{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T21:48:07Z","timestamp":1793137687082,"version":"4.5.0"},"reference-count":56,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100015027","name":"Vice Chancellor for Research and Technology, Hamadan University of Medical Sciences","doi-asserted-by":"publisher","award":["140003252576"],"award-info":[{"award-number":["140003252576"]}],"id":[{"id":"10.13039\/501100015027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004697","name":"Hamadan University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004697","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","jopan.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of PeriAnesthesia Nursing"],"published-print":{"date-parts":[[2022,8]]},"DOI":"10.1016\/j.jopan.2021.09.011","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T04:22:08Z","timestamp":1635481328000},"page":"493-500","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":36,"title":["Effects of Inhalation Aromatherapy With Rosa damascena (Damask Rose) on the State Anxiety and Sleep Quality of Operating Room Personnel During the COVID-19 Pandemic: A Randomized Controlled Trial"],"prefix":"10.1016","volume":"37","author":[{"given":"Bahareh","family":"Mahdood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behzad","family":"Imani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salman","family":"Khazaei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jopan.2021.09.011_bib0001","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jad.2020.08.001","article-title":"Impact of COVID-19 pandemic on mental health in the general population: A systematic review","volume":"277","author":"Xiong","year":"2020","journal-title":"J Affect Disord"},{"key":"10.1016\/j.jopan.2021.09.011_bib0002","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.3976","article-title":"Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease","volume":"3","author":"Lai","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jopan.2021.09.011_bib0003","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1017\/S0950268820001107","article-title":"The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey","volume":"148","author":"Liu","year":"2020","journal-title":"Epidemiol Infect"},{"key":"10.1016\/j.jopan.2021.09.011_bib0004","doi-asserted-by":"crossref","first-page":"1934","DOI":"10.1111\/jonm.13332","article-title":"Determining anxiety levels and related factors in operating room nurses during the COVID-19 pandemic: A descriptive study","volume":"29","author":"G\u00fcl","year":"2021","journal-title":"J Nurs Manag"},{"key":"10.1016\/j.jopan.2021.09.011_bib0005","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jopan.2020.06.017","article-title":"Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic","volume":"35","author":"Koksal","year":"2020","journal-title":"J Perianesth Nurs"},{"key":"10.1016\/j.jopan.2021.09.011_bib0006","doi-asserted-by":"crossref","DOI":"10.1016\/j.psychres.2020.112955","article-title":"Psychological status of surgical staff during the COVID-19 outbreak","volume":"288","author":"Xu","year":"2020","journal-title":"Psychiatry Res"},{"key":"10.1016\/j.jopan.2021.09.011_bib0007","first-page":"54","article-title":"The level of stress among Gorgan University of Medical Sciences hospital operation room's personals and its relation to some related factors","volume":"4","author":"Kolakari","year":"2002","journal-title":"J Gorgan Univ Med Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0008","first-page":"8","article-title":"Comparison of job satisfaction and job stress among nurses, operating room and anesthesia staff","volume":"8","author":"Rahmani","year":"2020","journal-title":"J Ergonom"},{"key":"10.1016\/j.jopan.2021.09.011_bib0009","doi-asserted-by":"crossref","first-page":"125","DOI":"10.2147\/RMHP.S236389","article-title":"Perspective and experience of hospital operating room nurses with the concept of excellence: A qualitative study","volume":"13","author":"Bakhtiari","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"key":"10.1016\/j.jopan.2021.09.011_bib0010","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/4795763","article-title":"Relationship between mental health, the CLOCK Gene, and sleep quality in surgical nurses: A cross-sectional study","volume":"2020","author":"Shi","year":"2020","journal-title":"Biomed Res Int"},{"key":"10.1016\/j.jopan.2021.09.011_bib0011","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s13293-020-00333-4","article-title":"Sex differences in self-report anxiety and sleep quality during COVID-19 stay-at-home orders","volume":"11","author":"Bigalke","year":"2020","journal-title":"Biol Sex