The effect of combined rhythmic breathing and aromatherapy on pain intensity and anxiety in patients with unstable angina

Background: Unstable angina is a serious heart condition characterized by intense chest pain and anxiety, which substantially reduces patients' well-being. Objective: This study examined the combined effects of rhythmic breathing and aromatherapy on pain and anxiety in unstable angina. Methods: This two-arm randomized controlled trial involved 56 participants, who were equally allocated to an intervention group (n = 28) and a control group (n = 28). The intervention group received rhythmic breathing exercises combined with aromatherapy using 40 % diluted damask rose essential oil, administered in three sessions per hour over a 3-h period. Results: Repeated measures ANOVA indicated a significant time-based decrease in pain and anxiety within the intervention group, contrasting with the control group (P < .001). Conclusion: Pain and anxiety were effectively reduced in unstable angina patients through a combined intervention of rhythmic breathing and aromatherapy. These results highlight the promise of non-drug methods for treating the mental and physical effects of heart disease.