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Context: Aromatherapy is a complementary therapy to improve the sleep quality. Aims: The aim of the current study was to compare the effect of aromatherapy with essential of Damask Rose and Citrus aurantium on the sleep quality of the elders. Setting and Design: This quasi-experimental study conducted in the day-care centers. Materials and Methods: Sixty elderly people were randomly selected and inhaled essential of Damask Rose 10% on the pillows concurrently, for three nights, before sleeping. After 1 month wash out, they were under aromatherapy with C. aurantium 10%, as the same method. At both periods, sleep quality were assessed by Pittsburgh Sleep Quality Index. Statistical Analysis Used: Data were analyzed by SPSS version 25 and using independent t-test, paired t-test, and Wilcoxon signed-ranks test. Results: Although the total sleep quality score was improved at two periods of aromatherapy, it was significantly better at Damask Rose period, compared to C. aurantium (P < 0.001). Regarding to sleep domains, at both periods, aromatherapy had no effects on sleep disturbance. The score changes of subjective sleep quality (P = 0.001), sleep efficacy (P = 0.013), and daytime dysfunction (P = 0.033) were significantly better at the Damask Rose period, compared to C. aurantium. Conclusion: Both essential of Damask Rose and C. aurantium could improve the sleep quality, although the effect of Damask Rose on the total sleep quality score of elders was more than C. aurantium. Therefore, regarding to elders' preferences, one of these mentioned essentials could be used for improving sleep quality.

This study revealed that more than half of respondents dispensed herbal remedies without a prescription, 54 specifically for the treatment and control of different illnesses, mainly gastrointestinal problems, 23 , 55 obesity, 56 and diabetes. 23 Notably, respondents had medium knowledge about herbal products, which was mainly gained from university during their years of study, where they were exposed to herb-related academic courses in the pharmacy curriculum. 57 Other respondents chose websites, product leaflets and took advice from other colleagues or medical representatives as sources of information about herbal products. 58 A large proportion of respondents also relied on the internet to gain knowledge about herbal products; however, media and internet information are not often supervised by a medical or pharmaceutical institution to ensure the accuracy of the information. It has been reported that the knowledge of Missouri pharmacists regarding herbal products was determined by the familiarity of the pharmacists with resource accessibility rather than resource quality. 59 Thereby, providing access to authenticated resources, in addition to offering educational programs for pharmacy practitioners about herbal products, is strongly needed.

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