Effectiveness of Aromatherapy for Depression and Stress Essay

Effectiveness of Aromatherapy for Depression and Stress Essay Assignment Paper

In chapter five, major finding of the study was discussed, testing of hypothesis followed by examination of the data addressing the research question. In addition, the strengths and weakness of the study was explored. Next the implication of the study is presented followed by recommendations for future research and limitations faced as the study being conducted. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

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5.1 Overview of the study

The study was designed to examine the effectiveness of aromatherapy inhalation for 7 days in reducing depression, anxiety and stress during clinical practice among first year UiTM Nursing students. Numerous research studies have highlighted the relationship between effect of depression, anxiety and stress on nursing student during clinical practice. Effectiveness of Aromatherapy for Depression and Stress Essay PaperEffectiveness of Aromatherapy for Depression and Stress Essay

At the beginning of clinical practice period, the researcher introduced the study objective and informed consent process to the first year nursing student of the Universiti Teknologi Mara (UiTM) Puncak Alam. Students who were interested in participating signing an informed consent form. A total of 42 students signed the informed consent and had an opportunity to ask question during initial meeting.

Participants completed the DASS questionnaire (pretest) and were selected into two groups from convenient sampling. As a result, 20 participants in experimental group and 22 in the control group for purposes of data analysis. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

5.2 Baseline characteristic of participants

The sample population of this study was composed of first year nursing student from diploma program in UiTM Puncak Alam from both genders who free from taking any relaxation medication. The study groups were homogenous with respect this characteristics, so influenced of these aspect can be generalized for all the nursing students who were evaluated (p = 0.175, p = 0.716).Effectiveness of Aromatherapy for Depression and Stress Essay

Summary of the result

Objective number 1

To determine the baseline level of anxiety score in experimental and control group.

The baseline mean score for depression, anxiety and stress in the control group was 16.14±2.765, 13.32±6.658 and 20.36±2.341 respectively and the baseline mean score for depression, anxiety and stress in the experimental group was 15.25±2.359, 13.20±5.917 and 21.65±2.183. An independent t-test at the 95% confidence interval and .05 level of significance was computed to compare the average depression, anxiety and stress score between both groups, and it was concluded that the sampling process effectively produced equivalent groups with respect to depression, anxiety and stress score at baseline, t =-1.112, p = 0.27, t = -0.61, p = 0.952, t = 1.836, p = 0.074. This indicated that the levels of DAS in the two groups were the same at the beginning. Effectiveness of Aromatherapy for Depression and Stress Essay PaperEffectiveness of Aromatherapy for Depression and Stress Essay

5.3 Baseline DAS score in both group

In this study, for baseline score, both groups was had a moderate level of depression, anxiety and stress (DAS). Possible explanation for the higher prevalence of baseline DAS score among this study population could be due to preparation for practice require more than developing skills in the on campus lab. It entails developing an ability to provide safe and effective care to other human beings in various clinical settings. This components of developing expertise as a student nurse can be very stressful to nursing students and create anxiety.

In health professional education, the clinical perspective is identified as fundamental field for students to learn about practice in the ‘actual’ world (Egan & Jaye, 2009). Prior to the education of health professionals, in particular nurses, has switched from an apprentice-based training model where the regular practice of task and activities are highlighted, to university-based preparation that educated student to understand situation and pursue and wisely use evidence in practice. (Henderson, Cooke, Creedy & Walker, 2012). Effectiveness of Aromatherapy for Depression and Stress Essay Paper

The clinical practicum is a significant and essential element of any undergraduate nursing degree. Experiences during clinical placement are effective in shaping student attitudes to learning, practice and professional development (Henderson, Cooke, Creedy & Walker, 2012).

High levels of anxiety can affect student’s learning, performance (Sharif & Armitage, 2004; Moscaritolo, 2009) and in some cases retention within a nursing program (Moscaritolo, 2009). According to Melincavage (2011), students likely to experience anxiety when in any new learning experience and while evolve from novice to expert.

According to Burnad et al. (2008) and Pulido-Martos et al. (2012) they found that witnessing the death of patient, relationship between student and mentor and/or staff, providing care, lack of knowledge and skills, practical and assignment are common clinical stressors among nursing student. Furthermore, nursing student at both novice and experienced level believed that clinical stressor more stressful that academic and external one (related to daily life) and generate more psychosocial responses such as anxiety, cognitive symptoms and depression (Blomberg, 2014). However, previously recognized clinical stress factor are lack of knowledge and professional ability, lack of understanding with history and medical terms, heavy workload, being in an unfamiliar situation, mistakes with patients or handling of technical instruments (Basso Mussoetal.,2008; Chanetal.,2009; Jimenezetal.,2010). This factor might be more frequent in hospital settings. This could clarify why student more likely to experience stress during clinical placement in hospital (Blomberg, 2014). Effectiveness of Aromatherapy for Depression and Stress Essay Paper

A study conducted by Goff (2011) found that nursing students has been long perceived by nursing department and students to experience higher levels of stress than other college student. Nursing student believed that they have little leisure time because they needed to study, with assignments and clinical task (Reeve, Shumaker, Yearwood, Riley & Crowell, 2013).

