Progressive Muscle Relaxation Exercise on Intensive Care Nurses

Study Overview
=================
Brief Summary
-----------------
Nurses who intensive care unit will be entered. Participants will be randomized to one of two study arms: Arm 1: Progressive muscle relaxation; Arm 2: control. Hypothesis: Progressive muscle relaxation will decrease occupational stress, headache and improve well-being.

Detailed Description
-----------------
Previous reports have revealed that non-pharmacological approaches such as aromatherapy, massage, meditation, music therapy, breathing exercises, yoga and progressive muscle relaxation exercises (PGE) have been used to reduce stress and fatigue of individuals and improve their well-being. However, there have been limited studies that directly focus on supporting intensive care nurses who face serious problems with intense work tempo, experience excessive stress, headache, tension, fatigue, are open to psychosocial problems such as anxiety, depression and burnout. Besides, till date, no study has been conducted to determine the effects of progressive relaxation exercise on occupational stress, headache and well-being for intensive care nurses. The present study investigates the effects of progressive muscle relaxation in a single-site, 2-arm, assessor-blinded randomized, controlled study of 100 intensive care nurses. Arm 1: relaxation; Arm 2: Attention matched control. The investigators hypothesize that progressive muscle relaxation will decrease the severity of occupational stress and headache and improve well-being.

Official Title
-----------------
The Effects of Online Progressive Muscle Relaxation Exercise on Occupational Stress, Headache and Well-being in Intensive Care Nurses

Conditions
-----------------
Occupational Stress

Intervention / Treatment
-----------------
* Behavioral: Progressive muscle relaxation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Working in cardiovascular intensive care for at least 6 months Having a headache at least once a week No physical disability Those who do not have a neurological diagnosis (having cerebrovascular disease, multiple sclerosis, etc.) No psychiatric diagnosis Not applying any complementary methods at the time the research was conducted. Nurses who volunteered to participate in the study Exclusion Criteria: Nurses followed up with the diagnosis of end-stage renal disease, Chronic Obstructive Pulmonary Disease, advanced heart failure, chronic liver disease, musculoskeletal problem, hypothyroidism and depression Having physical and mental health problems that prevent communication Nurses who practiced any complementary method (relaxation exercise, yoga, etc.) during the study.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Relaxation exercise<br>Intensive care nurses will apply 20 minutes of online (zoom meeting) progressive muscle relaxation exercise twice a week, for 8 weeks, for a total of 16 group sessions. In order to support nurses' adaptation to the research, the group counselor will remind the nurses by phone twice a week during the implementation process, and their regular participation in online sessions will be supported. | Behavioral: Progressive muscle relaxation<br>* Progressive muscle relaxation exercise is a type of exercise in which tense muscles in your body gradually relax and relax. It is an application that allows you to forcefully stretch every muscle group in your body, hold it tight for 5 seconds, and then relax it. Visualize your tense muscles throughout this exercise and imagine that the feeling of relaxation spreads to all your muscles in the form of a wave and the tension is relieved. Keep breathing throughout the entire exercise.<br>|
| No Intervention: Control<br>No attempt will be made during the research. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Occupational Stress | Occupational stress severity will be measured based on patient report by the Occupational Stress Scale. Higher scores indicate increased occupational stress. | Baseline measurements, at the end of 4., 8th week and one week after the completion of the interventions | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in headache severity | Headache severity will be measured based on patient report by the Visual Analog Scale. Lower scores indicate low level of headache. | Baseline measurements, at the end of 4., 8th week and one week after the completion of the interventions | 
| Change in Well-being | Well-being will be measured by the Flourishing Scale. Higher scores on the scale mean better well-being. | Baseline measurements, at the end of 4., 8th week and one week after the completion of the interventions | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
headache, intensive care units, occupational Stress, relaxation, well-being