. https://doi.org/10.1016/j.aat.2012.02.004.Suche in Google Scholar PubMed

12. Kiyohara, LY, Kayano, LK, Oliveira, LM, Yamamoto, MU, Inagaki, MM, Ogawa, NY, et al.. Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin 2004;59:51–6. https://doi.org/10.1590/s0041-87812004000200001.Suche in Google Scholar PubMed

13. Ebrahimi, A, Tayebi, N, Fatemeh, A, Akbarzadeh, M. Investigation of the role of herbal medicine, acupressure, and acupuncture in the menopausal symptoms: an evidence-based systematic review study. J Fam Med Prim Care 2020;9:2638. https://doi.org/10.4103/jfmpc.jfmpc_1094_19.Suche in Google Scholar PubMed PubMed Central

14. Kwon, S, Ahn, J, Jeon, H. Can aromatherapy make people feel better throughout exercise? Int J Environ Res Publ Health 2020;17:4559. https://doi.org/10.3390/ijerph17124559.Suche in Google Scholar PubMed PubMed Central

15. Howard, S, Hughes, BM. Expectancies, not aroma, explain impact of lavender aromatherapy on psychophysiological indices of relaxation in young healthy women. Br J Health Psychol 2008;13:603–17. https://doi.org/10.1348/135910707x238734.Suche in Google Scholar PubMed

16. Goes, TC, Antunes, FD, Alves, PB, Teixeira-Silva, F. Effect of sweet orange aroma on experimental anxiety in humans. J Alternat Compl Med 2012;18:798–804. https://doi.org/10.1089/acm.2011.0551.Suche in Google Scholar PubMed

17. Hadipour, A, Hoseini Mazinani, M, Mehrafarin, A. Changes in essential oil content/composition and shoot aerial yield of lavender (Lavandula officinalis L.) affected by different treatments of nitrogen. J Med Plants 2013;2:156–69.Suche in Google Scholar

18. Jafari-Koulaee, A, Ilali, E. The effect of aromatherapy with lavender essence on anxiety control in patients: a systematic review study. Clin Excel 2020;10:21–31.Suche in Google Scholar

19. Farshbaf-Khalili, A, Kamalifard, M, Namadian, M. Comparison of the effect of lavender and bitter orange on anxiety in postmenopausal women: a triple-blind, randomized, controlled clinical trial. Compl Ther Clin Pract 2018;31:132–8. https://doi.org/10.1016/j.ctcp.2018.02.004.Suche in Google Scholar PubMed

20. Mirzaei, F, Keshtgar, S, Kaviani, M, Rajaeifar, A. The effect of lavender essence smelling during labor on cortisol and serotonin plasma levels and anxiety reduction in nulliparous women. J Kerman Univ Med Sci 2009;16:245–54.Suche in Google Scholar

21. Moradi, K, Ashtarian, H, Danzima, NY, Saeedi, H, Bijan, B, Akbari, F, et al.. Essential oil from Citrus aurantium alleviates anxiety of patients undergoing coronary angiography: a single-blind, randomized controlled trial. Chin J Integr Med 2021;27:177–82. https://doi.org/10.1007/s11655-020-3266-5.Suche in Google Scholar PubMed

22. Kritsidima, M, Newton, T, Asimakopoulou, K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised‐controlled trial. Community Dent Oral Epidemiol 2010;38:83–7. https://doi.org/10.1111/j.1600-0528.2009.00511.x.Suche in Google Scholar PubMed

23. Braden, R, Reichow, S, Halm, MA. The use of the essential oil lavandin to reduce preoperative anxiety in surgical patients. J PeriAnesthesia Nurs 2009;24:348–55. https://doi.org/10.1016/j.jopan.2009.10.002.Suche in Google Scholar PubMed

24. Namazi, M, Akbari, SAA, Mojab, F, Talebi, A, Majd, HA, Jannesari, S. Aromatherapy with Citrus aurantium oil and anxiety during the first stage of labor. Iran Red Crescent Med J 2014;16:e18371. https://doi.org/10.5812/ircmj.18371.Suche in Google Scholar PubMed PubMed Central

