The effects of Rosa damascene aromatherapy on anxiety and sleep quality in burn patients: A randomized clinical trial.

INTRODUCTION AND OBJECTIVE: Sleep disorders and anxiety are common problems in burn patients, and aromatherapy is a common complementary treatment in medicine. The aim of this study was to determine the effects of aromatherapy with the inhalation of rose essential oil on anxiety and sleep quality in burn patients. MATERIALS AND METHODS: This randomized controlled clinical trial was performed on 60 patients admitted to the Valiasr Hospital B in Arak from March 2021 to the end of July 2021. The patients were chosen by the convenience sampling method and then randomly divided into the intervention and control groups based on the block randomization method (six blocks). Aromatherapy along with the routine care was provided to the participants of the intervention group for three consecutive nights. These participants inhaled five drops of 40 % rose essential oil. The members of the control group also inhaled five drops of distilled water as a placebo. In both groups, anxiety and sleep quality were assessed using the St. Mary's Hospital Sleep Quality Questionnaire (SMHSQ) and the Spielberger State-Trait Anxiety Inventory (STAI), respectively, before and after the intervention. RESULTS: The sleep quality scores of the intervention and control groups after the intervention were 17.88 ± 2.04 and 26.11. 3.31, respectively, showing a statistically significant difference (P < 0.05). Our results also showed a statistically significant difference in the anxiety score between the intervention and control groups after aromatherapy (P < 0.05). RESULTS: Rose essential oil aromatherapy reduced anxiety and improved sleep quality in burn patients, suggesting this approach as a useful complementary method along with other therapeutic measures in these patients.

The Experiences of Nurses in Care Provision to COVID-19 Patients: A Qualitative Study.

Introduction: Nurses are key fighters in the forefront of care provision to COVID-19 patients. Due to the diversity of nurses' experiences in different countries because of variable nursing resources, health care systems, and cultural contexts, the present study aimed to divulge a deep understanding of the essence of health system problems based on nurses' experiences of care provision to COVID-19 patients in Iran. Methods: The present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants included the nurses working in the COVID-19 wards and were recruited by purposeful sampling and based on inclusion criteria. The data were collected by conducting semi-structured, one-to-one interviews, and taking field notes, until reaching data saturation. Results: In-depth interviews with 12 nurses. represented four main categories and six subcategories. Sudden exposure to an unknown threat (nurses' feelings and concerns and nurses' reactions), being involved in an unequal war (a vicious virus and weary nurses), stressful working conditions, and efforts to confine the threat (seeking for new and adequate information and gathering all forces) were among the emerged data. Conclusion: The nurses' experiences showed that despite passing a while since the coronavirus pandemic, there are still individual and professional concerns that all root in organizational and governmental factors.

Investigating the Effective Factors of Using Personal Protective Equipment from the Perspective of Nurses Caring for COVID-19 Patients: A Cross-Sectional Study.

Considering the importance of appropriate personal protective equipment (PPE) for preventing COVID-19 transmission, the aim of this study was to investigate the factors affecting the use of PPE from the perspective of the nurses caring for COVID-19 patients. This descriptive cross-sectional study surveyed 240 nurses working in the central COVID-19 hospitals of Arak, Iran. Nurses were enrolled in the study by a convenience sampling method. The data collection tool was a validated questionnaire. Data were analyzed by SPSS 16 software using descriptive statistics, analysis of variance (ANOVA), and independent sample t-test. Environmental (4.24 ± 0.45), personal (4.16 ± 0.42), and organizational (4.04 ± 0.50) factors all contribute significantly to nursing attitudes about PPE use (p < 0.05). The average score, combining all identified factors, was 4.15 ± 0.31. The most influential factor contributing to appropriate use of PPE was environmental, while the least impactful parameters were related to rules and regulations. Environmental factors have the greatest impact on the use of PPE from the perspective of the nurses caring for patients with COVID-19. Managers and healthcare organizations should provide appropriate and adequate PPE to nurses, educate them on proper use, and monitor the process to resolve barriers.

Effect of rosa damascene aromatherapy on anxiety and sleep quality in cardiac patients: A randomized controlled trial.

INTRODUCTION: Anxiety and sleep disorders are the most common disorders of patients admitted to the cardiac care units. The purpose of this study is to investigate the effect of Rosa damascene fragrance on anxiety and sleep quality of hospitalized patients in the cardiac care units. METHODS: In this Randomized clinical trial, 60 patients who had the inclusion criteria were conveniently sampled and randomly allocated to the experimental and control groups. Patients were enrolled in the study 24 h after hospitalization. Those diagnosed with dysrhythmia, ACS, and CHF were included. Patient recruitment lasted from October 2018 to December 2019. In these groups, in addition to the routine care, the intervention was performed for three consecutive nights from 22:00 to 06:00. In the experimental group, patients inhaled five drops of Rosa damascene essence 40% in distilled water, while in the control group, patients inhaled five drops of distilled water as placebo. In both groups, anxiety and sleep quality were examined before and after three consecutive nights using the St. Mary's Hospital Sleep Quality Questionnaire (SMHSQ) and the Spiel Berger State-Trait Anxiety Inventory (STAI) questionnaire. RESULTS: The results of this study showed that the use of Rosa damascene aroma in patients hospitalized in the cardiac care unit significantly reduces anxiety and increases the improvement of sleep quality in the experimental group compared to the control group (P < 0.05). The significance level for anxiety and sleep quality was (P = 0.001). CONCLUSION: Aromatherapy with Rosa damascene reduces anxiety and increases the sleep quality of patients hospitalized in the cardiac care unit. Therefore, along with other treatment measures, Rosa damascene can be used as a complementary method to reduce anxiety and improve sleep quality.

The effects of cast-related training for nurses on the quality of cast care: A quasi-experimental study.

INTRODUCTION: Quality cast application and care is among the nursing skills which require competence, knowledge, and expertise. This study aimed to assess the effects of cast-related training for nurses on the quality of pre-, intra- and post-casting care. METHODS: This quasi-experimental study was conducted in 2018 in two phases: before and after a cast-related training for nurses involved in cast application and care. In the first phase, 94 patients with a cast were assessed for pre- intra- and post-casting care quality. In the second phase, after the training program, the same number of new patients were assessed. Study data were collected using a 57-item checklist with items on; patient preparation, cast application, and post-casting care including patient education. Descriptive statistics, Fisher's exact, and independent-samples t-tests were used to analyze the data. RESULTS: The mean pre-casting care score significantly increased from 1.39 ± 0.16 at baseline to 1.69 ± 0.32 after the intervention (P = 0.001). The mean intra-casting care score increased from 1.42 ± 0.31 at baseline to 1.52 ± 0.17 after the intervention (P = 0.014). However, the study intervention did not improve the mean post-casting care score. CONCLUSION: This training program improved the quality of pre- and intra-casting care, but did not improve the post-casting care and care measures related to patient education. Therefore, regular in-service training programs for nurses are recommended to improve their knowledge, skills, and performance in cast- pplication and care.