Positive Health Online

Abstract

ASGARI and COLLEAGUES, 1 Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran. asgari5000@gmail.com ;       2 Critical Care Nursing, Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.  ahmadmoghaddam24@gmail.com ; 3 Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran. babamohamadi@semums.ac.ir ;4 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Epidemiology and Statistics, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.  Ghorbani.raheb93@gmail.com ; 5 Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.  r.esmaeili@mazums.ac.ir conducted a study to compare the effectiveness of aromatherapy with acupressure for sleep quality in patients undergoing percutaneous coronary interventions (PCIs).

Background

Poor sleep quality is prevalent in candidates for percutaneous coronary interventions (PCIs). The present study was conducted to compare aromatherapy with acupressure in terms of their effectiveness in sleep quality in patients undergoing PCIs.

Methodology

The present study was conducted on 85 patients undergoing PCIs and randomly assigned, using block randomization, to five groups, namely (1) aromatherapy, (2) placebo aromatherapy, (3) acupressure, (4) placebo acupressure (acupressure applied to a point not traditionally associated with improving sleep) and (5) control. The intervention groups received aromatherapy or acupressure or placebo from 10pm to 8am the following day. The control group received only routine care. Sleep quality was measured in the patients using a visual analog scale (VAS) that was completed by them before and after the intervention.

Results

The mean pre-test score of sleep quality was 2.91 ± 0.53 in the aromatherapy group, 2.84 ± 0.47 in the placebo aromatherapy group, 2.98 ± 0.59 in the acupressure group, 2.75 ± 0.41 in the placebo acupressure group and 2.88 ± 0.41 in the controls. ANOVA suggested no significant differences among these groups in the pre-test (P = 0.746). The mean post-test score of sleep quality was 3.72 ± 1.84 in the aromatherapy group, 3.70 ± 1.83 in the placebo aromatherapy group, 7.35 ± 0.99 in the acupressure group, 2.67 ± 0.41in the placebo acupressure group and 2.72 ± 0.34 in the controls, suggesting significant differences among the five groups based on the ANOVA results showed significant differences among the five groups (P < 0.001). The mean post-test score of sleep quality was higher than the pre-test score by 4.37 in the acupressure group compared to in the other groups (P < 0.001).

Conclusion

The present findings provided scientific evidence for the benefits of using different methods, including acupressure, for sleep quality in patients undergoing PCIs. Iranian registry of clinical trials number: IRCT201707248665N6.

References

Mohammad Reza Asgari  1 , Ahmad Vafaei-Moghadam  2 , Hassan Babamohamadi  3 , Raheb Ghorbani  4 , Ravanbakhsh Esmaeili  5. Comparing acupressure with aromatherapy using Citrus aurantium in terms of their effectiveness in sleep quality in patients undergoing percutaneous coronary interventions: A randomized clinical trial. Complement Ther Clin Pract; 38:101066. Feb 2020. doi: 10.1016/j.ctcp.2019.101066. Epub Oct 23 2019 .