Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial

Abstract Background Patients with Acute Coronary Syndrome (ACS) experience high levels of anxiety that may cause instability of hemodynamic indices, increased risk of ischemia, myocardial infarction and poor quality of life. Aromatherapy can affect patients’ anxiety levels and improve hemodynamic in...

Full description

Bibliographic Details
Main Authors: Majid Pourshaikhian, Mohammad Taghi Moghadamnia, Ehsan Kazemnezhad Leyli, Zahra Shafiei Kisomi
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-023-04326-9
_version_ 1827388750392459264
author Majid Pourshaikhian
Mohammad Taghi Moghadamnia
Ehsan Kazemnezhad Leyli
Zahra Shafiei Kisomi
author_facet Majid Pourshaikhian
Mohammad Taghi Moghadamnia
Ehsan Kazemnezhad Leyli
Zahra Shafiei Kisomi
author_sort Majid Pourshaikhian
collection DOAJ
description Abstract Background Patients with Acute Coronary Syndrome (ACS) experience high levels of anxiety that may cause instability of hemodynamic indices, increased risk of ischemia, myocardial infarction and poor quality of life. Aromatherapy can affect patients’ anxiety levels and improve hemodynamic indices. This study aimed to evaluate the efficacy of aromatherapy on anxiety and hemodynamic indices in ACS patients. Methods This study was a double-blind, randomized clinical trial conducted on 154 ACS patients. The participants were classified into two equal groups of intervention and placebo through the block randomization method. The data collection tools consisted of demographic information, a shortened 6-item version of the Spielberger questionnaire and a form of hemodynamic indices. For two consecutive nights, the intervention group inhaled 7 drops of the chamomile essential oil (%10) and the placebo group inhaled 7 drops of the sesame oil poured on a sterile cotton ball. The hemodynamic indices were collected half an hour before, one and four hours after the intervention until the next morning. The Spielberger questionnaire was completed once before the intervention and once after the end of the intervention, by the researcher through an interview. The number of heart rate (HR) was counted for a full minute. Also, the blood pressure (BP) of all the samples was measured by the researcher. Data analysis was done using Chi-square, paired t-test, and analysis of variance (ANOVA) in SPSS22. Results The mean and standard deviation of the age of patients were 58/2 ± 11.6 and 59.7% of them were female. The results of ANOVA showed a significantly lower anxiety score as well as systolic blood pressure (SBP), diastolic blood pressure (DBP) and HR in the intervention group compared to those of the placebo group (P < 0.001). The decrease in anxiety score after the intervention, in the intervention and placebo groups was (5.2 ± 1.9) and (1 ± 1. 18) respectively. In the intervention group, the SBP and DBP after the intervention, was significant (P < 0.05). Also, the HR was significant (P < 0.001) after the intervention. Conclusions Aromatherapy could reduce anxiety and improve hemodynamic indices in ACS patients. Trial registration IRCT20080825001083N11.
first_indexed 2024-03-08T16:24:23Z
format Article
id doaj.art-8567c380b6a7470798ab204c02c296f3
institution Directory Open Access Journal
issn 2662-7671
language English
last_indexed 2024-03-08T16:24:23Z
publishDate 2024-01-01
publisher BMC
record_format Article
series BMC Complementary Medicine and Therapies
spelling doaj.art-8567c380b6a7470798ab204c02c296f32024-01-07T12:10:55ZengBMCBMC Complementary Medicine and Therapies2662-76712024-01-012411910.1186/s12906-023-04326-9Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trialMajid Pourshaikhian0Mohammad Taghi Moghadamnia1Ehsan Kazemnezhad Leyli2Zahra Shafiei Kisomi3School of Nursing and Midwifery, Guilan University of Medical SciencesSchool of Nursing and Midwifery, Guilan University of Medical SciencesSchool of Nursing and Midwifery, Guilan University of Medical SciencesSchool of Nursing and Midwifery, Qazvin University of Medical SciencesAbstract Background Patients with Acute Coronary Syndrome (ACS) experience high levels of anxiety that may cause instability of hemodynamic indices, increased risk of ischemia, myocardial infarction and poor quality of life. Aromatherapy can affect patients’ anxiety levels and improve hemodynamic indices. This study aimed to evaluate the efficacy of aromatherapy on anxiety and hemodynamic indices in ACS patients. Methods This study was a double-blind, randomized clinical trial conducted on 154 ACS patients. The participants were classified into two equal groups of intervention and placebo through the block randomization method. The data collection tools consisted of demographic information, a shortened 6-item version of the Spielberger questionnaire and a form of hemodynamic indices. For two consecutive nights, the intervention group inhaled 7 drops of the chamomile essential oil (%10) and the placebo group inhaled 7 drops of the sesame oil poured on a sterile cotton ball. The hemodynamic indices were collected half an hour before, one and four hours after the intervention until the next morning. The Spielberger questionnaire was completed once before the intervention and once after the end of the intervention, by the researcher through an interview. The number of heart rate (HR) was counted for a full minute. Also, the blood pressure (BP) of all the samples was measured by the researcher. Data analysis was done using Chi-square, paired t-test, and analysis of variance (ANOVA) in SPSS22. Results The mean and standard deviation of the age of patients were 58/2 ± 11.6 and 59.7% of them were female. The results of ANOVA showed a significantly lower anxiety score as well as systolic blood pressure (SBP), diastolic blood pressure (DBP) and HR in the intervention group compared to those of the placebo group (P < 0.001). The decrease in anxiety score after the intervention, in the intervention and placebo groups was (5.2 ± 1.9) and (1 ± 1. 18) respectively. In the intervention group, the SBP and DBP after the intervention, was significant (P < 0.05). Also, the HR was significant (P < 0.001) after the intervention. Conclusions Aromatherapy could reduce anxiety and improve hemodynamic indices in ACS patients. Trial registration IRCT20080825001083N11.https://doi.org/10.1186/s12906-023-04326-9AromatherapyMatricaria chamomileAcute coronary syndromeAnxietyHemodynamic indices
spellingShingle Majid Pourshaikhian
Mohammad Taghi Moghadamnia
Ehsan Kazemnezhad Leyli
Zahra Shafiei Kisomi
Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
BMC Complementary Medicine and Therapies
Aromatherapy
Matricaria chamomile
Acute coronary syndrome
Anxiety
Hemodynamic indices
title Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
title_full Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
title_fullStr Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
title_full_unstemmed Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
title_short Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: a randomized controlled trial
title_sort effects of aromatherapy with matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome 2021 a randomized controlled trial
topic Aromatherapy
Matricaria chamomile
Acute coronary syndrome
Anxiety
Hemodynamic indices
url https://doi.org/10.1186/s12906-023-04326-9
work_keys_str_mv AT majidpourshaikhian effectsofaromatherapywithmatricariachamomileessentialoilonanxietyandhemodynamicindicesinpatientswithacutecoronarysyndrome2021arandomizedcontrolledtrial
AT mohammadtaghimoghadamnia effectsofaromatherapywithmatricariachamomileessentialoilonanxietyandhemodynamicindicesinpatientswithacutecoronarysyndrome2021arandomizedcontrolledtrial
AT ehsankazemnezhadleyli effectsofaromatherapywithmatricariachamomileessentialoilonanxietyandhemodynamicindicesinpatientswithacutecoronarysyndrome2021arandomizedcontrolledtrial
AT zahrashafieikisomi effectsofaromatherapywithmatricariachamomileessentialoilonanxietyandhemodynamicindicesinpatientswithacutecoronarysyndrome2021arandomizedcontrolledtrial