Effects of Aromatherapy on Stress Levels in BSN Students: A Pilot Study

Thursday, 25 July 2019: 2:50 PM

Cynthia M. Pipkins, PhD, RN
JoAnne Gay Dishman School of Nursing, Lamar University, Beaumont, TX, USA
J. T. Seaman, MSN, RN, PMHMP-BC
Dishman School of Nursing, Lamar University, Beamont, TX, USA

Purpose: The purpose of this cross-sectional pilot study was to determine the baseline stress level and evaluate the effectiveness of aromatherapy on physiological (heart rate/respiratory rate) and psychological factors (stress level) in nursing students. By exploring the integration of aromatherapy, the intention of the intervention was to "create a healing environment" conducive to learning (Watson, 2008, p. 129; Watson, 2018). The specific aims of this study were: (1) determine the baseline stress level (Perceived Stress Scale [PSS-10]) and (2) evaluate the effectiveness of aromatherapy (peppermint) on physiological factors/biophysical markers (heart rate, respiration rate) and psychological factors (Perceived Stress Levels [PSL]) of nursing students.

Methods: A convenience sample of baccalaureate nursing students (n=57) enrolled in the nursing course, attended class during data collection, and completed all components of the study were utilized. Once consented, the participants completed the demographics and PSS-10. The physiological factors/biophysical markers (HR and RR) and psychological factor (PSL) were collected and documented at four different timed intervals around aromatherapy diffusion (pre-intervention were Time 1, 2, and 3; post-intervention was Time 4). The aromatherapy intervention was diffused between Time 3 and Time 4.

Results: The PSS mean score (M = 2.008) revealed the students were "sometimes" stressed over the last month correlating to the PSL score (M = 4.7) as “moderately” stressed. No statistical significance was found between heart rates, respiratory rates and perceived stress levels, before peppermint oil was diffused compared to the respective means after the oil was diffused using t-test. However, a mean HR and RR was calculated pre-intervention (M= 85.7; M = 17.1, respectively) with post-intervention calculations (M= 70.4; M = 14.4, respectively) showing a marked decrease clinically. The pre-intervention PSL was (M = 4.7) "moderately" stressed with the post-intervention calculation (M = 3.3) "mildly" stressed.

Conclusion: The outcome of this pilot study provided preliminary data for the development of a stress management intervention for nursing students. Clinically significant decrease was measured in heart rates, respiratory rates and stress level after diffusing aromatherapy in nursing students. Further study using larger samples is needed, and could yield significant generalizable results.

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