Progressive Muscle Relaxation Exercises and Anxiety

April 11, 2025 updated by: Gulden Basit, Necmettin Erbakan University

The Effect of Progressive Muscle Relaxation Exercıses Applied to Nursing Students on Success and Anxiety Related to Intramuscular Injection Practice

Nursing practice education consists of two parts: laboratory applications aiming at skill acquisition of students and the application part experienced on real patients. Student nurses gain their first skills in laboratory applications accompanied by an instructor. This experience may increase the anxiety levels of nursing students due to reasons such as practising for the first time, hesitating to practice under the supervision of an instructor, and fear of making mistakes. If students learn intramuscular injection, which is one of the skill applications that is a part of care, which is the most important power of nursing, with increased anxiety levels, it may cause a decrease in clinical competence and a decrease in the quality of health care they will provide in the future. Various methods have been tried for nursing students' anxiety levels to be above the optimum level in laboratory applications and it has been observed that anxiety levels have decreased. One of these methods is progressive muscle relaxation exercises. In this study, it is planned to apply progressive muscle relaxation exercises in order to examine the effect of progressive muscle relaxation exercises on the success and anxiety of nursing students related to intramuscular injection practice.

Materials and Method: In this pre-test-post-test randomised controlled study planned to be conducted in Necmettin Erbakan University Faculty of Nursing skill laboratories, consent will be obtained from the 1st year nursing students. The students will fill in the descriptive characteristics form, Visual Anxiety Scale and IM injection success test prepared by reviewing the literature before and after intramuscular injection. After the completion of the forms, 'progressive muscle relaxation exercises' will be applied to the students by the researcher for about 30 minutes. Students who volunteered to participate in the study and who took the 'Fundamentals of Nursing' course for the first time will be included in the study.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In this pre-test-post-test randomised controlled study planned to be conducted in Necmettin Erbakan University Faculty of Nursing skill laboratories, consent will be obtained from the 1st year nursing students. The students will fill in the descriptive characteristics form, Visual Anxiety Scale and IM injection success test prepared by reviewing the literature before and after intramuscular injection. After the completion of the forms, 'progressive muscle relaxation exercises' will be applied to the students by the researcher for about 30 minutes. Students who volunteered to participate in the study and who took the 'Fundamentals of Nursing' course for the first time will be included in the study.

Study Type

Interventional

Enrollment (Actual)

141

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Meram, Turkey
        • Necmettin Erbakan University
    • Meram
      • Konya, Meram, Turkey, 42090
        • Necmettin Erbakan University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Students who volunteered to participate in the study
  • took the 'Fundamentals of Nursing' lesson for the first time

Exclusion Criteria:

  • Students who are foreign nationals,
  • who have taken the course more than once due to absenteeism or failure,
  • who have come with horizontal or vertical transfer,
  • who are graduates of Health Vocational High School,
  • who have previous injection experience
  • who have been diagnosed with anxiety,
  • students who do not want to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Progressive Muscle Relaxation
In this pre-test-post-test randomised controlled study planned to be conducted in Necmettin Erbakan University Faculty of Nursing skills laboratories, consent will be obtained from 1st year nursing students. The students will fill out the descriptive characteristics form, Visual Anxiety Scale and IM injection success test prepared by reviewing the literature before and after intramuscular injection. After the completion of the forms, 'progressive muscle relaxation exercises' will be applied to the students by the researcher for about 30 minutes. Students who volunteered to participate in the study and who took the 'Fundamentals of Nursing' course for the first time will be included in the study.
Other: Progressive muscle relaxation
We will apply progressive muscle relaxation exercises to reduce nursing students' anxiety about intramuscular injection administration
No Intervention: no intervention
students will not take any intervention before ım injection application.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Students anxiety
Time Frame: This scale will be filled out by students before starting the IM injection skill practice and within 10 minutes after the IM practice is completed.
Students anxiety level will be evaluated by using the "visual anxiety scale" consisting of 100 mm horizontal lines without numbers. At one end of the line is "No Anxiety" and at the other end is "Unbearable Anxiety". The student is expected to put a mark on this line at the point that matches the level of their anxiety. The distance from the lowest level to the student's mark is measured with a ruler and the numerical value of the anxiety level is obtained in cm or mm.
This scale will be filled out by students before starting the IM injection skill practice and within 10 minutes after the IM practice is completed.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Intramuscular Injection Success Test
Time Frame: this test will be answered before and within 10 minutes after im injection implementation
Intramuscular Injection Success Test is a test consisting 21 multiple choice question. Each correct answer is considered as "1" point, unanswered questions are not scored. Test scores are evaluated out of a total of 21 points.
this test will be answered before and within 10 minutes after im injection implementation

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Necmettin Erbakan University

Investigators

  • Study Chair: Gülden Basit, Dr, Necmettin Erbakan University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 3, 2025

Primary Completion (Actual)

March 4, 2025

Study Completion (Actual)

March 4, 2025

Study Registration Dates

First Submitted

January 21, 2025

First Submitted That Met QC Criteria

January 28, 2025

First Posted (Actual)

February 4, 2025

Study Record Updates

Last Update Posted (Actual)

April 15, 2025

Last Update Submitted That Met QC Criteria

April 11, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 23841101020

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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