<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20231211060336N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-12-25</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>A comparative assessment of the effect of aromatherapy with Citrus Aurantium and vanilla essence on pain intensity, blood pressure and perceived stress in adolescents undergoing appendectomy.</public_title>
      <acronym></acronym>
      <scientific_title>Comparative assessment of the effect of aromatherapy with Citrus Aurantium and Vanilla essence on pain intensity, blood pressure and perceived postoperative stress in adolescents undergoing appendectomy</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-01-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>75</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/74427</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: Samples are selected from eligible individuals based on entry criteria; Then they are divided into three groups using the permuted block method; In order to balance and divisible the number of blocks and each block is a multiple of three, a sample size of 81 people is considered and finally people will be allocated in 9 blocks of 9 blocks.

0001: A 0003: A 0005: B 0007: A 0009: C
0002: C 0004: B 0006: B 0008: C
________________________________________
0010: A 0012: B 0014: B 0016: A 0018: C
0011: B 0013: C 0015: C 0017: A
________________________________________
0019: B 0021: A 0023: C 0025: A 0027: B
0020: C 0022: C 0024: A 0026: B
________________________________________
0028: C 0030: B 0032: B 0034: C 0036: A
0029: A 0031: A 0033: C 0035: B
________________________________________
0037: A 0039: B 0041: C 0043: B 0045: A
0038: C 0040: B 0042: A 0044: C
________________________________________
0046: B 0048: A 0050: B 0052: B 0054: A
0047: C 0049: C 0051: A 0053: C
________________________________________
0055: B 0057: C 0059: A 0061: C 0063: B
0056: B 0058: A 0060: A 0062: C
________________________________________
0064: A 0066: B 0068: C 0070: C 0072: B
0065: A 0067: B 0069: A 0071: C
________________________________________
0073: C 0075: A 0077: B 0079: B 0081: A
0074: A 0076: C 0078: B 0080: C
________________________________________
0082: A 0084: A 0086: B 0088: C 0090: C
0083: B 0085: A 0087: C 0089: B
________________________________________, Blinding description: Only the participants did not know which group they were placed in and whether they were prescribed aromatherapy or a placebo.</study_design>
      <phase>0 (exploratory trials)</phase>
      <hc_freetext>Intensity of pain, blood pressure and perceived stress after the operation of adolescents undergoing appendectomy surgery.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group1:A group of 25 people is selected to conduct a trial with Citrous Aurantium essential oil by random sampling method (permutation block). Spring orange extract with a concentration of 0.1% in 10 cc (preparation and standardization of spring orange extract, by the traditional medicine pharmacy team of Shiraz University of Medical Sciences Faculty of Pharmacy and with the approval of one of the faculty members of the Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences. ) in the amount of 2 ml using a dropper on a standard and clean eye pad and the pad is placed inside a suitable can and at the time of entering the ward (first pain measurement), 3 and 6 hours after the operation, in A distance of 30 cm from the child's nose is placed and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours is appropriate to prevent normalization of the smell inhaled from the scent and to renew its smell in order to be effective. All pads are kept in a closed box between times of use; It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests. Intervention 2: Intervention group2: A group of 25 people is selected to conduct a trial with Vanilla essence using a random sampling method (permutation block). Vanilla extract with a concentration of 10 mg in 10 cc (preparation and standardization of vanilla extract by the traditional medicine pharmacy team of the Faculty of Pharmacy of the University of Medical Sciences Shiraz and with the approval of one of the faculty members of the Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences) in the amount of 2 ml was poured on a clean standard eye pad using a dropper and the pad was placed inside a suitable can. and at the time of entering the ward (first pain measurement), 3 and 6 hours after the operation, it is placed at a distance of 30 cm from the child's nose and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours is appropriate to prevent normalization of the smell inhaled from the scent and to renew its smell in order to be effective. All pads are kept in a closed box between times of use; It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests. Intervention 3: Control group: Control group: In the control group, Paraffin is used as a placebo. A group of 25 people is selected to conduct a trial with paraffin as a placebo by random sampling method (permutation block). Preparation and standardization of paraffin by the traditional medicine pharmacy team of Shiraz University of Medical Sciences and with the approval of one of the professors. Scientific Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences, 2 ml is poured on a standard and clean eye pad using a dropper, and the pad is placed inside a suitable can and at the time of entering the department The first pain measurement), 3 and 6 hours after the operation, is placed at a distance of 30 cm from the child's nose and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours. It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Only part of the data, such as information related to the main outcomes, which can be shared after de-identifying individuals, will be shared. Data related to study outcomes, such as the effects of extracts on pain intensity, blood pressure, and perceived stress after Appendectomy surgery in adolescents hospitalized in the pediatric surgery department.

When:
The access period starts 6 months after the results are published.

To whom:
Researchers working in universities

Conditions:
Requesting the use of documents is unimpeded for researchers.

Where to obtain:
To receive documents, use the following email.
Parisahajimohammad71@yahoo.com

How to obtain:
After the university researchers send the request to the mentioned email address, a brief description of the applicant should also be sent; after reviewing the application, if there are no problems, the documents will be sent.

