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Progressive Muscle Relaxation and Stress in Nursing Students

25. august 2026 oppdatert av: KTO Karatay University

Effect of Progressive Muscle Relaxation on Perceived Stress Among Nursing Students During Psychiatric Nursing Clinical Practice: A Quasi-Experimental Study

This study evaluated the effect of progressive muscle relaxation (PMR) exercises on perceived stress among nursing students during psychiatric and mental health nursing clinical practice. A quasi-experimental pretest-posttest control group design was used. Sixty fourth-year nursing students were allocated to an intervention group (n=30) or a control group (n=30). The intervention group participated in PMR sessions once a week for five weeks, with each session lasting approximately 30-40 minutes, while the control group received no additional intervention. Perceived stress was assessed before and after the intervention using the Perceived Stress Scale for Nursing Students.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This quasi-experimental study was conducted with fourth-year nursing students enrolled in the Psychiatric and Mental Health Nursing course at KTO Karatay University. The study used a pretest-posttest control group design. Students were allocated to intervention and control groups according to their positions on the official class attendance list; students with odd-numbered positions formed one group and those with even-numbered positions formed the other group. The intervention group was determined by a random selection from sealed envelopes labeled "odd numbers" and "even numbers." A total of 60 students participated in the study, with 30 students in each group.

Baseline data were collected using a Student Information Form and the Perceived Stress Scale for Nursing Students. Following the pretest assessment, students in the intervention group participated in progressive muscle relaxation sessions once a week for five weeks. Each session lasted approximately 30-40 minutes and included diaphragmatic breathing and systematic tensing and relaxing of major muscle groups under the verbal guidance of the researcher. Students in the control group continued their usual routines and received no relaxation training or additional intervention during the study period.

At the end of the five-week intervention period, the Perceived Stress Scale for Nursing Students was readministered to both groups. Pretest and posttest perceived stress scores were compared within and between groups to evaluate the effect of the progressive muscle relaxation intervention.

Studietype

Intervensjonell

Registrering (Faktiske)

60

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Aged 18 years or older
  • Enrolled in the Psychiatric and Mental Health Nursing course
  • Regular attendance in the course
  • Willing to participate regularly in progressive muscle relaxation exercises if allocated to the intervention group

Exclusion Criteria:

  • Repeating the Psychiatric and Mental Health Nursing course
  • Receiving treatment for a mental health disorder
  • Having a physical condition or disability that could prevent participation in progressive muscle relaxation exercises

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Progressive Muscle Relaxation Group
Participants in this group received progressive muscle relaxation (PMR) sessions administered by the researcher once a week for five weeks. Each session lasted approximately 30-40 minutes.
Atferdsmessig: Progressive Muscle Relaxation (PMR)
Participants in the intervention group received progressive muscle relaxation (PMR) once a week for five weeks. Each session lasted approximately 30-40 minutes. During the first session, participants received brief instruction on PMR and diaphragmatic breathing. Under the researcher's verbal guidance, participants systematically tensed each major muscle group for approximately 5-7 seconds and then relaxed it. The same protocol was repeated weekly for five weeks under similar conditions.
Ingen inngripen: Control Group
Participants in the control group continued their usual routines and received no relaxation training or additional intervention during the study period.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Perceived Stress Level
Tidsramme: Baseline and immediately after the 5-week intervention
Perceived stress was assessed using the Perceived Stress Scale for Nursing Students (PSSNS). The scale consists of 29 items across six subscales. Each item is rated from 0 (not stressful for me) to 4 (extremely stressful for me), yielding a total score ranging from 0 to 116. Higher scores indicate higher levels of perceived stress.
Baseline and immediately after the 5-week intervention

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Stress From Lack of Professional Knowledge and Skills
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 3 items (items 2, 7, and 11). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 12. Higher scores indicate higher perceived stress related to lack of professional knowledge and skills.
Baseline and immediately after the 5-week intervention
Stress From Taking Care of Patients
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 8 items (items 1, 4, 6, 8, 10, 12, 14, and 19). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 32. Higher scores indicate higher perceived stress related to patient care.
Baseline and immediately after the 5-week intervention
Stress From Assignments and Workload
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 5 items (items 3, 9, 13, 17, and 21). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 20. Higher scores indicate higher perceived stress related to assignments and workload.
Baseline and immediately after the 5-week intervention
Stress From Teachers and Nursing Staff
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 6 items (items 15, 16, 18, 20, 25, and 27). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 24. Higher scores indicate higher perceived stress related to teachers and nursing staff.
Baseline and immediately after the 5-week intervention
Stress From the Environment
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 3 items (items 5, 23, and 26). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 12. Higher scores indicate higher perceived stress related to the clinical environment.
Baseline and immediately after the 5-week intervention
Stress From Peers and Daily Life
Tidsramme: Baseline and immediately after the 5-week intervention
This subscale of the Perceived Stress Scale for Nursing Students (PSSNS) consists of 4 items (items 22, 24, 28, and 29). Each item is rated from 0 to 4, yielding a subscale score ranging from 0 to 16. Higher scores indicate higher perceived stress related to peers and daily life.
Baseline and immediately after the 5-week intervention

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

KTO Karatay University

Etterforskere

  • Hovedetterforsker: Özden Gülal, MSc, Selcuk University, Aksehir Faculty of Health Sciences

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

3. oktober 2022

Primær fullføring (Faktiske)

7. november 2022

Studiet fullført (Faktiske)

7. november 2022

Datoer for studieregistrering

Først innsendt

19. august 2026

Først innsendt som oppfylte QC-kriteriene

19. august 2026

Først lagt ut (Faktiske)

24. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

27. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

25. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • KaratayUN

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

IPD-planbeskrivelse

Individual participant data are not planned to be shared because no data-sharing plan was established at the time the study was conducted

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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