Comparison of Citrus Aurantium Aroma and Acupressure on sleep quality in patients undergoing percutaneous coronary intervention (PCI)

INTERVENTION: In the fifth group (Control) after getting informed consent in control group, they will complete demographic and spielberger questionnaires at 10 o'clock. they will receive only routine nursing care. The sleep quality of the night will be checked by using SMHSQ. In the first group (Citrus Aurantium Aroma) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. Cotton is stained with 2 drops of Citrus Aurantium put in front of the patient's nose and patients are asked to do 2‐3 deep breathing. The cotton ball is then attached to patient's shirt using a pin and until 8am. Then the cotton bullet will be separated from the patient's clothing and will be discarded, and the sleep quality of the night will be checked by using SMHSQ. In the fourth group (Placebo of accupressure) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. The wristband on both the right and left wrists of the patient will be closed so that the metal button is located 1‐1/5 cm from the point of Shenmen (false point). The seaband is closed on the wrists for 1 night. The sleep quality of the night will be checked by using SMHSQ. In the second group (placebo aroma) after getting informed consent, they will complete demographic and Spielberger questionnaire at 10 o'clock. Cotton is stained with 2 drops of sunflower oil put in front of the patient's nose and patients are asked to do 2‐3 deep breathing. The cotton ball is then attached to patient's shirt using a pin and until 8am. Then the cotton bullet will be separated from the patient's clothing and will be discarded, and the sleep quality of the night will be checked by using SMHSQ. In the third group (Accupressure) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. The wristband, which has a metal button with a diameter of 0.7 cm, is closed for 1 night on both the right and left wrists of the patient so that the metal button is placed on the point of intervention (Shenmen). The pressure is applied to a patient who does not feel the pain and discomfort of the wrist strap. The sleep quality of the night will be checked by using SMHSQ. Intervention 1: In the first group (Citrus Aurantium Aroma) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. Cotton is stained with 2 drops of Citrus Aurantium put in front of the patient's nose and patients are asked to do 2‐3 deep breathing. The cotton ball is then attached to patient's shirt using a pin and until 8am. Then the cotton bullet will be separated from the patient's clothing and will be discarded, and the sleep quality of the night will be checked by using SMHSQ. Intervention 2: In the second group (placebo aroma) after getting informed consent, they will complete demographic and Spielberger questionnaire at 10 o'clock. Cotton is stained with 2 drops of sunflower oil put in front of the patient's nose and patients are asked to do 2‐3 deep breathing. The cotton ball is then attached to patient's shirt using a pin and until 8am. Then the cotton bullet will be separated from the patient's clothing and will be discarded, and the sleep quality of the night will be checked by using SMHSQ. Intervention 3: In the third group (Accupressure) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. The wristband, which has a metal button with a diameter of 0.7 cm, is closed for 1 night on both the right and left wrists of the patient so that the metal button is placed on the point of intervention (Shenmen). The pressure is applied to a patient who does not feel the pain and discomfort of the wrist strap. The sleep quality of the night will be checked by using SMHSQ. Intervention 4: In the fourth group (Placebo of accupressure) after getting informed consent, they will complete demographic and spielberger questionnaires at 10 o'clock. The wristband on both the right and left wrists of the patient will be closed so that the metal button is located 1‐1/5 cm from the point of Shenmen (false point). The seaband is closed on the wrists for 1 night. CONDITION: Heart disease. ; Ischemic Heart Disease I20‐I25 Ischemic Heart Disease PRIMARY OUTCOME: Sleep Quality. Timepoint: At the end of study. Method of measurement: St Marry’s Hospital Sleep questionnaire. INCLUSION CRITERIA: INCLUSION CRITERIA: Age range 40‐75 years; Diagnosis of acute myocardial infarction or angina pectoris requiring PCI; Non‐use of herbal medicines in the past two weeks; Not having a history of sleep disorders in a recent month; No‐ narcotic drug use; no scars at the Shenmen point; Non‐use sleep medication during the past month; no history of acupressure; lack of olfactory impairment; patients who are first placed under PCI. Exclusion Criteria: Patient's unwillingness to cooperate or death; History of respiratory disorders or allergies to plants; Carpal tunnel syndrome; BMI> 35.