Differ"},{"key":"10.1016\/j.jopan.2021.09.011_bib0012","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.jad.2020.05.118","article-title":"Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials","volume":"274","author":"Gong","year":"2020","journal-title":"J Affect Disord"},{"key":"10.1016\/j.jopan.2021.09.011_bib0013","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1089\/acm.2014.0113","article-title":"The effects of aromatherapy on sleep improvement: A systematic literature review and meta-analysis","volume":"21","author":"Hwang","year":"2015","journal-title":"J Altern Complement Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0014","series-title":"Medicinal Plants of South Asia","first-page":"217","author":"Shabbir","year":"2020"},{"key":"10.1016\/j.jopan.2021.09.011_bib0015","first-page":"295","article-title":"Pharmacological effects of rosa damascena","volume":"14","author":"Boskabady","year":"2011","journal-title":"Iran J Basic Med Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0016","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jtcme.2015.09.005","article-title":"Rosa damascena as holy ancient herb with novel applications","volume":"6","author":"Mahboubi","year":"2016","journal-title":"J Tradit Complement Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0017","first-page":"2","article-title":"A comparative clinical trial of rose petal (Gul Gulaab), rose hydrosol diluted (Arq Gulaab), and rose hydrosol (Ruh Gulaab) in insomnia","volume":"11","author":"Jahangir","year":"2009","journal-title":"Internet J Neurol"},{"key":"10.1016\/j.jopan.2021.09.011_bib0018","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.sleep.2021.07.017","article-title":"Effect of Rosa damascena on improvement of adults\u2019 sleep quality: A systematic review and meta-analysis of randomized controlled trials","volume":"87","author":"Ghorbani Rami","year":"2021","journal-title":"Sleep Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0019","doi-asserted-by":"crossref","first-page":"6585","DOI":"10.1002\/ptr.7243","article-title":"Rosa Damascena Mill for treating adults\u2019 anxiety, depression, and stress: A systematic review and dose-response meta-analysis of randomized controlled trials","volume":"35","author":"Rasooli","year":"2021","journal-title":"Phytother Res"},{"key":"10.1016\/j.jopan.2021.09.011_bib0020","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.joim.2018.02.005","article-title":"Effects of aromatherapy with Rosa damascena on nulliparous women's pain and anxiety of labor during first stage of labor","volume":"16","author":"Hamdamian","year":"2018","journal-title":"J Integr Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0021","doi-asserted-by":"crossref","first-page":"e14455","DOI":"10.5812\/ircmj.14455","article-title":"Comparing the effects of aromatherapy with rose oils and warm foot bath on anxiety in the first stage of labor in nulliparous women","volume":"16","author":"Kheirkhah","year":"2014","journal-title":"Iran Red Crescent Med J"},{"key":"10.1016\/j.jopan.2021.09.011_bib0022","doi-asserted-by":"crossref","first-page":"e38347","DOI":"10.5812\/numonthly.38347","article-title":"The effect of aromatherapy on anxiety in patients","volume":"8","author":"Barati","year":"2016","journal-title":"Nephrourol Mon"},{"key":"10.1016\/j.jopan.2021.09.011_bib0023","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/j.burns.2019.03.001","article-title":"Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: A randomized clinical trial","volume":"45","author":"Daneshpajooh","year":"2019","journal-title":"Burns"},{"key":"10.1016\/j.jopan.2021.09.011_bib0024","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1016\/j.burns.2020.05.006","article-title":"The effect of inhalation aromatherapy with damask rose essence on pain intensity and anxiety in burned patients: A single-blind randomized clinical trial","volume":"46","author":"Sadeghi","year":"2020","journal-title":"Burns"},{"key":"10.1016\/j.jopan.2021.09.011_bib0025","first-page":"1","article-title":"Effect of aromatherapy on anxiety and pain in patients undergoing cholecystectomy","volume":"1","author":"Seyyed-Rasooli","year":"2014","journal-title":"Adv Herb Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0026","doi-asserted-by":"crossref","first-page":"128","DOI":"10.32598\/hms.26.2.3043.4","article-title":"The effect of rose aromatherapy on anxiety before abdominal operation","volume":"26","author":"Najafi","year":"2020","journal-title":"Horizon Med Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0027","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/jehp.jehp_18_21","article-title":"Effects of Rosa damascena (Damask rose) on menstruation-related pain, headache, fatigue, anxiety, and bloating: A systematic review and meta-analysis of randomized controlled trials","volume":"10","author":"Koohpayeh","year":"2021","journal-title":"J Edu Health