Skip to main content

Advertisement

SpringerLink
Log in

The impact of aromatherapy with Damask rose on the sleep quality of mothers with premature newborns: a quasi-experimental study

  • Research Article
  • Published:
Advances in Traditional Medicine Aims and scope Submit manuscript

Abstract

This quasi-experimental study aimed to investigate the impact of Damask rose (DR) aromatherapy on the sleep quality of mothers with preterm infants in neonatal intensive care units (NICUs). Seventy-five eligible mothers were non-randomly divided into intervention and control groups. The control group received routine care, while the intervention group received 10% DR aromatherapy 20 min before bedtime for 10 nights. Data collection included a demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI). Statistical analysis was conducted using Chi-square, Mann–Whitney, and Wilcoxon tests with a significance level of p < 0.05 (SPSS 16). Results revealed a significant improvement in sleep quality and its subscales in the intervention group (p < 0.05). Although both groups showed improved total sleep scores (p < 0.05), the intervention group exhibited a substantially greater improvement (8.31 ± 1.82 to 5.62 ± 1.91) compared to the control group (9.95 ± 2.89 to 9.47 ± 3.30), as indicated by the estimated effect size. This study demonstrates that DR aromatherapy can enhance the sleep quality of mothers with preterm infants in NICUs, suggesting its potential as a supportive intervention in neonatal care settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

NICU:

The neonatal intensive care unit

DR:

Damask rose

PSQI:

The Pittsburgh Sleep Quality Index

ACM:

Alternative and complementary medicine

GC-MS:

Gas chromatography-mass spectrometry

References

  • Akmali P, Nikfarid L, Masoumpour A, Chaibakhsh S, Ahmadi M (2022) Psychometric properties of the Persian version of the parental stress scale: NICU. J Neonatal Nurs 28:335–339

    Article  Google Scholar 

  • Amin A, Amraei M, Kalantari Shahijan M, Nadri S, Moradifar N (2022) The effects of aromatherapy on patients undergoing coronary angiography: a systematic review of clinical trials. J Herbmed Pharmacol

  • Ayan M, Tas U, Sogut E, Suren M, Gurbuzler L, Koyuncu F (2013) Investigating the effect of aromatherapy in patients with renal colic. J Altern Complement Med 19:329–333

    Article  PubMed  Google Scholar 

  • Batani F, SamadyKia P, Haghani H (2017) The efect of inhalation aromatherapy with damask rose (Rosa damascena) on the pain of elderly after knee arthroplaty. J Client Centered Nurs Care 3:153–160

    Article  Google Scholar 

  • Baumgartel K, Facco F (2018) An integrative review of the sleep experiences of mothers of hospitalized preterm infants. Nurs Womens Health 22:310–326

    Article  PubMed  PubMed Central  Google Scholar 

  • Bikmoradi A, Harorani M, Roshanaei G, Moradkhani S, Falahinia GH (2016) The effect of inhalation aromatherapy with damask rose (Rosa damascena) essence on the pain intensity after dressing in patients with burns: a clinical randomized trial. Iran J Nurs Midwifery Res 21:247–254

    Article  PubMed  PubMed Central  Google Scholar 

  • Bikmoradi A, Roshanaei G, Moradkhani S, Fatahi A (2020) Impact of inhalation aromatherapy with damask rose on anxiety of patients undergoing coronary angiography: a single-blind randomized controlled clinical trial. Avicenna J Nurs Midwifery Care 28:93–102

    Article  Google Scholar 

  • Çelen R, Arslan FT (2017) The anxiety levels of the parents of premature infants and related factors. J Pediatric Res 4:68

    Article  Google Scholar 

  • Daneshpajooh L, NajafiGhezeljeh T, Haghani H (2019) Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: a randomized clinical trial. Burns 45:1205–1214

    Article  PubMed  Google Scholar 

  • Diez-Sampedro A, Flowers M, Olenick M, Maltseva T, Valdes G (2019) Women’s choice regarding breastfeeding and its effect on well-being. Nurs Womens Health 23:383–389

    Article  PubMed  Google Scholar 

  • Emami-Sigaroudi A, Salari A, Nourisaeed A, Ahmadnia Z, Ashouri A, Modallalkar SS, Javadzadeh-Moghtader A, Parvinroo S, Dadkhah-Tirani H (2021) Comparison between the effect of aromatherapy with lavender and damask rose on sleep quality in patients undergoing coronary artery bypass graft surgery: a randomized clinical trial. ARYA Atheroscler 17:1–9

