Ginger and Lemon Aromatherapy Enhances Learning Concentration in Midwifery Students: A Randomized Controlled Trial

Laila Laila — Indonesia , Ulfa Farrah Lisa — Indonesia , Hanifah Nofila — Indonesia , Dina Taufia — Indonesia , Salsabila Az-zahra — Indonesia , Halsya Zahra Azzahra — Indonesia , Altaf Hussain — Pakistan , Mehtab Mehtab — Pakistan

Abstract


Background: Focus is the main thing for learning, but students still come across distractions in their environment, anxiety, and mental fatigue. Essential oil aromatherapy may improve cognitive functions through neurophysiological mechanisms.
Objective: To find out if the combination of ginger and lemon essential oils would help concentration of midwifery students during self-directed learning.
Methods: 92 Andalas University midwifery students were randomly assigned to two groups; experimental (aromatherapy, n=46) and control (n=46). The ginger- lemon aromatherapy (40:60 ratio) was given to the experimental group by a ultrasonic diffuser during four weekly 90-minute tutorials. Concentration was determined through a 20-item questionnaire that was validated and which assessed motivation, sustained attention, anxiety regulation, comprehension efficiency, and distraction resistance.
Results: Concentration of the experimental group raised significantly from 2.388 to 4.243 (p<0.001, Cohen's d=14.52), whereas the control group did not show any change (p=0.075). The main changes: 37% of the distraction resistance was increased, 23% of the comprehension efficiency was enhanced, and 10% of the anxiety was reduced.
Conclusion: Ginger-lemon aromatherapy is an effective way to hype up concentration in learning from different angles by the synergistic anxiolytic and cognitive-stimulating mechanisms, thus giving a simple, cheap educational intervention.


Keywords


Aromatherapy, Essential oils, Learning concentration, Ginger Lemon

Full Text:

PDF

References


Agatonovic-Kustrin, S., Chan, C. K. Y., Gegechkori, V., & Morton, D. W. (2020). Models for skin and brain penetration of major components from essential oils used in aromatherapy for dementia patients. Journal of Biomolecular Structure and Dynamics, 38(8), 2402-2411. https://doi.org/10.1080/07391102.2019.1633408

Brennan, S. E., McDonald, S., Murano, M., & McKenzie, J. E. (2022). Effectiveness of aromatherapy for prevention or treatment of disease, medical or preclinical conditions, and injury: Protocol for a systematic review and meta-analysis. Systematic Reviews, 11(1), 1-18. https://doi.org/10.1186/s13643-022-02015-1

Chen, M. C., Fang, S. H., & Fang, L. (2021). The effects of aromatherapy in relieving symptoms related to job stress among nurses. International Journal of Environmental Research and Public Health, 18(1), 260. https://doi.org/10.3390/ijerph18010260

Farrar, A. J., & Farrar, F. C. (2020). Clinical aromatherapy. Nursing Clinics of North America, 55(4), 489-504. https://doi.org/10.1016/j.cnur.2020.06.015

Ghasemi, M., Amini, L., Nasiri, M., Ranjbar, F., & Alaghehbandan, F. (2021). Effect of aromatherapy on anxiety and pain during labor: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 44, 101432. https://doi.org/10.1016/j.ctcp.2021.101432

Gong, M., Dong, H., Tang, Y., Huang, W., & Lu, F. (2020). Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 274, 1028-1040. https://doi.org/10.1016/j.jad.2020.05.118

Hashemi, N., Nazari, F., Faghih, A., & Forughi, M. (2021). Effects of blended aromatherapy using lavender and damask rose oils on the test anxiety of nursing students. Journal of Education and Health Promotion, 10, 349. https://doi.org/10.4103/jehp.jehp_88_21

Herz, R. S. (2021). The role of odor-evoked memory in psychological and physiological health. Brain Sciences, 11(12), 1608. https://doi.org/10.3390/brainsci11121608

Kazeminia, M., Salari, N., Hosseinian-Far, A., Akbari, H., Mohammadi, M., & Shohaimi, S. (2020). The effect of lavender on stress in individuals: A systematic review and meta-analysis. Complementary Therapies in Medicine, 53, 102469. https://doi.org/10.1016/j.ctim.2020.102469

Li, D., Li, Y. X., Bai, X., Wang, M. J., Yan, J. Z., & Cao, Y. J. (2022). The effects of aromatherapy on anxiety and depression in people with cancer: A systematic review and meta-analysis. Frontiers in Public Health, 10, 853056. https://doi.org/10.3389/fpubh.2022.853056

Lillehei, A. S., Halcon, L. L., Savik, K., & Reis, R. (2021). Effect of inhaled lavender and sleep hygiene on self-reported sleep issues: A randomized controlled trial. Journal of Alternative and Complementary Medicine, 27(5), 430-438. https://doi.org/10.1089/acm.2020.0522