25. Spielberger, CD. State-trait anxiety inventory. In: The Corsini encyclopedia of psychology. John Wiley & Sons, Inc.; 2010:1 p. https://doi.org/10.1002/9780470479216.corpsy0943.Suche in Google Scholar

26. Bech, P, Gormsen, L, Loldrup, D, Lunde, M. The clinical effect of clomipramine in chronic idiopathic pain disorder revisited using the Spielberger State Anxiety Symptom Scale (SSASS) as outcome scale. J Affect Disord 2009;119:43–51. https://doi.org/10.1016/j.jad.2009.03.007.Suche in Google Scholar PubMed

27. Ogata, K, Ataka, K, Suzuki, H, Yagi, T, Okawa, A, Fukumoto, T, et al.. Lavender oil reduces depressive mood in healthy individuals and enhances the activity of single oxytocin neurons of the hypothalamus isolated from mice: a preliminary study. Evid Based Compl Alternat Med 2020;2020:1–9. https://doi.org/10.1155/2020/5418586.Suche in Google Scholar PubMed PubMed Central

28. Conrad, P, Adams, C. The effects of clinical aromatherapy for anxiety and depression in the high risk postpartum woman – a pilot study. Compl Ther Clin Pract 2012;18:164–8. https://doi.org/10.1016/j.ctcp.2012.05.002.Suche in Google Scholar PubMed

29. Tugut, N, Demirel, G, Baser, M, Ata, EE, Karakus, S. Effects of lavender scent on patients’ anxiety and pain levels during gynecological examination. Compl Ther Clin Pract 2017;28:65. https://doi.org/10.1016/j.ctcp.2017.05.006.Suche in Google Scholar PubMed

30. Lafhal, S, Vanloot, P, Bombarda, I, Kister, J, Dupuy, N. Chemometric analysis of French lavender and lavandin essential oils by near infrared spectroscopy. Ind Crop Prod 2016;80:156–64. https://doi.org/10.1016/j.indcrop.2015.11.017.Suche in Google Scholar

31. Choi, E-M, Lee, K-S. Effects of aroma inhalation on blood pressure, pulse rate, sleep, stress, and anxiety in patients with essential hypertension. J Korean Biol Nurs Sci 2012;14:41–8. https://doi.org/10.7586/jkbns.2012.14.1.41.Suche in Google Scholar

32. Mannucci, C, Calapai, F, Cardia, L, Inferrera, G, D’Arena, G, Di Pietro, M, et al.. Clinical pharmacology of Citrus aurantium and Citrus sinensis for the treatment of anxiety. Evid based Compl Alternat Med 2018;2018:1–18. https://doi.org/10.1155/2018/3624094.Suche in Google Scholar PubMed PubMed Central

33. Suntar, I, Khan, H, Patel, S, Celano, R, Rastrelli, L. An overview on Citrus aurantium L.: its functions as food ingredient and therapeutic agent. Oxidat Med Cell Longev 2018;2018:1–12. https://doi.org/10.1155/2018/7864269.Suche in Google Scholar PubMed PubMed Central

34. Akhlaghi, M, Shabanian, G, Rafieian-Kopaei, M, Parvin, N, Saadat, M, Akhlaghi, M. Citrus aurantium blossom and preoperative anxiety. Rev Bras Anestesiol 2011;61:707–12. https://doi.org/10.1590/s0034-70942011000600002.Suche in Google Scholar

Received: 2020-11-21

Accepted: 2021-01-02

Published Online: 2021-05-12

Sie haben derzeit keinen Zugang zu diesem Inhalt.

Artikel in diesem Heft

https://doi.org/10.1515/jcim-2020-0464

Schlagwörter für diesen Artikel

anxiety; aromatherapy; Citrus aurantium; lavender oil