Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1403
6
1
gregorian
2024
9
1
30
3
online
1
fulltext
fa
تأثیر رایحه درمانی استنشاقی اسطوخودوس بر فشارخون سیستولیک و دیاستولیک افراد مبتلا به پیش پرفشاری خون
The effect of lavender inhalation aromatherapy on systolic and diastolic blood pressure in patients with prehypertension
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">شواهد</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">بیانگر</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">آن</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">است</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">که</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">پیش پرفشاری خون</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">با</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">افزایش عوامل</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">خطر</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">قلبی</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">عروقی مرتبط است.</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">مطالعه حاضر با هدف تعیین اثربخشی رایحه درمانی استنشاقی اسطوخودوس </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">بر فشارخون سیستولیک و دیاستولیک افراد مبتلا به پیش پرفشاری خون در شهر اصفهان</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> طراحی و اجرا شده است</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">این مطالعه نیمه تجربی دو گروهی در سال 1402 با مشارکت 70 مبتلا به پیش پرفشاری خون در </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">مراکز منتخب خدمات جامع سلامت اصفهان</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> انجام گرفت. بیماران به روش در دسترس وارد مطالعه شدند و به تصادف در گروه آزمون و کنترل (35 نفر در هر گروه) تخصیص یافتند</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">. </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">مداخله شامل رایحه درمانی با اسانس اسطوخودوس به صورت دو قطره با خلوص صد در صد به مدت 20 دقیقه تک جلسه‏ای بود. قبل، </span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">بلافاصله، 10 و 20 دقیقه پس از رایحه درمانی، فشارخون افراد در شرایط استاندارد ثبت ‏شد. گروه کنترل آموزش‏های معمول مرکز بهداشت را دریافت کردند. </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">در این مطالعه از نرم­افزار </span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> نسخه 26 و آمار توصیفی و استنباطی از جمله آنالیز واریانس</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">با اندازه‏گیری‏های مکرر و آنکووا استفاده شد. سطح معناداری در آزمون­ها 05/0 در نظر گرفته شد</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">براساس </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">نتایج آزمون</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> آنالیز واریانس با اندازه‏گیری‏های تکراری،</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> «اثر متقابل زمان و گروه» فشارخون سیستولیک</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">(</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">001/0></span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">) و فشارخون </span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">دیاستولیک </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">(</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">001/0</span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p<</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">) </span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">معنادار شد. همچنین </span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">تأثیرات بین گروهی متغیر وابسته فشارخون سیستولیک معنادار شد (اثر گروه) (</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">001/0></span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">)، به طوری که در مقایسه بین دو گروه مداخله و کنترل، روند کاهش میانگین فشارخون سیستول در گروه مداخلـه بـه صـورت معناداری بیش</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">تر از گروه کنترل بوده است. همچنین در مقایسه درون گروهی، نتایج حاکی از معنادار شدن فشارخون سیستولیک بین قبل با تمامی زمان‏های بعد از رایحه درمانی در گروه مداخله بود (</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">001/0></span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">)، این مقایسه برای گروه کنترل معن</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">ا</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">دار نشد (</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">068/0=</span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">). همچنین برخلاف فشارخون سیستولیک، نتایج آزمون تأثیرات بین گروهی فشارخون </span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">دیاستولیک</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""> معنادار نشد (</span></span></i><i><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">141/0=</span></span></i><i><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" yagut="">با توجه به روند رو به صعود ابتلا به فشارخون و عوارض گسترده آن و تأثیرات مثبت استفاده از رایحه درمانی، این روش به عنوان یک مداخله مقرون به صرفه و با دسترسی و کاربرد آسان، در کنار سایر روش‏ها به عنوان یک درمان مکمل، توصیه می­شود</span></span></i><i><span lang="AR-IQ" style="font-size:9.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:9.0pt"></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span dir="LTR" style="font-size:9.0pt"></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">The evidence shows that prehypertension is related to an increased risk of cardiovascular complications. This study aims to determine the effect of lavender inhalation aromatherapy on systolic and diastolic blood pressure (SBP & DBP) in people with prehypertension in Isfahan</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">This two-group quasi-experimental study was conducted in 2023, involving 70 prehypertensive patients selected from comprehensive health service centers in Isfahan. Participants were selected through convenience sampling and were randomly assigned to either the experimental or control group. The intervention included inhalation aromatherapy using two drops of 100% pure lavender essential oil for 20 minutes in a single session. Blood pressure measurements were taken before, immediately after, and 10 and 20 minutes post-intervention under standardized conditions. The control group received routine health center training. Data analysis was performed using SPSS software version 26, employing descriptive and inferential statistics, including repeated measures analysis of variance (RMA) and analysis of covariance (ANCOVA), with a significance level set at 0.05</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">The results of the RMA indicated a significant interaction between time and group for both SBP (<i>P</i><0.001) and DBP (<i>P</i><0.001). Also, the intergroup effect for SBP was significant (<i>P</i><0.001), demonstrating that</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> the intervention group experienced a significantly greater reduction in average SBP compared to the control group. Intra-group analysis revealed a significant decrease in SBP before and after aromatherapy in the intervention group (<i>P</i><0.001). In contrast, the control group did not show a significant change (<i>P</i>=0.068). </span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Unlike SBP, the intergroup analysis for DBP did not yield significant results (<i>P</i>=0.141)</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Considering the rising trend of high blood pressure and its widespread complications, along with the positive effects of aromatherapy as a cost-effective and accessible intervention, lavender inhalation aromatherapy is recommended as a complementary treatment strategy in conjunction with other methods</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span><br>
رایحه درمانی استنشاقی, اسطوخودوس, فشارخون سیستولیک, فشارخون دیاستولیک, پیش پرفشاری خون
aromatherapy, lavender oil, systolic pressure, diastolic pressure, prehypertension
291
306
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4582-7&slc_lang=fa&sid=1
Amir
Musarezaie
امیر
موسی رضایی
musarezaie@nm.mui.ac.ir