Promot"},{"key":"10.1016\/j.jopan.2021.09.011_bib0028","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ctcp.2019.01.017","article-title":"Efficacy of aromatherapy with Rosa damascena in the improvement of sleep quality of cancer patients: A randomized controlled clinical trial","volume":"35","author":"Heydarirad","year":"2019","journal-title":"Complement Ther Clin Pract"},{"key":"10.1016\/j.jopan.2021.09.011_bib0029","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctcp.2020.101299","article-title":"Effect of rosa damascene aromatherapy on anxiety and sleep quality in cardiac patients: A randomized controlled trial","volume":"42","author":"Jodaki","year":"2021","journal-title":"Complement Ther Clin Pract"},{"key":"10.1016\/j.jopan.2021.09.011_bib0030","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ctcp.2014.05.001","article-title":"Effect of Rosa damascene aromatherapy on sleep quality in cardiac patients: A randomized controlled trial","volume":"20","author":"Hajibagheri","year":"2014","journal-title":"Complement Ther Clin Pract"},{"key":"10.1016\/j.jopan.2021.09.011_bib0031","series-title":"Effect of Damask Rose Oil on Quality of Sleep and Fatigue in Hemodialysis Patients: A Quasi-Experimental Study","author":"Elahi","year":"2020"},{"key":"10.1016\/j.jopan.2021.09.011_bib0032","first-page":"282","article-title":"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","volume":"5","author":"Gholami","year":"2019","journal-title":"Milit Care Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0033","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1007\/s00405-013-2873-6","article-title":"Feasibility of an interval, inspiration-triggered nocturnal odorant application by a novel device: A patient-blinded, randomised crossover, pilot trial on mood and sleep quality of depressed female inpatients","volume":"271","author":"Vitinius","year":"2014","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.1016\/j.jopan.2021.09.011_bib0034","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1002\/ffj.3339","article-title":"Influence of room fragrance on attention, anxiety and mood","volume":"32","author":"Haehner","year":"2017","journal-title":"Flavour Fragr"},{"key":"10.1016\/j.jopan.2021.09.011_bib0035","doi-asserted-by":"crossref","first-page":"2990","DOI":"10.4103\/jfmpc.jfmpc_452_19","article-title":"The effect of aromatherapy on mental, physical symptoms, and social functions of females with premenstrual syndrome: A randomized clinical trial","volume":"8","author":"Heydari","year":"2019","journal-title":"J Family Med Prim Care"},{"key":"10.1016\/j.jopan.2021.09.011_bib0036","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1186\/s12889-020-09743-w","article-title":"Covid-19 effects on the workload of Iranian healthcare workers","volume":"20","author":"Shoja","year":"2020","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jopan.2021.09.011_bib0037","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijsu.2011.10.001","article-title":"CONSORT 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trials","volume":"10","author":"Moher","year":"2012","journal-title":"Int J Surg"},{"key":"10.1016\/j.jopan.2021.09.011_bib0038","unstructured":"Spielberger C, Sydeman S. State-trait anxiety inventory and state-trait anger expression inventory In: Maruish M, editor. The Use of Psychological Testing for Treatment Planning and Outcome Assessment: Hillsdale, NJ: Lawrence Erlbaum Associates, Inc; 1994. p. 292-321."},{"key":"10.1016\/j.jopan.2021.09.011_bib0039","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.ctcp.2018.11.014","article-title":"The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery","volume":"34","author":"Fazlollahpour-Rokni","year":"2019","journal-title":"Complement Ther Clin Pract"},{"key":"10.1016\/j.jopan.2021.09.011_bib0040","doi-asserted-by":"crossref","first-page":"2675","DOI":"10.1002\/ptr.6698","article-title":"The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open-heart surgery: A double-center randomized controlled trial","volume":"34","author":"Babatabar Darzi","year":"2020","journal-title":"Phytother Res"},{"key":"10.1016\/j.jopan.2021.09.011_bib0041","series-title":"The Validity and Reliability of Spielberger Anxiety Questionnaire in Farsi","author":"Panahi","year":"1991"},{"key":"10.1016\/j.jopan.2021.09.011_bib0042","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"10.1016\/j.jopan.2021.09.011_bib0043","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s11325-010-0478-5","article-title":"Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P)","volume":"16","author":"Farrahi Moghaddam","year":"2012","journal-title":"Sleep Breath"},{"key":"10.1016\/j.jopan.2021.09.011_bib0044","article-title":"Compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section: A double-blinded randomized clinical trial [e-pub ahead