The Effect of Progressive Relaxation and Breathing Exercises Accompanied by Music on the Stress Levels of Nursing Students and Their Bio-psycho-social Responses
Condition: Stress; Stress, Physiological
MeSH terms: Respiratory Aspiration
Study type: Interventional

Summary: 
      This clinical study will be conducted to determine the effects of musically accompanied
      progressive muscle relaxation and deep breathing exercises on nursing students' stress levels
      and bio-psycho-social responses to stress.

      Do musical progressive muscle relaxation and deep breathing exercises have an impact on
      nursing students' stress levels and bio-psycho-social responses to stress?

      After students fill in the scales, they will be randomly assigned to the experimental and
      control groups. The experimental group will be given progressive muscle relaxation and deep
      breathing exercises accompanied by music once a week for six weeks by the researcher. There
      will be no intervention in the control group. The scales will be reapplied to the
      experimental and control groups in the week after the application is completed and two weeks
      after the application is completed. Groups will be compared and statistical analyzes will be
      made.
    

Detailed description: 
      Stress is a psychosocial factor that affects students' academic performance and well-being.
      The presence and level of stress have a positive or negative impact on learning and thinking,
      and students show behavioral, emotional, and physical symptoms of experiencing stress For
      this reason, it is very important for university students to apply stress reduction methods,
      especially non-drug methods. Progressive relaxation and deep breathing exercises with music
      are effective methods of coping with stress. When the literature is examined, it is seen that
      the use of music has recently been effective in reducing the anxiety and stress experienced
      by many students during the education process. At the same time, a progressive relaxation
      exercise integrated with deep breathing exercises helps a person to feel the difference
      between tension and laxity in the body and allows the person to learn to relax on their own,
      thus reducing physical and emotional tension. Thus, the individual moves away from disturbing
      stimuli that reduce the quality of life such as anxiety, pain, and stress. In accordance with
      the nursing education program carried out with theoretical and practical application course
      hours, students considering the stress they are exposed to and the behavioral, emotional, and
      physical problems that arise with stress, there is a need for research that uses mind-body
      applications to support nursing students. At the end of the research, it is foreseen that the
      stress levels of nursing students and the symptoms seen due to stress can be reduced.

      Method: The universe of the study will consist of 2nd, 3rd, and 4th year nursing
      undergraduate students who are studying and interning at Gülhane Nursing Faculty of Health
      Sciences University in 2022-2023. As a result of the power analysis, the minimum sample size
      was found to be 140 students, with 70 students in each group. During the study, in order to
      strengthen the results of the research and increase reliability, it was determined that the
      sample was 154 students with 77 experiments and 77 control groups with an increase of at
      least 10%. Student sampling; After each class is evaluated as a layer, proportional
      stratification will be taken by sampling method according to layer weight (number of
      students). 44 students from 2nd grade, 52 students from 3rd grade, and 58 students from 4th
      grade will participate in the research. Students have completed the Voluntary Consent Form
      for Nursing Students, Personal Information Form, Perceived Stress, and Bio-psycho-social
      Response Scale, then students who meet the inclusion criteria will be randomly assigned to
      intervention and control groups. Exercises will be applied to the intervention groups for 6
      weeks. There will be no intervention in the control group. At the end of 6 weeks and 2 weeks
      after the last application (8. Weeks) intervention and control groups will refill the scales.
    

Intervention name(s): Progressive Muscle Relaxation and Breathing Exercises
Intervention type(s): Behavioral
Intervention description(s): Progressive relaxation exercise is a method that provides relaxation in the whole body by voluntary, regular relaxation of large muscle groups in the human body. Exercise helps individuals to be able to feel the difference between tension in the muscles and relaxation, and to learn to relax on their own in case of tension. Deep breathing exercise supports the maximum ventilation of the lung by correct breathing using the diaphragm.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A comparison of the two groups to be assigned as experimental and control groups will be made.
Masking: Single (Outcomes Assessor)
Primary purpose: Prevention
Keywords: Progressive muscle exercises; Breathing; Stress