Shriver and Scott-Stiles (2000) found another leading factor to high level of stress is that clinical task demanded nursing student to spend substantial time away from campus and also require them to be responsible for the well being of patients In the other word, these activities take off student from normal social development of their friends (Reeve, Shumaker, Yearwood, Riley & Crowell, 2013).

According to Melincavage (2011), students likely to experience anxiety when in any new learning experience and while evolve from novice to expert. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

Objective number 2

To compare mean of post depression, anxiety and stress score level between intervention and control group. The H1o was: There is no difference in level of depression, anxiety and stress score between intervention and control group. An independent t-test at the .05 significance level was computed to compare mean of post depression, anxiety and stress score level between intervention and control group. There was a statistically significant difference in the mean of post depression, anxiety and stress score, t = -2.072, p = 0.045, t = -2.625, p = 0.012, t = -3.232, p = 0.002 respectively. The null hypothesis was rejected. It was concluded that there is a significant difference in level of depression, anxiety and stress score between those students who did not received aromatherapy and those student who received aromatherapy after the intervention.

Both group showed a decreasing in mean score of DAS after the intervention. However, aromatherapy group significantly lower than control group. In the other word aromatherapy was effectively reduced level of DAS in the experimental group after seven day of inhalation. However, although being exposed to water, mean score of control group also show a reduction in posttest compare to pretest. But, it was not significant as aromatherapy group. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

Objective no 3

To examine the mean of depression, anxiety and stress score in intervention and control group before and after introducing the intervention. A paired t-test at the 95% confidence interval and .05 significance level was computed to examine mean of depression, anxiety and stress score in experimental and control group before and after introducing the intervention. There was significant different in the mean score of DAS between pretest and posttest among student who received aromatherapy, t = 9.51, p = 0.00, t = 5.39, p = 0.00, t = 11.11, p = 0.00 respectively. The group of student who do not received aromatherapy also significant difference in the mean score of DAS between pretest and posttest t = 4.09, p = 0.001, t = 2.23, p = 0.037, t = 4.87, p = 0.000 respectively. However, mean score of depression and anxiety in the aromatherapy group significantly lower than the control group. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

5.4 Reduction of DAS score

In our study, intervention group who received aromatherapy inhalation for 7 days showed significance reduction of DAS score with p value 0.045, 0.012, 0.002. The null hypothesis of the study was rejected because there was a beneficial effects and statistically significant effect from aromatherapy in reducing depression, anxiety and stress score in the sample of nursing students. We accept alternative H1 and H2 since there is difference in level of DAS between intervention and control group and intervention group has showed a reduction in level of DAS after introducing the aromatherapy. Result from this study also supports previous research on effectiveness of aromatherapy (Johnson, 2013). Effectiveness of Aromatherapy for Depression and Stress Essay Paper

This finding is similar to a study conducted among 110 nurses in the hospital. A small bottle containing 3% lavender oil was pinned on their clothes to examine the effectiveness of lavender oil to reduce stress related job among nurses. The study found that there is reduction of the number of stress symptoms for 3 to 4 days in the experimental group after aromatherapy was carried out (Chen, Fang & Fang, 2013).

Another consistent finding from a study by Yuen, Mei and Wing (2014) found that there was significant improvement in the reduction of stress level (p = 0.001) and the reduction of anxiety level (p = 0.044) when compared pre and post aromatherapy inhalation among nursing student in Hong Kong facing final examination. Effectiveness of Aromatherapy for Depression and Stress Essay Paper

The result from this study similar to previous study conducted to determine the impact of aromatherapy on the anxiety level of patients experiencing coronary angiography. The study concluded that anxiety level decreased significantly in the intervention group compared with the control group after aromatherapy (P <0.0001) (Tahmasbi, Mahmoodi, Mokhberi, Hassani, Akbarzadeh & Rahnamai, 2012).

However, in this study, participant in control group showed a reduction in the level of DAS after the intervention. This result showed that nursing students seek for other intervention or coping method to overcome the depression, anxiety and stress during clinical practice. A study carried on baccalaureate nursing students in Jordan in their initial period of clinical practice found that needed support and guidance from clinical instructors helped to reduce stress and promote a positive clinical experience. Furthermore, nursing student applied the most common used of coping strategy in relieving stress such as a problem solving behavior followed by staying enthusiastic and conversion of attention from the stressful event to other things was of coping strategies ( Shaban, Khater & Akhu-Zaheya, 2012). Effectiveness of Aromatherapy for Depression and Stress Essay Paper

Effectiveness of Aromatherapy for Depression and Stress Essay Assignment Paper

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