نبذة مختصرة : Background: Aromatherapy is a modality within the realm of alternative medicine to manage pain and alleviate anxiety in high-stress circumstances. The primary objective of this study was to examine the impact of damask rose on the levels of anxiety and pain experienced by patients under endoscopic lithotripsy. Methods: The present double-blind randomized clinical trial was conducted at hospitals in Shiraz, Iran, in 2022, involving 120 patients undergoing endoscopic lithotripsy. These patients were randomly allocated into control and intervention groups using a permuted block design. The data collection was done using the Spielberger and the Visual Analog Scale questionnaires at three stages: the baseline period, the pre-operative holding area, and six hours following the surgical procedure. The intervention group was exposed to a cotton swab infused with three drops of damask rose for a duration of 30 minutes. The data analysis included descriptive statistics, repeated measure analysis of variance, and pairwise comparisons utilizing the Bonferroni post hoc test. Results: The mean levels of overt anxiety in the intervention group during the first and second phases of the intervention were 46.17±7.18 (P
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