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

Study Overview
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Brief Summary
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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).

Official Title
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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

Conditions
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Anxiety, Stress, Nursing Students, Relaxation Program

Intervention / Treatment
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* Other: progressive relaxation exercises


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental:<br>Experimental: will do progressive relaxation exercises | Other: progressive relaxation exercises<br>* progressive relaxation exercises<br>* Other names: progressive muscle relaxation exercises;|
| No Intervention: Control<br>won't do progressive relaxation exercises | |

What is the study measuring?
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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 |