Liu, T. T., Cheng, H., Tian, L., Zhang, Y. Y., Wang, S. T., & Lin, L. (2022). Aromatherapy with inhalation can effectively improve the anxiety and depression of cancer patients: A meta-analysis. General Hospital Psychiatry, 77, 118-127. https://doi.org/10.1016/j.genhosppsych.2022.05.004

Luan, J., Yang, M., Zhao, Y., Zang, Y., Zhang, Z., & Chen, H. (2023). Aromatherapy with inhalation effectively alleviates the test anxiety of college students: A meta-analysis. Frontiers in Psychology, 13, 1042553. https://doi.org/10.3389/fpsyg.2022.1042553

Malloggi, E., Menicucci, D., Cesari, V., Frumento, S., Gemignani, A., & Bertoli, A. (2022). Lavender aromatherapy: A systematic review from essential oil quality and administration methods to cognitive enhancing effects. Applied Psychology: Health and Well-Being, 14(3), 663-690. https://doi.org/10.1111/aphw.12310

Ozer, N., Karaman Ozlu, Z., & Arslan, S. (2022). Effect of citrus aurantium aroma on exam anxiety: A randomized controlled trial. Complementary Therapies in Clinical Practice, 47, 101556. https://doi.org/10.1016/j.ctcp.2022.101556

Panza, F., Lozupone, M., Solfrizzi, V., Sardone, R., Dibello, V., Di Lena, L., ... & Logroscino, G. (2020). Different cognitive frailty models and health-and cognitive-related outcomes in older age: From epidemiology to prevention. Journal of Alzheimer's Disease, 78(1), 301-320. https://doi.org/10.3233/JAD-200661

Sari, E., & Ermawati, N. (2023). Formulasi dan evaluasi sediaan lilin aromaterapi dari minyak atsiri jahe dan lemon dengan minyak jelantah sebagai basis. Jurnal Pharmacopeia, 2(1), 1-12.

Schmidt, S. J. (2020). Distracted learning: Big problem and golden opportunity. Journal of Food Science Education, 19(4), 278-291. https://doi.org/10.1111/1541-4329.12206

Slattery, E. J., O'Callaghan, E., Ryan, P., Fortune, D. G., & McAvinue, L. P. (2022). Popular interventions to enhance sustained attention in children and adolescents: A critical systematic review. Neuroscience and Biobehavioral Reviews, 137, 104633. https://doi.org/10.1016/j.neubiorev.2022.104633

Sowndhararajan, K., Cho, H., Yu, B., Song, J., & Kim, S. (2020). Effect of essential oil and supercritical carbon dioxide extract from the roots of Angelica gigas Nakai on human EEG activity. Complementary Therapies in Clinical Practice, 39, 101107. https://doi.org/10.1016/j.ctcp.2020.101107

Trammell, J. P., & Aguilar, S. C. (2020). Natural is not always better: The varied effects of a natural environment and exercise on affect and cognition. Frontiers in Psychology, 11, 575245. https://doi.org/10.3389/fpsyg.2020.575245

Ueda, K., Horita, T., & Suzuki, T. (2023). Effects of inhaling essential oils of Citrus limonum L., Santalum album, and Cinnamomum camphora on human brain activity. Brain and Behavior, 13(3), e2889. https://doi.org/10.1002/brb3.2889

Wells, B. M., Nightingale, L. M., Derby, D. C., Salsbury, S. A., & Lawrence, D. (2021). Aromatherapy for test anxiety in chiropractic students: A feasibility study. Journal of Chiropractic Education, 35(1), 50-58. https://doi.org/10.7899/JCE-18-36

Yayla, E. M., & Ozdemir, L. (2022). The effect of lemon essential oil on test anxiety in nursing students: A randomized controlled trial. Explore, 18(2), 161-166. https://doi.org/10.1016/j.explore.2020.10.008

Zhang, X., Li, W., & Wang, J. (2022). Effects of exercise intervention on students' test anxiety: A systematic review with a meta-analysis. International Journal of Environmental Research and Public Health, 19(11), 6709. https://doi.org/10.3390/ijerph19116709




DOI: http://dx.doi.org/10.33757/jik.v9i2.1231

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 JIK JURNAL ILMU KESEHATAN

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


E-ISSN : 2597-8594 (Online) P-ISSN : 2580-930X (Print)
Publish by Universitas Alifah Padang
Jl. Khatib Sulaiman No 52 B Kota Padang. Telp 0751-7059849. Fax 0751-7059849. Website: www.alifah.ac.id
Email : jik@alifah.ac.id