Journal of Islamic and Iranian Traditional Medicine

other تأثیر استنشاق رایحۀ بادرنجبویه بر میزان اضطراب و پارامترهای فیزیولوژیک بیماران تحت آنژیوگرافی عروق کرونر: یک کارآزمایی بالینی تصادفی The effect of aromatherapy with Melissa officinalis L. essential oil on anxiety level and physiological parameters of patients undergoing coronary angiography تخصصي Special اصيل پژوهشي Origianal Research <div style="text-align: justify;"> سابقه و هدف: اضطراب یکی از مهم‌ترین مشکلات بیماران کاندید آنژیوگرافی عروق کرونر است. این مطالعه با هدف تعیین تأثیر رایحۀ بادرنجبویه بر میزان اضطراب و پارامترهای فیزیولوژیک بیماران تحت آنژیوگرافی عروق کرونر انجام شد. مواد و روش‌ها: این مطالعه به‌صورت یک کارآزمایی بالینی تصادفی‌شده با گروه کنترل، بر روی ۷۲ بیمار بستری در آنژیوگرافی بیمارستان امیرالمؤمنین کردکوی در سال ۱۴۰۰ انجام شد. در گروه مداخله از رایحه‌درمانی با اسانس بادرنجبویه و در گروه کنترل از آب مقطر استفاده شد. نمونه‌ها به‌صورت در دسترس انتخاب و به روش تصادفی ساده به دو گروه مداخله (۳۶=n) و کنترل (۳۶=n) تخصیص داده شدند. داده‌ها در سه نوبت از طریق پرسشنامۀ اضطراب اسپیلبرگر (Speilberger) و سنجش متغیرهای همودینامیک بیماران یک ‌بار قبل از مواجهه، دقیقۀ سوم و دقیقۀ بیستم از شروع مداخله اندازه‌گیری شد. داده‌ها با نرم‌افزار ۱۸ SPSS با آزمون تی مستقل، من&rlm;ویتنی (Mann-Whitney U test)، کای اسکوئر (Chi-Square) و آزمون دقیق فیشر در سطح معنا&rlm;داری ۰/۰۵ تحلیل شد. یافته‌ها: میانگین تغییر تعداد ضربان قلب ۲۰ دقیقه بعد از مداخله، در گروه مداخله به‌طور معنا&rlm;داری کمتر از گروه کنترل بود (۰/۰۰۱=p). میانگین تغییر تعداد تنفس نیز در گروه مداخله ۲۰ دقیقه بعد از مداخله به‌طور معنا&rlm;داری بیشتر از گروه کنترل بود (۰/۰۲=p). میانگین تغییرات اضطراب در گروه مداخله کمتر از گروه کنترل بود، اما این تفاوت معنا&rlm;دار نبود بااین‌حال تمایل به معنا&rlm;دارشدن داشت (۰/۰۶۳=p). <v:shape filled="f" id="Text_x0020_Box_x0020_2" o:gfxdata="UEsDBBQABgAIAAAAIQC2gziS/gAAAOEBAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbJSRQU7DMBBF 90jcwfIWJU67QAgl6YK0S0CoHGBkTxKLZGx5TGhvj5O2G0SRWNoz/78nu9wcxkFMGNg6quQqL6RA 0s5Y6ir5vt9lD1JwBDIwOMJKHpHlpr69KfdHjyxSmriSfYz+USnWPY7AufNIadK6MEJMx9ApD/oD OlTrorhX2lFEilmcO2RdNtjC5xDF9pCuTyYBB5bi6bQ4syoJ3g9WQ0ymaiLzg5KdCXlKLjvcW893 SUOqXwnz5DrgnHtJTxOsQfEKIT7DmDSUCaxw7Rqn8787ZsmRM9e2VmPeBN4uqYvTtW7jvijg9N/y JsXecLq0q+WD6m8AAAD//wMAUEsDBBQABgAIAAAAIQA4/SH/1gAAAJQBAAALAAAAX3JlbHMvLnJl bHOkkMFqwzAMhu+DvYPRfXGawxijTi+j0GvpHsDYimMaW0Yy2fr2M4PBMnrbUb/Q94l/f/hMi1qR JVI2sOt6UJgd+ZiDgffL8ekFlFSbvV0oo4EbChzGx4f9GRdb25HMsYhqlCwG5lrLq9biZkxWOiqY 22YiTra2kYMu1l1tQD30/bPm3wwYN0x18gb45AdQl1tp5j/sFB2T0FQ7R0nTNEV3j6o9feQzro1i OWA14Fm+Q8a1a8+Bvu/d/dMb2JY5uiPbhG/ktn4cqGU/er3pcvwCAAD//wMAUEsDBBQABgAIAAAA IQAUwSyVCQIAAPMDAAAOAAAAZHJzL2Uyb0RvYy54bWysU9tu2zAMfR+wfxD0vtjJkjUx4hRduw4D ugvQ7gMYWY6FSaImKbGzrx8lp2mwvQ3TgyCJ5CHPIbW+HoxmB+mDQlvz6aTkTFqBjbK7mn9/un+z 5CxEsA1otLLmRxn49eb1q3XvKjnDDnUjPSMQG6re1byL0VVFEUQnDYQJOmnJ2KI3EOnqd0XjoSd0 o4tZWb4revSN8yhkCPR6Nxr5JuO3rRTxa9sGGZmuOdUW8+7zvk17sVlDtfPgOiVOZcA/VGFAWUp6 hrqDCGzv1V9QRgmPAds4EWgKbFslZOZAbKblH2weO3AycyFxgjvLFP4frPhy+OaZamr+trzizIKh Jj3JIbL3OLBZ0qd3oSK3R0eOcaBn6nPmGtwDih+BWbztwO7kjffYdxIaqm+aIouL0BEnJJBt/xkb SgP7iBloaL1J4pEcjNCpT8dzb1Ipgh5XV8vpasGZINN8cUW9zxmgeg52PsSPEg1Lh5p7an0Gh8ND iKkYqJ5dUi6L90rr3H5tWU8JFrNFDriwGBVpOrUyNV+WaY3zkjh+sE0OjqD0eKYE2p5IJ54j4zhs B3JMSmyxORJ9j+MU0q+hQ4f+F2c9TWDNw889eMmZ/mRJwtV0Pk8jmy+ZMmf+0rK9tIAVBFXzyNl4 vI15zEeuNyR1q7IML5WcaqXJyuqcfkEa3ct79nr5q5vfAAAA//8DAFBLAwQUAAYACAAAACEAwOxp