Evidence map›Paper›PMID 40979322›Full record

ArticleJournal of education and health promotion2025

Effect of inhalation aromatherapy using damask rose essential oil on students' exam anxiety and performance: A multi-center, randomized, placebo-controlled study.

Fakhridokht Akbari, Morteza Nasiri, Azam Hosseinpour, Fatemeh Yarahmadi, Sahar Zonoori, Leila Amirmohseni, Khadijeh Moradbeygi, Neda Rashidi, Arman Keyvani Hafshejani, Masoomeh Asadi

Abstract read
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Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Relaxation effects of Shikuwasa (Contemporary clinical trials communications · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Fakhridokht AkbariDepartment of Nursing, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Morteza NasiriDepartment of Operating Room, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Azam HosseinpourDepartment of Operating Room, School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran.
Fatemeh YarahmadiDepartment of Nursing, Broujerd School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran.
Sahar ZonooriDepartment of Nursing, Broujerd School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran.
Leila AmirmohseniDepartment of Nursing, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Khadijeh MoradbeygiDepartment of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
Neda RashidiDepartment of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Arman Keyvani HafshejaniStudent Research Committee, Abadan University of Medical Sciences, Abadan, Iran.
Masoomeh AsadiDepartment of Operating Room Nursing, Abadan University of Medical Sciences, Abadan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObjective structured clinical examination (OSCE) is growingly implemented in perioperative nursing courses. However, most students experience significant OSCE-associated anxiety, which can negatively affect their exam performance. Hence, we compared the effects of inhalation aromatherapy by placebo and damask rose on the operating room (OR) students' anxiety and performance in five OSCE stations run for summative evaluation of basic perioperative practices. MATERIALS AND

methodsThis multi-center, randomized, placebo-controlled study was performed among 52 first-year undergraduate OR students during the academic year 2022-2023 at three universities in Khuzestan Province, Iran. Through the stratified randomization approach, students were allocated into two groups: placebo (

resultsThe mean anxiety scores were significantly lower in the damask rose group in comparison to the placebo group at both T2 and T3 (

conclusionAromatherapy with damask rose could be potentially valuable in alleviating OR students' pre- and post-OSCE anxiety and improving their performance during the OSCE. Therefore, given that this traditional and integrative intervention is low-cost and easy to use, it could be applied in educational programs to reduce OR students' OSCE-associated anxiety and improve their basic perioperative skills. However, additional investigations are required to identify the sustainability of the results.

Indexed as

Aromatherapyintegrative medicineperioperative nursingRosatest anxiety

Identifiers

PMID40979322
PMCPMC12448518

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.