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Article

Effects of Aromatherapy Combined with Music Therapy on Anxiety, Stress, and Fundamental Nursing Skills in Nursing Students: A Randomized Controlled Trial

by 1, 2,*,† and 3,*,†
1
College of Nursing, Eulji University, Gyeonggi-Do 13135, Korea
2
Sports and Health Care Major, College of Humanities and Arts, Korea National University of Transportation, Chungju-si 27469, Korea
3
College of Nursing, Kangwon National University, Gangwon-Do 24341, Korea
*
Authors to whom correspondence should be addressed.
The corresponding two authors (Wi-Young So and Myoungsuk Kim) contributed equally to this work.
Int. J. Environ. Res. Public Health 2019, 16(21), 4185; https://doi.org/10.3390/ijerph16214185
Received: 6 October 2019 / Revised: 23 October 2019 / Accepted: 25 October 2019 / Published: 29 October 2019
Purpose: Nursing students often experience anxiety and stress when taking exams that test their fundamental nursing skills. Complementary alternative methods, such as aromatherapy and music therapy, have effectively alleviated such negative emotions among nursing students. However, few studies have examined the effects of combined therapy interventions or compared the effects of different interventions. This study identified the individual and combined effects of aromatherapy and music therapy on test anxiety, state anxiety, stress, and fundamental nursing skills among nursing students in Korea. Methods: A double-blinded, randomized, controlled trial design was used. The study was conducted at the nursing college at Sungshin Women’s University, Seoul, Republic of Korea. Ninety-eight sophomore female nursing students participated in the study. Subjects were randomly categorized under three groups: aromatherapy (n = 32), music therapy (n = 32), and aromatherapy combined with music therapy (n = 34). Aromatherapy was carried out through the inhalation method using an aroma lamp and three drops of Origanum majorana and Citrus sinensis. Music therapy was carried out using Beethoven’s Moonlight Sonata. Twenty-minute interventions were performed in separate rooms before an exam was administered. Data were collected through self-report questionnaires, including demographics, test anxiety, state anxiety, and stress. Participants’ Foley catheterization skill was likewise evaluated. Results: Aromatherapy combined with music therapy had a significant effect on test anxiety (F = 4.29, p = 0.016), state anxiety (F = 4.77, p = 0.011), stress (F = 4.62, p = 0.012), and performance of fundamental nursing skills (F = 8.04, p = 0.001) compared with aromatherapy and music therapy as separate interventions. Conclusions: The results suggest that nursing education that includes aromatherapy combined with music therapy may be effective for improving the performance of fundamental nursing skills and reducing anxiety and stress among nursing students. View Full-Text
Keywords: anxiety; aromatherapy; music therapy; nursing skills; nursing students anxiety; aromatherapy; music therapy; nursing skills; nursing students
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MDPI and ACS Style

Son, H.K.; So, W.-Y.; Kim, M. Effects of Aromatherapy Combined with Music Therapy on Anxiety, Stress, and Fundamental Nursing Skills in Nursing Students: A Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2019, 16, 4185. https://doi.org/10.3390/ijerph16214185

AMA Style

Son HK, So W-Y, Kim M. Effects of Aromatherapy Combined with Music Therapy on Anxiety, Stress, and Fundamental Nursing Skills in Nursing Students: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2019; 16(21):4185. https://doi.org/10.3390/ijerph16214185

Chicago/Turabian Style

Son, Hae K., Wi-Young So, and Myoungsuk Kim. 2019. "Effects of Aromatherapy Combined with Music Therapy on Anxiety, Stress, and Fundamental Nursing Skills in Nursing Students: A Randomized Controlled Trial" International Journal of Environmental Research and Public Health 16, no. 21: 4185. https://doi.org/10.3390/ijerph16214185

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