Background and objective: Sleep disorder and reduced rest during admission to hospital is a stimulating factor of heart attacks in coronary artery disease patients. There are different ways to improve sleep quality. Method: Aromatherapy is one of the methods used to improve sleep quality. This study determines the effects of hybrid aromatherapy on sleep quality of patients with ACS admitted to CCU. This clinical trial was conducted in 2016 on 60 patients diagnosed with ACS and admitted to CCU of the 22 Bahman Hospital, Gonabad. The patients were recruited by using convenient sampling and assigned randomly to control and experiment groups. Results: The experimental group received aromatherapy with a combination of essential oils of lavender, Matricaria recutita and neroli (6:2:0.5) for three consecutive nights; the control group received no intervention. At the beginning and the end of the study, visual VSH scale was filled out to assess sleep quality. The collected data was analyzed by using SPSS20, independent t-tests, Chi-square test and exact Fisher test (p<0.05). Each group contained 30 samples who were not significantly different in terms of underlying characteristics (p>0.05). Conclusion: There was a significant difference in mean score of post-interventional and pre-interventional sleep quality, effectiveness and sleep supplementation (p<0.001). The mean score of sleep quality and sleep supplementation increased in the control group and decreased in the experiment group, while the mean score of sleep effectiveness decreased in the control group and increased in the experiment group. The results showed that hybrid aromatherapy as a cost effective and uncomplicated method can improve sleep quality of patients with ACS admitted to CCU.
Aims: The emergence of COVID-19 disease has created significant stress and anxiety for health care workers. This study aimed to investigate the stressors and coping strategies in the staff of Allameh Bohlool Hospital in Gonabad City, Iran, during the outbreak of the COVID-19 disease. Methods & Materials: This cross-sectional study was performed on 252 employees of Allameh Bohlool Hospital in Gonabad from March 2020 to April 2020. Study tools included a brief form of coping styles (Brief-COPE) and a researcher-made questionnaire of stressors due to the emergence of COVID-19 among health care workers. The obtained data were analyzed using linear regression and ordinal regression models at the significance level of 0.05. Findings: About 74.2%, 69.4%, 52.7%, 52.7%, and 99.2% of the hospital staff had moderate to high stress in the domains of internal, family-social, workplace-related, infection control, and government measures, respectively. The degree of using adaptive and maladaptive coping styles used by staff were 52.0% and 23.8% at the moderate to the high level, respectively. Maladaptive coping styles had a positive and significant relationship with stress intensity so that for each unit increase in maladaptive coping score, the odds of experiencing higher levels of stress increased 1.24 to 1.45 times (P<0.001). Also, the odds of experiencing higher levels of stress in those who had sports activities was 24% to 76% lower (P=0.003). Conclusion: The findings of the present study indicated a high level of stress among hospital staff. Also, the use of maladaptive coping styles and sports activities had a significant positive and negative relationship with stress intensity, respectively. Therefore, designing effective interventions focusing on reducing maladaptive coping patterns among hospital staff and encouraging people to engage in sports activities can help manage stress as much as possible due to the outbreak of COVID-19 disease.
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