The Effect of Lavender on Anxiety and Hemodynamic Status Before Septorhinoplasy and Rhinoplasty

  • Maliheh Shirzad
    Master student of operating room of Allied Medical Sciences, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
    Search for articles by this author
  • Ebrahim Nasiri
    Address correspondence to Ebrahim Nasiri, Mazandaran University of Medical Sciences, Anesthesiology and Operating Room Department, School of Allied Medical Sciences, Traditional and Complementary Medicine Research Centre, Addiction Research Institute, Sari, Iran.
    Anesthesiology and Operating Room Department, School of Allied Medical Sciences, Traditional and Complementary Medicine Research Centre, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, Iran
    Search for articles by this author
  • Mohammadhossein Hesamirostami
    Plastic and Reconstructive surgery Department, Mazandaran University of Medical Sciences, Sari, Iran
    Search for articles by this author
  • Hooshang Akbari
    Anesthesiology and Operation Room Department, School of Allied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran
    Search for articles by this author
Published:August 18, 2022DOI:



      Anxiety is one of the most common problems before surgery and surgery of the nose is one of the most concerning and challenging surgeries among the plastic surgeries. The aim of this research is to consider the impact of lavender fragrance on anxiety and hemodynamics status before the septorhinoplasty and rhinoplasty.


      Parallel randomized control trial.


      This research was done by testing thirty-four candidates who were about to have the surgery in two groups of lavender (intervention) and control. The anxiety before and after surgery was examined by the Speilberger State Anxiety Inventory questionnaire and the hemodynamics status. For the analysis, the T- Test, Mann Whitney Test and the χ2 Test were used.


      The demographic features of the two groups were similar. Anxiety after the experiment was meaningful. The obvious anxiety in the lavender category was 25.8% and the controlled group had that decreased to 1.8%. The latent anxiety was reduced by 24.3% in the lavender group and increased by 8% in the controlled group. The systolic, diastolic and the heart rate after the intervention was less in the lavender group.


      Due to the ease of the inhalation of lavender and the lack of any report for the existence of any kind of side-effects for the prevention of anxiety during nose surgeries, it can be suggested that this approach can be effective for the controlling of the consistency of the patients’ hemodynamics.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of PeriAnesthesia Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Marback RF
        • Espíndola RFd
        • Santhiago MRd
        • Temporini ER
        • Kara-Junior N
        Cataract surgery: Emotional reactions of patients with monocular versus binocular vision.
        Rev Bras Oftalmol. 2012; 71: 385-389
        • Thompson M
        • Moe K
        • Lewis CP
        The effects of music on diminishing anxiety among preoperative patients.
        J Radiol Nurs. 2014; 33: 199-202
        • Phillips N
        Berry & Kohn’s Operating room technique. Ed 13.
        Elsevier. 2017; : 1-224
        • Heffline M
        Exploring nursing interventions for acute pain in the postanesthesia care unit.
        J Post Anesth Nurs. 1990; 5: 321-328
        • Alahmadi A.M
        Prevalence of anxiety among college and school students in Saudi Arabia: A systematic review.
        J Health Informatics Dev Ctries. 2019; 13: 1-15
        • Ghardashi F
        • Moghaddam S
        • Hasanabadi H
        • Setayesh Y
        Study of the relationship between pre-operative waiting time and anxiety in patients.
        JSUMS. 2004; 10: 76-84
      1. Babashahi M, Fayazi S, Aghel N, Haghighizadeh MH The effect of inhalation aromatherapy on patients' anxiety before surgery. JMSJ. 1389;9:68.