Comments:
-</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Parisa Haji mohammadi ghahnavieh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shariati Street، Dariun Town، Shiraz City، Fars Province</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7146135415</zip>
        <telephone>+98 913 335 3728</telephone>
        <email>p.hajimohammadi.sums@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Parisa Haji mohammadi ghahnavieh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shariati Street، Dariun Town، Shiraz City، Fars Province</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7146135415</zip>
        <telephone>+98 913 335 3728</telephone>
        <email>p.hajimohammadi.sums@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 11 and 18 years
Absence of cognitive and mental problems based on the opinion of a specialist doctor
No history of allergy to scents or herbal substances based on parents' statements
Hospitalization due to appendectomy surgery</inclusion_criteria>
      <agemin>11 years</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Failure to continue participating in the study  Death of the patient
After the operation for any reason
Incomplete completion of questionnaires
Adolescent patients with olfactory problems
Changes in the patient's level of consciousness
The need to use mechanical ventilation devices for the patient</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group1:A group of 25 people is selected to conduct a trial with Citrous Aurantium essential oil by random sampling method (permutation block). Spring orange extract with a concentration of 0.1% in 10 cc (preparation and standardization of spring orange extract, by the traditional medicine pharmacy team of Shiraz University of Medical Sciences Faculty of Pharmacy and with the approval of one of the faculty members of the Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences. ) in the amount of 2 ml using a dropper on a standard and clean eye pad and the pad is placed inside a suitable can and at the time of entering the ward (first pain measurement), 3 and 6 hours after the operation, in A distance of 30 cm from the child's nose is placed and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours is appropriate to prevent normalization of the smell inhaled from the scent and to renew its smell in order to be effective. All pads are kept in a closed box between times of use; It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests.</i_keyword>
      <i_keyword>Intervention group2: A group of 25 people is selected to conduct a trial with Vanilla essence using a random sampling method (permutation block). Vanilla extract with a concentration of 10 mg in 10 cc (preparation and standardization of vanilla extract by the traditional medicine pharmacy team of the Faculty of Pharmacy of the University of Medical Sciences Shiraz and with the approval of one of the faculty members of the Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences) in the amount of 2 ml was poured on a clean standard eye pad using a dropper and the pad was placed inside a suitable can. and at the time of entering the ward (first pain measurement), 3 and 6 hours after the operation, it is placed at a distance of 30 cm from the child's nose and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours is appropriate to prevent normalization of the smell inhaled from the scent and to renew its smell in order to be effective. All pads are kept in a closed box between times of use; It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests.</i_keyword>
      <i_keyword>Control group: Control group: In the control group, Paraffin is used as a placebo. A group of 25 people is selected to conduct a trial with paraffin as a placebo by random sampling method (permutation block). Preparation and standardization of paraffin by the traditional medicine pharmacy team of Shiraz University of Medical Sciences and with the approval of one of the professors. Scientific Faculty of Pharmacy, affiliated to Shiraz University of Medical Sciences, 2 ml is poured on a standard and clean eye pad using a dropper, and the pad is placed inside a suitable can and at the time of entering the department The first pain measurement), 3 and 6 hours after the operation, is placed at a distance of 30 cm from the child's nose and the child is asked to take three deep breaths. Repetition of aromatherapy every 3 hours. It should be noted that the pads used are only for one patient. After the patient enters the pediatric surgery department, the patient's blood pressure will be measured, and then the McGill pain questionnaire and the depression, anxiety, and stress questionnaire will be completed, and after that, the aromatherapy intervention will be performed for the first time; One hour after the first intervention, blood pressure will be measured for the second time and questionnaires will be completed; Also, three hours after the operation, the intervention is performed again, and questionnaires are completed and blood pressure measurement is done after one hour. After six hours of surgery, the intervention will be done for the last time, and one hour after that, questionnaires will be completed and the patient's blood pressure will be measured and recorded. Medical and nursing care will be performed according to routine. Data are collected and analyzed using SPSS software and statistical tests.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain intensity. Timepoint: Pain measurement is performed when the patient enters the surgery department (before the intervention),1, 3 and 6 hours after the first intervention. Method of measurement: McGill Pain Assessment Questionnaire.</prim_outcome>
      <prim_outcome>Blood pressure. Timepoint: Blood pressure is measured when the patient enters the surgery ward (before the intervention),1, 3 and 6 hours after the first intervention. Method of measurement: Mercury sphygmomanometer.</prim_outcome>
      <prim_outcome>Perceived  stress. Timepoint: Perceived stress is measured using the depression, anxiety, and stress scale when the patient enters the surgery ward (before the intervention) and 1, 3, 6 hours after the first intervention. Method of measurement: Depression, anxiety, stress scale(DASS-21).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-11-11</approval_date>
        <contact_name>Ethics Committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Shiraz University of Medical Sciences,  Zand Blvd.,  Shiraz, Iran Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
