Effect of floral therapy in mothers of premature newborns: A randomized controlled trial

Aim: To analyze the effect of using Bach's emergency compound, Five-Flower essence, on the stress level of mothers with premature newborns. Methods: The randomized, triple-blind, placebo-controlled clinical trial was conducted with 117 postpartum women. They were divided into intervention (with...

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Main Authors: Tatiana Carneiro de Resende, Karla Oliveira Marcacine, Erika de Sá Vieira Abuchaim, Marcia Barbieri, Maria Cristina Gabrielloni, Ana Cristina Freitas de Vilhena Abrão
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Acta Psychologica
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Online Access:http://www.sciencedirect.com/science/article/pii/S0001691824005201
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author Tatiana Carneiro de Resende
Karla Oliveira Marcacine
Erika de Sá Vieira Abuchaim
Marcia Barbieri
Maria Cristina Gabrielloni
Ana Cristina Freitas de Vilhena Abrão
author_facet Tatiana Carneiro de Resende
Karla Oliveira Marcacine
Erika de Sá Vieira Abuchaim
Marcia Barbieri
Maria Cristina Gabrielloni
Ana Cristina Freitas de Vilhena Abrão
author_sort Tatiana Carneiro de Resende
collection DOAJ
description Aim: To analyze the effect of using Bach's emergency compound, Five-Flower essence, on the stress level of mothers with premature newborns. Methods: The randomized, triple-blind, placebo-controlled clinical trial was conducted with 117 postpartum women. They were divided into intervention (with five-flower) and control groups. Their children were admitted to a Maternity Hospital in São Paulo, Brazil, from June 2019 to May 2021. The use of the Five-Flower essence was proposed during hospitalization (4 drops every 15 min four times a day) and at home (16 drops a day at pre-determined times) in the ten days after the first intervention. The pre-and post-intervention parameters were evaluated using the Instrument Parental Stress Scale: Neonatal Intensive Care Unit and cortisol analysis. Student's T, Mann-Whitney, Chi-square, Fisher's exact tests, and Generalized Estimating Equation models were used to analyze the data. The 5 % significance level was considered in statistical tests. Results: The groups were homogeneous regarding sociodemographic, obstetric, and neonatal characteristics (p > 0.05). Mean stress scores were calculated for the control (3.75) and intervention (3.82) groups before intervention and a range was observed for the control (2.75–3.44) and intervention (2.55–3.54) groups after the intervention; the difference between groups was statistically significant (p < 0.05). Mean cortisol levels were calculated for the control (3.53) and intervention (3.45) groups before intervention and a range was observed for the control (3.38–2.75) and intervention (2.32–2.86) groups after intervention, showing distinct declines in the groups but without statistical difference (p > 0.05). Conclusions: The use of the Five-Flower essence as a non-pharmacological therapy is effective in reducing the stress and cortisol levels in mothers of premature newborns admitted to neonatal and semi-intensive care units.
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spelling doaj-art-b2699c880ad84200bf75301139fe25d22025-01-12T05:23:56ZengElsevierActa Psychologica0001-69182025-02-01252104642Effect of floral therapy in mothers of premature newborns: A randomized controlled trialTatiana Carneiro de Resende0Karla Oliveira Marcacine1Erika de Sá Vieira Abuchaim2Marcia Barbieri3Maria Cristina Gabrielloni4Ana Cristina Freitas de Vilhena Abrão5Universidade Federal de Uberlândia, BrazilUniversidade Federal de Uberlândia, BrazilNursing from the School of Nursing (University of São Paulo, USP), Department of Women's Health Nursing at Escola Paulista de Enfermagem (EPE, UNIFESP), BrazilDepartment of Women's Health Nursing (EPE, UNIFESP), Revista Acta Paulista de Enfermagem, BrazilDepartment of Women's Health Nursing (EPE, UNIFESP), BrazilDepartment of Women's Health Nursing (EPE, UNIFESP), Brazil; Corresponding author at: Rua Napoleão de Barros, 754, Vila Clementino, São Paulo, CEP04024-002, Brazil.Aim: To analyze the effect of using Bach's emergency compound, Five-Flower essence, on the stress level of mothers with premature newborns. Methods: The randomized, triple-blind, placebo-controlled clinical trial was conducted with 117 postpartum women. They were divided into intervention (with five-flower) and control groups. Their children were admitted to a Maternity Hospital in São Paulo, Brazil, from June 2019 to May 2021. The use of the Five-Flower essence was proposed during hospitalization (4 drops every 15 min four times a day) and at home (16 drops a day at pre-determined times) in the ten days after the first intervention. The pre-and post-intervention parameters were evaluated using the Instrument Parental Stress Scale: Neonatal Intensive Care Unit and cortisol analysis. Student's T, Mann-Whitney, Chi-square, Fisher's exact tests, and Generalized Estimating Equation models were used to analyze the data. The 5 % significance level was considered in statistical tests. Results: The groups were homogeneous regarding sociodemographic, obstetric, and neonatal characteristics (p > 0.05). Mean stress scores were calculated for the control (3.75) and intervention (3.82) groups before intervention and a range was observed for the control (2.75–3.44) and intervention (2.55–3.54) groups after the intervention; the difference between groups was statistically significant (p < 0.05). Mean cortisol levels were calculated for the control (3.53) and intervention (3.45) groups before intervention and a range was observed for the control (3.38–2.75) and intervention (2.32–2.86) groups after intervention, showing distinct declines in the groups but without statistical difference (p > 0.05). Conclusions: The use of the Five-Flower essence as a non-pharmacological therapy is effective in reducing the stress and cortisol levels in mothers of premature newborns admitted to neonatal and semi-intensive care units.http://www.sciencedirect.com/science/article/pii/S0001691824005201Floral essencesClinical trialPsychological stressPremature newbornNursing
spellingShingle Tatiana Carneiro de Resende
Karla Oliveira Marcacine
Erika de Sá Vieira Abuchaim
Marcia Barbieri
Maria Cristina Gabrielloni
Ana Cristina Freitas de Vilhena Abrão
Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
Acta Psychologica
Floral essences
Clinical trial
Psychological stress
Premature newborn
Nursing
title Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
title_full Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
title_fullStr Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
title_full_unstemmed Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
title_short Effect of floral therapy in mothers of premature newborns: A randomized controlled trial
title_sort effect of floral therapy in mothers of premature newborns a randomized controlled trial
topic Floral essences
Clinical trial
Psychological stress
Premature newborn
Nursing
url http://www.sciencedirect.com/science/article/pii/S0001691824005201
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