of print]","author":"Abbasijahromi","year":"2019","journal-title":"J Complement Integr Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0045","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.eujim.2019.01.006","article-title":"The effects of aromatherapy using rose oil (Rosa damascena Mill.) on preoperative anxiety: A prospective randomized clinical trial","volume":"26","author":"Dagli","year":"2019","journal-title":"Eur J Integr Med"},{"key":"10.1016\/j.jopan.2021.09.011_bib0046","doi-asserted-by":"crossref","first-page":"e60280","DOI":"10.5812\/numonthly.60280","article-title":"Effects of aromatherapy using the damask rose essential oil on depression, anxiety, and stress in hemodialysis patients: A clinical trial","volume":"9","author":"Dehkordi","year":"2017","journal-title":"Nephro-Urol Mon"},{"key":"10.1016\/j.jopan.2021.09.011_bib0047","first-page":"814","article-title":"The effects of Red rose essential oil aromatherapy on athletes\u2019 sleep quality before the competition","volume":"4","author":"Atashi","year":"2015","journal-title":"J Nov Appl Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0048","article-title":"The effect of red rose essential oil and lavender aromatherapy on the frequency of lucid dreaming, recalling dreams and sleep quality in female students","volume":"7","author":"Sanatkaran","year":"2016","journal-title":"Mediterr J Soc Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0049","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/S0024-3205(02)02197-5","article-title":"Anticonflict effects of rose oil and identification of its active constituents","volume":"72","author":"Umezu","year":"2002","journal-title":"Life Sci"},{"key":"10.1016\/j.jopan.2021.09.011_bib0050","first-page":"910","article-title":"Potentiation of pentobarbital hypnosis by Rosa damascena in mice","volume":"44","author":"Rakhshandah","year":"2006","journal-title":"Indian J Exp Biol"},{"key":"10.1016\/j.jopan.2021.09.011_bib0051","article-title":"CNS depressant effect of the crude extract of the flowering top of Rosa damascena (Rosaceae)","volume":"5","author":"Alam","year":"2006","journal-title":"Iran J Pharmacol Ther"},{"key":"10.1016\/j.jopan.2021.09.011_bib0052","first-page":"206","article-title":"Therapeutic efficacy of rose oil: A comprehensive review of clinical evidence","volume":"7","author":"Mohebitabar","year":"2017","journal-title":"Avicenna J Phytomed"},{"key":"10.1016\/j.jopan.2021.09.011_bib0053","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1254\/jjp.90.247","article-title":"Effects of fragrance inhalation on sympathetic activity in normal adults","volume":"90","author":"Haze","year":"2002","journal-title":"Jpn J Pharmacol"},{"key":"10.1016\/j.jopan.2021.09.011_bib0054","first-page":"1939","article-title":"Cognitive function enhancement and glucocorticoid receptor resistance decrement after Rosa Damascena (L.) and Lavandula Officinalis (L.) essential oil aromatherapy in hemodialysis patients","volume":"8","author":"Ghoshooni","year":"2017","journal-title":"Int J Adv Biotechnol Res"},{"key":"10.1016\/j.jopan.2021.09.011_bib0055","article-title":"Effects of topical application and oral intake of Rosa Damascena on adult's acute pain: A systematic review and meta-analysis","author":"Koohpayeh","year":"2021","journal-title":"Oman Med J"},{"key":"10.1016\/j.jopan.2021.09.011_bib0056","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctim.2020.102596","article-title":"Effect of aromatherapy with Damask rose on alleviating adults\u2019 acute pain severity: A systematic review and meta-analysis of randomized controlled trials","volume":"56","author":"Nasiri","year":"2021","journal-title":"Complement Ther Med"}],"container-title":["Journal of PeriAnesthesia Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1089947221003543?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1089947221003543?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T18:20:58Z","timestamp":1761070858000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1089947221003543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8]]},"references-count":56,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["S1089947221003543"],"URL":"https:\/\/doi.org\/10.1016\/j.jopan.2021.09.011","relation":{},"ISSN":["1089-9472"],"issn-type":[{"value":"1089-9472","type":"print"}],"subject":[],"published":{"date-parts":[[2022,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of Inhalation Aromatherapy With Rosa damascena (Damask Rose) on the State Anxiety and Sleep Quality of Operating Room Personnel During the COVID-19 Pandemic: A Randomized Controlled Trial","name":"articletitle","label":"Article Title"},{"value":"Journal of PeriAnesthesia Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jopan.2021.09.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}