JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effects of Aromatherapy With Jasmine Essential Oil on the Sleep Quality of Hemodialysis Patients

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effects of Aromatherapy With Jasmine Essential Oil on the Sleep Quality of Hemodialysis Patients

Chronic kidney disease, Sleep quality, Hemodialysis, Oils

Introduction: Poor sleep quality is a common problem among hemodialysis patients. Aromatherapy
has few complications and is an effective approach to this problem.
Objective: The present study aimed to assess the effect of aromatherapy with jasmine essential oil
on the sleep quality of hemodialysis patients.
Materials and Methods: This double-group clinical trial was conducted on 54 patients
undergoing hemodialysis with poor sleep quality living in Sabzevar City, Iran, in 2021. The patients
were divided into the intervention and control groups (21 in the intervention and 25 in control group)
using the random allocation method with permuted blocks. The study data were collected using a
demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI), completed at the beginning
of the study. The patients in the intervention group inhaled a piece of cotton smeared with jasmine
essential oil every night for one month. The concentration of jasmine extract was 70%, the duration of
inhalation was about 7 hours, and the distance between the place of cotton soaked in jasmine and the
patient’s nose was 30 cm. Afterwards, the PSQI was completed again. Data analysis was performed
using descriptive indices, the Chi-square test, the independent t-test, paired t-test, the Fisher exact
test, and univariate analysis of variance. P Values less than 0.05 were considered significant.
Results: The patients were 18-70 years old. Comparing demographic data between the two study
groups showed no significant difference in terms of age, gender, marital status, employment status,
and education. In the intervention group, the Mean±SD of sleep quality decreased from 9.90±2.70
to 6.16±2.15 after aroma therapy. In the control group, the score decreased from 8.48±2.98 to
8.16±2.68. The analysis of variance for overall sleep quality after the intervention by modulating
the effect of overall sleep quality before the intervention showed a significant difference among
the groups in terms of overall sleep quality after the intervention (the effect size=0.24, P=0.001).
Conclusion: According to the results, aromatherapy with jasmine essential oil could enhance the
sleep quality and sleep duration of the patient’s undergoing hemodialysis.

Alemeh Sultani , Zahra Mirhosseini , Sedigheh Rastaghi , Mostafa Rad

January 2023, Volume 33, Number 1

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