The Effect of Web Based Progressive Muscle Relaxation Exercise on Clinical Stress and Anxiety of Nursing Students

The Effect of Web-Based Progressive Muscle Relaxation Exercise on the Perceived Stress and Anxiety Level of Nursing Students Found in Clinical Practice for the First Time: A Randomized Controlled Trial

Purpose: The study was conducted to examine the effect of web-based progressive muscle relaxation exercise on the perceived stress and anxiety level of nursing students who were in clinical practice for the first time.

Method: This randomized controlled study was conducted at a state university in Turkey. The sample of the study consisted of a total of 66 nursing students, 36 of whom were control and 30 interventions, who were educated in the 2021-2022 academic year, were in clinical practice for the first time and agreed to participate in the research. The intervention group was asked to perform a total of 36 sessions of progressive muscle relaxation exercise, 3 days a week for 12 weeks. Data; It was collected using the "Sociodemographic Characteristics Form", "State-Trait Anxiety Inventory (DSQ)" and "Perceived Stress Inventory (PSI)".

Study Overview

• Status: Completed
• Conditions: Stress; Anxiety; Nursing Students; Relaxation Program
• Intervention / Treatment: Other: progressive relaxation exercises

• Study Type: Interventional
• Enrollment (Actual): 66
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Elazığ, Turkey
    • Fırat Üniversitesi
  • Center
    • Erzurum, Center, Turkey, 25240
      • Atatürk university nursing faculty

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Being over 18 years old
• Studying in the 2021-2022 academic year
• Being in 2nd grade
• Not going into clinical practice before

Exclusion Criteria:

• Being under the age of 18
• Not studying in the 2021-2022 academic year
• Being in 1st, 3rd or 4th grade
• Prior clinical practice

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental: Experimental: will do progressive relaxation exercises	Other: progressive relaxation exercises; progressive relaxation exercises; Other Names: progressive muscle relaxation exercises
No Intervention: Control; won't do progressive relaxation exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The State-Trait Anxiety Inventory	The State-Trait Anxiety Inventory was developed by Spielberger et al. (1970) (Spielger, Gorsuch, & Lushene, 1970). The validity and reliability of the scale in Turkey was established by Öner and Le Compte (1983) (Öner & Le Compte, 1983). The scale consists of two parts, the State Anxiety Inventory and the Trait Anxiety Inventory. The first 20 items assess situational anxiety, and the last 20 items assess trait anxiety. In this study, the "State Anxiety Inventory", which is the first 20 items, was used to evaluate situational anxiety. State Anxiety Scale; It was developed to determine how an individual feels at a certain moment and under certain conditions. The scale is 4-point Likert type. Scores from the scale range from 20 to 80. Higher scores indicate higher levels of anxiety.	12 week
Perceived Stress Scale	The Perceived Stress Scale was developed by Cohen, Kamarck, and Mermelstein in 1983 to determine the level of stress that threatens human health (Cohen et al. 1983). Its Turkish validity and reliability were determined by Eskin et al. (2013) (Eskin et al., 2013). PSS-14 consists of 2 factors: "insufficient self-efficacy" and "stress" perception. The scale is a 5-point Likert type scale and consists of 14 items. As the scores obtained from the scale increase, the level of stress perceived by the person also increases. PSS scores range from 0 to 56, with 0-35 point range indicating normal stress level and 35-56 point range indicating that the individual is under stress.	12 week

Collaborators and Investigators

• Sponsor: Ataturk University
• Investigators: Study Director: Gülcan B.TURAN, PH, Firat University

Publications and helpful links

Helpful Links

• Carver, M. L., & O'Malley, M. (2015). Progressive muscle relaxation to decrease anxiety in clinical simulations. Teaching and Learning in Nursing, 10(2), 57-62.

Study record dates

Study Major Dates

• Study Start (Actual): September 27, 2021
• Primary Completion (Actual): October 25, 2021
• Study Completion (Actual): December 25, 2021

Study Registration Dates

• First Submitted: March 16, 2022
• First Submitted That Met QC Criteria: March 28, 2022
• First Posted (Actual): April 5, 2022

Study Record Updates

• Last Update Posted (Actual): April 11, 2022
• Last Update Submitted That Met QC Criteria: April 4, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Anxiety Disorders
• Other Study ID Numbers: 2021/09-45

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: The article is intended to be shared after it is published.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No