    PubMed  PubMed Central  Google Scholar 

  • Farrahi J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A (2009) Psychometric properties of the Persian version of the Pittsburgh Sleep Quality Index addendum for PTSD (PSQI-A). Sleep Breath Schlaf Atmung 13:259–262

    Article  PubMed  Google Scholar 

  • Faydali S, Çetinkaya F (2018) The effect of aromatherapy on sleep quality of elderly people residing in a nursing home. Holist Nurs Pract 32:8–16

    Article  PubMed  Google Scholar 

  • Gong M, Dong H, Tang Y, Huang W, Lu F (2020) Effects of aromatherapy on anxiety: a meta-analysis of randomized controlled trials. J Affect Disord 274:1028–1040

    Article  PubMed  Google Scholar 

  • Haddad S, Dennis CL, Shah PS, Stremler R (2019) Sleep in parents of preterm infants: a systematic review. Midwifery 73:35–48

    Article  PubMed  Google Scholar 

  • Hajibagheri A, Babaii A, Adib-Hajbaghery M (2014) Effect of Rosa damascene aromatherapy on sleep quality in cardiac patients: a randomized controlled trial. Complement Ther Clin Pract 20:159–163

    Article  PubMed  Google Scholar 

  • Heydarirad G, Keyhanmehr AS, Mofid B, Nikfarjad H, Mosavat SH (2019) Efficacy of aromatherapy with Rosa damascena in the improvement of sleep quality of cancer patients: a randomized controlled clinical trial. Complement Ther Clin Pract 35:57–61

    Article  PubMed  Google Scholar 

  • Hongratanaworakit T (2009) Relaxing effect of rose oil on humans. Nat Prod Commun 4:291–296

    CAS  PubMed  Google Scholar 

  • Karadag E, Samancioglu S, Ozden D, Bakir E (2017) Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care 22:105–112

    Article  PubMed  Google Scholar 

  • Khudhair AF, Nikfarid L, Varzeshnejad M, Eyvazi S (2022) Nursing diagnoses of hospitalized infants with physiologic hyperbilirubinemia: a cross sectional study. J Neonatal Nurs 28:270–278

    Article  Google Scholar 

  • Kim D-S, Choi E-K, Shin J-H, Park K-H, Cha J-H, Lee J-H, Seo W-H, Choi B-M (2020) Sleep quality of mothers of premature infants after neonatal intensive care unit discharge. Chronobiol Med 2:61–66

    Article  Google Scholar 

  • Kumar A, Gautam RD, Singh S, Chauhan R, Kumar M, Kumar D, Kumar A, Singh S (2023) Phenotyping floral traits and essential oil profiling revealed considerable variations in clonal selections of damask rose (Rosa damascena Mill.). Sci Rep 13:8101

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li CY, Chen SC, Li CY, Gau ML, Huang CM (2011) Randomised controlled trial of the effectiveness of using foot reflexology to improve quality of sleep amongst Taiwanese postpartum women. Midwifery 27:181–186

    Article  PubMed  Google Scholar 

  • Lillehei AS, Halcon LL (2014) A systematic review of the effect of inhaled essential oils on sleep. J Altern Complement Med 20:441–451

    Article  PubMed  Google Scholar 

  • Lin P-C, Lee P-H, Tseng S-J, Lin Y-M, Chen S-R, Hou W-H (2019) Effects of aromatherapy on sleep quality: a systematic review and meta-analysis. Complement Ther Med 45:156–166

    Article  PubMed  Google Scholar 

  • Louis M, Kowalski SD (2002) Use of aromatherapy with hospice patients to decrease pain, anxiety, and depression and to promote an increased sense of well-being. Am J Hosp Palliat Care 19:381–386

    Article  PubMed  Google Scholar 

  • Lucena L, Santos-Junior JG, Tufik S, Hachul H (2023) Effect of a lavender essential oil and sleep hygiene protocol on insomnia in postmenopausal women: a pilot randomized clinical trial. Explore (NY)

  • Mahdood B, Imani B, Khazaei S (2022) Effects of inhalation aromatherapy With Rosa damascena (Damask Rose) on the state anxiety and sleep quality of operating room personnel during the COVID-19 pandemic: a randomized controlled trial. J Perianesth Nurs 37:493–500