LN0AAAAJAQAADwAAAGRycy9kb3ducmV2LnhtbEyPQW/CMAyF75P2HyJP2m0kIEZp1xQhpl03jQES t9CYtlrjVE2g3b+fOW03P7+n58/5anStuGIfGk8aphMFAqn0tqFKw+7r7WkJIkRD1rSeUMMPBlgV 93e5yawf6BOv21gJLqGQGQ11jF0mZShrdCZMfIfE3tn3zkSWfSVtbwYud62cKbWQzjTEF2rT4abG 8nt7cRr27+fjYa4+qlf33A1+VJJcKrV+fBjXLyAijvEvDDd8RoeCmU7+QjaIlnUy46SGZJGCuPnJ lBcnHubLFGSRy/8fFL8AAAD//wMAUEsBAi0AFAAGAAgAAAAhALaDOJL+AAAA4QEAABMAAAAAAAAA AAAAAAAAAAAAAFtDb250ZW50X1R5cGVzXS54bWxQSwECLQAUAAYACAAAACEAOP0h/9YAAACUAQAA CwAAAAAAAAAAAAAAAAAvAQAAX3JlbHMvLnJlbHNQSwECLQAUAAYACAAAACEAFMEslQkCAADzAwAA DgAAAAAAAAAAAAAAAAAuAgAAZHJzL2Uyb0RvYy54bWxQSwECLQAUAAYACAAAACEAwOxpLN0AAAAJ AQAADwAAAAAAAAAAAAAAAABjBAAAZHJzL2Rvd25yZXYueG1sUEsFBgAAAAAEAAQA8wAAAG0FAAAA AA== " stroked="f" style="position:absolute; 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left:0; text-align:left; margin-top:36px; width:85.45pt; height:31.6pt; z-index:251656704" type="#_x0000_t202"><v:textbox> <table width="100%"> <tbody> <tr> <td> <div style="text-align: justify;">  </div> </td> </tr> </tbody> </table> </v:textbox> </v:shape> <div style="text-align: justify;">نتیجه‌گیری: نتایج این مطالعه نشان می‌دهد که رایحه‌درمانی می&lrm;تواند باعث کاهش اضطراب بیماران قبل از آنژیوگرافی به‌عنوان یک مداخلۀ مراقبتی جایگزین و ایمن پیشنهاد شود.  </div> <div style="text-align: justify;"> </div> <div style="text-align: justify;">Background and Purpose: One of the most important problems of coronary angiography candidatesis anxiety. The purpose of this study was to investigate the effect of Melissa officinalis L. on the level of anxiety and physiological parameters of these patients. Materials and Methods: A randomized clinical trial with a control group was conducted on 72 patients referred to Kordkuy Heart Hospital in 2021. Samples were selected as available and were allocated to two groups by simple random method (n=36 in each group). Data were gathered three times, before intervention, and minutes 3 and 20 from the beginning of intervention. Hemodynamic parameters were measured and Speilberger State-Trait Anxiety Inventory questionnaire was used to determine anxiety level. Data were analyzed with SPSS 18 with independent t-test, U-Man-Whitney, Chi-Square, and Fisher's exact test at a significance level of 0.05. Results: The results showed that 20 minutes after initiation of the intervention, the mean changes in heart rate was significantly lower in the intervention group (p=0.001). moreover, mean respiration rate in the intervention group was significantly higher than the control group 20 minutes from the beginning of the intervention (p=0.002). Mean changes in anxiety was lower in the intervention group compared with the control group. This difference was not significant, but close to significant level (p=0.063). Conclusion: Aromatherapy can reduce anxiety before angiography and is suggested as an alternative and safe care intervention.  </div> بادرنجبویه, رایحه‌درمانی, آنژیوگرافی, اضطراب Melissa, Aromatherapy, Angiography, Anxiety 113 122 http://jiitm.ir/browse.php?a_code=A-10-1-636&slc_lang=other&sid=1 Mahdi Zahedi مهدی زاهدی 100319475328460023010 100319475328460023010 No Mahin Tatari مهین طاطاری 100319475328460023011 100319475328460023011 No Mehran Hosseini سید مهران حسینی 100319475328460023012 100319475328460023012 No Marzieh Shahryari مرضیه شهریاری 100319475328460023013 100319475328460023013 No Fatemeh Kolangi فاطمه کلنگی dr.kolangi@goums.ac.ir 100319475328460023014 100319475328460023014 Yes