Research Article

Effect of Lemon Scent on Anxiety in Patients before Rhinoplasty Surgery: A Randomized Controlled Trial

Abstract

Among cosmetic surgeries, nose surgery is more anxiety-provoking than other surgeries. By causing mental stress, surgery leads to the disruption of vital signs. By releasing endorphins in the brain, aromatherapy leads to a feeling of well-being. This study was conducted to determine "the effect of lemon scent on patients' anxiety before rhinoplasty surgery in Ayatollah Kashani Hospital, Isfahan". This clinical trial was conducted on 30 candidates for rhinoplasty surgery at Kashani Hospital of Isfahan in 2011. Patients were divided into two intervention and control groups (15 people in each group) by random allocation method. The research tool was Spielberger's standard questionnaire, completed immediately before and 20 to 30 minutes after the intervention by two groups. Data were analyzed using SPSS 16 software, descriptive statistics and independent t, paired t and MANCOVA tests at a significance level of less than 0.05. Two groups were homogeneous in terms of demographic variables. The mean latent anxiety score in the intervention group before the intervention (10.06) was 42.26, and after the intervention (8.86) was 35.8, which difference was statistically significant (P = 0.002). The mean overt anxiety score in the intervention group before the intervention (8.66) was 42.60. After the intervention (5.81) was 31.86, this difference was statistically significant (p < 0.001). The results showed a statistically significant difference between the intervention and control groups in the mean of hidden (p = 0.029) and overt anxiety (p = 0.001). Using lemon scent as an effective, non-invasive and cost-effective non-medicinal intervention reduces the preoperative anxiety of rhinoplasty candidates, so it is possible to benefit from the scent of lemon to reduce patients' anxiety.

Fatahi A, Ahmadi S. The relationship between mental health and self-esteem with meta-cognitive assessment of body deformity for females requesting rhinoplasty at the cosmetic surgery center of kermanshah, 2017-2018. Iran J Surg 2019:26:61-71.

Nilforooshan P, Navidian A, Shamohammadi M. Early maladaptive schemas and psychological health among Womens seeking cosmetic surgery. Iran J Psychiatr Nurs 2015;3:12-23.

Dreqer VA, Tremback TF. Management of preoperative anxiety in children. AORNJ 2006;84:778-780.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 385:96.

Karimi N, Bahadori F, Khalkhali HR, Rabiepoor S. Evaluation of anxiety and perceived stress in mothers undergoing amniocentesis. Nurs Midwifery J 2017;15:292-300.

Ayik C, Özden D. The effects of preoperative aromatherapy massage on anxiety and sleep quality of colorectal surgery patients: A randomized controlled study. Complement Ther Med J 2018;36:93-99.

Moslemi F. The Effect of “Citrus Aurantium” aroma on anxiety of acute coronary syndromes’ patients hospitalized in the coronary care unit (CCU) [Master Thesis]. Shahed University. Tehran 2018; p 67.

Babashahi M, Fayazi S, Aghel N, Haghighizadeh MH. Effect of aromatherapy on anxiety level among preoperative patients. Jundishapur Sci Med J 2010;507-516.

Khanjani Z, Babapour J, Saba G. Investigating mental status and body image in cosmetic surgery applicants in comparison with non-applicants. J Shahid Sadoughi Uni Med Sci 2012;20:237-248.

Kamrani F, Nazari M, Sahebalzamani M, Amin G, Farajzadeh M. Effect of aromatherapy with lemon essential oil on anxiety after orthopedic surgery. Iran J Rehabil Res 2016;2:26-31.

Shirzad M, Nasiri E, Hesamirostami MH, Akbari H. Comparing the effects of rose essential oil and benson relaxation technique on preoperative anxiety and hemodynamic status and postoperative complications in rhinoplasty candidates. Complement Med J 2021;11:180-191.

Gol MK, Payami S, Lotfi A. Study of the effect of ear acupressure on stress and serum cortisol level before rhinoplasty surgery: a randomized clinical trial. Crescent J Med Biol Sci 2020;7:249-253.

Shauly O, Calvert J, Stevens G, Rohrich R, Villanueva N, et al. Assessment of wellbeing and anxiety-related disorders in those seeking rhinoplasty: a crowdsourcing-based study. Plast Reconstr Surg Glob Open 2020;8:e2737.