    Article  PubMed  Google Scholar 

  • Marthinsen GN, Helseth S, Fegran L (2018) Sleep and its relationship to health in parents of preterm infants: a scoping review. BMC Pediatr 18:352

    Article  PubMed  PubMed Central  Google Scholar 

  • Mengesha EW, Amare D, Asfaw LS, Tesfa M, AmbawGetahun F (2022) Parental experiences in neonatal intensive care unit in Ethiopia: a phenomenological study. Ann Med 54:121–131

    Article  PubMed  PubMed Central  Google Scholar 

  • Mokhtari R, Ajorpaz NM, Abdi K, Golitaleb M (2023) The effects of Rosa damascene aromatherapy on anxiety and sleep quality in burn patients: a randomized clinical trial. Burns 49:973–979

    Article  PubMed  Google Scholar 

  • Moslemi F, Alijaniha F, Naseri M, Kazemnejad A, Charkhkar M, Heidari MR (2019) Citrus aurantium aroma for anxiety in patients with acute coronary syndrome: a double-blind placebo-controlled trial. J Altern Complement Med 25:833–839

    Article  PubMed  Google Scholar 

  • Niazi M, Hashempur MH, Taghizadeh M, Heydari M, Shariat A (2017) Efficacy of topical rose (Rosa damascena Mill.) oil for migraine headache: a randomized double-blinded placebo-controlled cross-over trial. Complement Ther Med 34:35–41

    Article  PubMed  Google Scholar 

  • Noergaard B, Ammentorp J, Garne E, Fenger-Gron J, Kofoed PE (2018) Fathers’ stress in a neonatal intensive care unit. Adv Neonatal Care 18:413–422

    Article  PubMed  PubMed Central  Google Scholar 

  • Özkaraman A, Dugum Ö, Yilmaz HÖ, Yecilbalkan ÖU (2018) Aromatherapy: the effect of lavender on anxiety and sleep quality in patients treated with chemotherapy. Clin J Oncol Nurs 22:2

    Article  Google Scholar 

  • Sanatkaran A, Bahari F, Ansari A, Atashi N (2016) The effect of red rose essential oil and lavender aromatherapy on the frequency of lucid dreaming, recalling dreams and sleep quality in female students. Mediterr J Soc Sci 7:83

    Google Scholar 

  • Tabatabaeichehr M, Mortazavi H (2020) The effectiveness of aromatherapy in the management of labor pain and anxiety: a systematic review. Ethiop J Health Sci 30:449–458

    PubMed  PubMed Central  Google Scholar 

  • Turan T, Başkale H, Öncel G (2016) Determining the psychometric properties of the Turkish version of the nurse-parent support tool and the stress levels of parents of premature infants hospitalized in the neonatal intensive care unit. Clin Nurse Spec 30:E1-10

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank all participants who participated in the study, the authorities of the study setting which provided permission for conducting the study, and all people who helped us throughout the study.

Funding

No funding was received for conducting this study.

Author information

Authors and Affiliations

  1. Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Fatemeh Hashemi, Fatemeh Asadollah & Lida Nikfarid

  2. Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ghazaleh Heydarirad

Authors
  1. Fatemeh Hashemi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ghazaleh Heydarirad
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fatemeh Asadollah
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lida Nikfarid
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

Corresponding author

Correspondence to Ghazaleh Heydarirad.

Ethics declarations

Ethical statement

The participants of the study were informed about the aims and procedure of the study, and their informed consents, both verbal and written were received. Before starting the study, the necessary ethical approval was obtained from the Research Ethics Committee of the Department of Pharmacy-Nursing and Midwifery at Shahid Beheshti University of Medical Sciences (IR.SBMU.RETECH.REC.1399.697).

Conflict of interest

Fatemeh Hashemi has no conflict of interest. Ghazaleh HeydariRad has no conflict of interest Fatemeh Asadollah has no conflict of interest. Lida Nikfarid has no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hashemi, F., Heydarirad, G., Asadollah, F. et al. The impact of aromatherapy with Damask rose on the sleep quality of mothers with premature newborns: a quasi-experimental study. ADV TRADIT MED (ADTM) (2024). https://doi.org/10.1007/s13596-024-00744-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s13596-024-00744-3

Keywords

Search

Navigation