        • Mahfouzi A
        • Hasani Mian M
        The effect of Midazolam in reducing anxiety of surgical patients.
        SJOFM. 2000; 6: 3-20
        • Ali B
        • Al-Wabel NA
        • Shams S
        • Ahamad A
        • Khan SA
        • Anwar F
        Essential oils used in aromatherapy: A systemic review.
        Asian Pac J Trop Biomed. 2015; 5: 601-611
        • Marzouk TM
        • El-Nemer AM
        • Baraka HN
        The effect of aromatherapy abdominal massage on alleviating menstrual pain in nursing students: a prospective randomized cross-over study.
        Evid Based Complementary Altern Med. 2013; 2013: 1-6
        • Heidari M
        • Nateq M
        • Ebadi A
        Aromatherapy from the perspective of traditional Iranian medicine and modern medicine.
        JIITM. 2017; 8: 173-182
        • Barazandeh M
        Essential oil composition of Lavandula latifolia Medik from Iran.
        J Essent Oil Res. 2002; 14: 103-104
        • Yamada K
        • Mimaki Y
        • Sashida Y
        Anticonvulsive effects of inhaling lavender oil vapour.
        Biol Pharm Bull. 1994; 17: 359-360
        • Graham P
        • Browne L
        • Cox H
        • Graham J
        Inhalation aromatherapy during radiotherapy: results of a placebo-controlled double-blind randomized trial.
        J Clin Oncol. 2003; 21: 2372-2376
        • Lehrner J
        • Marwinski G
        • Lehr S
        • Johren P
        • Deecke L
        Ambient odors of orange and lavender reduce anxiety and improve mood in a dental office.
        Physiol Behav. 2005; 86: 92-95
        • Dagli R
        • Avcu M
        • Metin M
        • Kiymaz S
        • Ciftci H.
        The effects of aromatherapy using rose oil (Rosa damascena Mill.) on preoperative anxiety: A prospective randomized clinical trial.
        Eur J Integr Med. 2019; 26: 37-42
        • Maryam G
        • Fatemeh T
        • Zahra F
        • Nahid R
        The effect of aromatherapy with essential oil of damascena on the anxiety of nurses working in the emergency department of the selected hospital of AJA University of Medical Sciences.
        Mil Caring Sci. 2019; 5 ([In Persian]): 282-291
        • Spielberger C
        • Gorsuch R
        • Lushene R
        STAI Manual for the State-Trait Anxiety Inventory.
        Consulting Psychologists' Press, Palo Alto, California1970
        • Abolhasani S
        Effect of sensory stimulation on the signs of sleep deprivation in patients admitted to cardiac coronary care unit.
        Koomesh. 2005; 7: 71-76
        • Rigi F
        • Bazdar P
        • Salehi Ardabili S
        • Naseri M
        • Feizi A
        The effect of foot reflexology on anxiety in patients with coronary artery bypass surgery referred to Seyed-Al-Shohada teaching hospital, Urmia, 2012.
        J Urmia Nurs Midwifery Fac. 2013; 11: 578-583
        • Monfared A
        • Mirzaee Jirdehi M
        • Mansour Ghanaei F
        • Joukar F
        • Kazemnezhad Leyli E
        The effect of lavender essential oil aromatherapy on the anxiety of endoscopy candidates: A clinical trial.
        Iran J Nurs. 2020; 32: 51-63
        • Genc H
        • Saritas S
        The effects of lavender oil on the anxiety and vital signs of benign prostatic hyperplasia patients in preoperative period.
        EXPLORE. 2019;
        • Beyliklioğlu A
        • Arslan S
        Effect of lavender oil on the anxiety of patients before breast surgery.
        J Perianesth Nurs. 2019; 34: 587-593
        • Saritaş S
        • Kavak F
        • Savaş B
        The effect of lavender oil on anxiety levels of patients before laparoscopic cholecystectomy.
        Complement Ther Clin Pract. 2018; 32: 51-54
        • Akhule O
        • Nasiri E
        • Lotfi M
        • Mahmoodi A
        • Akbari H
        The effect of concomitant exercise and inhalation of lavender fragrance on surgical technologists' fatigue severity.
        JHSW. 2021; 11: 26-33