Journal of Hayat
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Hayat
Medical Sciences
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1735-2215
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2025
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تأثیر رایحه درمانی استنشاقی اسطوخودوس بر درد، اضطراب و کیفیت خواب بیماران پس از جراحی ارتوپدی: یک کارآزمایی بالینی تصادفی شده
The effect of lavender inhalation aromatherapy on pain, anxiety and sleep quality in patients following orthopedic surgery: A randomized clinical trial
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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">درد، اضطراب و مشکلات خواب پس از اعمال جراحی ارتوپدی</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شایع است و منجر به تحمیل عوارض جسمی بیش</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">تر توأم با هزینههای بالا برای بیماران می‏شود. به دلیل گرایش روزافزون به استفاده از روشهای غیردارویی مانند رایحه درمانی، مطالعه حاضر با هدف تعیین اثربخشی رایحه درمانی استنشاقی اسطوخودوس بر درد، اضطراب و کیفیت خواب بیماران پس از جراحی­های ارتوپدی طراحی و اجرا شده است.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt"> این مطالعه کارآزمایی بالینی تصادفی شده در سال 1401 با مشارک 80 بیمار تحت جراحی ارتوپدی در مرکز ترومای شهر اصفهان انجام گرفت. بیماران به روش مستمر وارد مطالعه شدند و به تصادف در گروه آزمون (40 نفر) و کنترل (40 نفر) تخصیص داده شدند. مداخله شامل رایحه درمانی با اسانس اسطوخودوس با خلوص صد در صد به مدت 3 شبانه روز بود. گروه کنترل در طول مداخله، درمان­های معمول را دریافت کردند. از پرسشنامه‏های استاندارد اضطراب </span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">Spielberger</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">، کیفیت خواب بیمارستانی و مقیاس سنجش درد دیداری استفاده شد. دادهها در نرم</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">‎</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">افزار </span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">SPSS</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt"> نسخه 26 با استفاده از آزمون</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">های آماری تیزوجی، تیمستقل، کایاسکوئر و آنالیز واریانس دوطرفه با اندازه</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.2pt"></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">گیری</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">های مکرر انجام گرفت.</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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">میانگین نمرات اضطراب و کیفیت خواب در گروه مداخله و کنترل، پس از پایان رایحه درمانی تفاوت آماری معناداری داشت (001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">). همچنین، میانگین نمره درد، در دو گروه و در همه مقاطع زمانی بررسی شده، تفاوت آماری معناداری داشت (001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B 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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">یافته‏ها نشان داد که رایحه درمانی اسطوخودوس اثربخشی معناداری بر کاهش درد و اضطراب و ارتقای کیفیت خواب بیماران پس از جراحی ارتوپدی دارد. با توجه به این تأثیرات مثبت استفاده از این مداخله مقرون به صرفه و با دسترسی و کاربرد آسان، در کنار سایر روش‏ها به عنوان یک درمان مکمل، توصیه می­شود</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ثبت کارآزمایی بالینی: </span></span></i></b><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">IRCT20111002007692N3</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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"><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Postoperative pain, anxiety and sleep disturbances are common among patients undergoing orthopedic surgery, often leading to increased physical complications and substantial healthcare costs. Given the rising interest in non-pharmacological methods such as aromatherapy, this study aims to investigate the effectiveness of lavender inhalation aromatherapy in alleviating pain, anxiety and</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"> <span style="color:black">enhancing sleep quality in patients post-orthopedic surgery<span style="letter-spacing:-.1pt">.</span></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="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">This randomized clinical trial was conducted in 2022 at a trauma center in Isfahan, involving 80 patients undergoing orthopedic surgery. Eligible patients were recruited through consecutive sampling and were randomly assigned to either the intervention group (n=40) or the control group (n=40). The intervention included inhalation of 100% pure lavender essential oil over a period of three days, while the control group received standard postoperative care. The study employed the Standard Spielberger anxiety questionnaires, the St. Marry’s Hospital Sleep Questionnaire (SMHSQ), and the Visual Analog Scale (VAS) for data collection. Data were analyzed using paired <i>t</i>-tests, independent <i>t</i>-tests, chi-square tests, and one-way repeated measures analysis of variance, utilizing SPSS software version 26.</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="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">Post-intervention analysis revealed statistically significant differences in the average scores of anxiety and sleep quality between the intervention and control groups (<i>P</i><0.001). Additionally, the average pain scores exhibited significant differences at all time points across both groups (<i>P</i><0.001)<span style="color:black">.</span></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="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The findings show that lavender aromatherapy significantly reduces pain and anxiety while improving sleep quality in patients following orthopedic surgery. Given these positive effects, the integration of this cost-effective and easily accessible intervention is recommended as a complementary treatment, alongside conventional methods.</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="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Clinical trial registry: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">IRCT20111002007692N3<span style="letter-spacing:-.3pt"></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="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span></span></span></span><br>
رایحه درمانی استنشاقی, اسطوخودوس, درد, اضطراب, کیفیت خواب, جراحی ارتوپدی, پرستاری
aromatherapy, lavender, pain, anxiety, sleep quality, orthopedic procedures, nursing
325
340
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4582-8&slc_lang=fa&sid=1
Tahere
Momeni-Ghale Ghasemi
طاهره
مومنیقلعه قاسمی