Najafi S, Sajjadi M, Nasirzadeh A, Jeddi H. The effect of rose aromatherapy on anxiety before abdominal operation. Intern Med Today 2020;26:128-141.

Hajati N, Rarani SA, Ghadami A. The effect of lavender oil aromatherapy on the shoulder-tip pain after laparoscopic cholecystectomy: a randomized controlled trial. Nurse Midwifery Stud 2022;11:118-122.

Inanoglu S, Goksen G, Nayik GA, Nejad AS. Essential oils from Lamiaceae family (rosemary, thyme, mint, basil). In Essential Oils. 2023; pp 309-324.

Liaqat A, Ahsan S, Fayyaz MS, Ali A, Ashfaq SA, et al. Cinnamon essential oil. In Essential Oils 2023; pp 377-390.

Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, et al. Essential oils used in aromatherapy: A systemic review. Asian Pac J Trop Biomed 2015;5:601-611.

Bahmani M, Rafieian-Kopaei M, Naghdi N, Nejad AS, Afsordeh O. Physalis alkekengi: A review of its therapeutic effects. J Chem Pharm Sci 2016;9:1472-1485.

Guo P, Li P, Zhang X, Liu N, Wang J, et al. The effectiveness of aromatherapy on preoperative anxiety in adults: A systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud 2020; 111:103747.

Huang H, Wang Q, Guan X, Zhang X, Kang J, et al. Effect of aromatherapy on preoperative anxiety in adult patients: A meta-analysis of randomized controlled trials. Complement Ther Clin Pract J 2021; 42:101302.

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 Ther 2018;5: 2096-2110.

Abdi JH, Hejazi S, Tahmasebi H, Abdi Joybari F. Effect of aromatherapy with orang e essential oils on anxiety in patients experiencing coronary angiography: a randomized control trial. Nurs Midwifery J 2018; 15:806-814.

Boruah T, Parashar P, Ujir C, Dey SK, Nayik GA, et al. Sandalwood essential oil. Essential Oils: Extraction, Characterization and Applications. 2023; pp 121-145.

Sawamura M, Son US, Choi HS, Kim MS, Phi NT, et al. Compositional changes in commercial lemon essential oil for aromatherapy. Int J Aromather 2004;14:27-36.

Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, et al. Essential oils used in aromatherapy: A systemic review. Asian Pac J Trop Biomed 2015;5:601-611.

Özer Z, Teke N, Turan GB, Bahçecik AN. Effectiveness of lemon essential oil in reducing test anxiety in nursing students. Explore 2022;18:526-532.

Ayik C, Özden D. The effects of preoperative aromatherapy massage on anxiety and sleep quality of colorectal surgery patients: A randomized controlled study. Complement Ther Med 2018;36:93-99.

Nasiri Formi E, Khorammakan R, Khodadadi Jahromi Z. Evaluation of anxiety and stress factors before surgery from the perspective of patients undergoing spinal surgery in the operating room of peymaniyeh hospital in jahrom city 2021. Qom Uni Med Sci J 2021;15:650-659.

Babashahi M, Fayazi S, Mardanian Dehkordi L. Comparing the effect of massage and inhalation aromatherapy on anxiety level of the patients in the preoperative period. Nurs Midwifery J 2015;13:284-291.

kahangi LS. Moeini M, babashahi M. The effects of reflexology on anxiety levels before coronary artery bypass graft surgery. J Res Behav Sci 2012;9.

Tazakori Z, Babaei S, Karimollahi M, Ahmadian-Attari MM, Bayat F. The effect of oral damask rose extract on anxiety of patients undergoing coronary angiography. J Health Care 2016;18:207-216.

Beyliklioğlu A, Arslan S. Effect of lavender oil on the anxiety of patients before breast surgery. J Perianes Nurs 2019;34:587-593.

Files
IssueVol 8, No 4, 2023 QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/tim.v8i4.14483
Keywords
Anxiety Aromatherapy Rhinoplasty Lemon essential oil

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Amirshekari M, Tarahi MJ, Ghadami A. Effect of Lemon Scent on Anxiety in Patients before Rhinoplasty Surgery: A Randomized Controlled Trial. Trad Integr Med. 2023;8(4):354-361.