Effects of Progressive Muscle Relaxation on Depression, Anxiety, Stress, Future Attitudes, and Biopsychosocial Responses in Nursing Students: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- Change in depression, anxiety, and stress levels measured by DASS-21
研究概览
简要总结
This randomised controlled trial aims to investigate the effects of progressive muscle relaxation exercises (PMRE) on depression, anxiety, stress, future-oriented attitudes, and biopsychosocial responses in nursing students. The study was conducted between June 2024 and June 2025 with students enrolled in the Nursing Department. Data collection took place between January and March 2025. When selecting participants, a list of participants meeting the inclusion criteria was created using snowball sampling. A total of 104 students were randomly divided into experimental and control groups of 52 students each. Data were collected using the DASS-21, Future Orientation Scale, and Biopsychosocial Response Scale for Nursing Students.
详细描述
Nursing students often face academic stress, emotional demands and clinical responsibilities, which can lead to psychological problems such as depression, anxiety, stress and concerns about their future. These issues can affect both their well-being and professional competence. Progressive muscle relaxation exercises (PMRE) are recognised as a useful method for reducing muscle tension, managing stress, and improving emotional regulation.
This randomised controlled trial was conducted between June 2024 and June 2025 with students studying Nursing. The data collection phase was carried out between January and March 2025. Participants meeting the inclusion criteria were identified using snowball sampling, and a list was created. A total of 104 nursing students on this list were randomly assigned to either an experimental group (receiving PMRE) or a control group, with 52 participants in each group. A pre-test-post-test design was used. Measurement tools included the Depression, Anxiety and Stress Scale (DASS-21), the Future Orientation Scale, and the Biopsychosocial Response Scale for Nursing Students.
This study was supported by the Turkish Scientific and Technological Research Council (TÜBİTAK) under the 2209-A University Student Research Projects Support Programme.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Participants were blinded to their group allocation during the intervention process. The outcome assessor (statistician) was also blinded to group assignment during data analysis to reduce bias.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being registered in the Department of Nursing
- •Voluntary consent to participate in the study
排除标准
- •Having joint or muscle pain, or any condition that may interfere with performing relaxation exercises
- •Having a diagnosis of cancer or any chronic disease
- •Having a psychiatric disorder that may interfere with obtaining valid results from the study (e.g., major depressive disorder, severe anxiety disorders, serious psychiatric conditions)
- •Currently receiving antidepressant, anxiolytic, or similar psychiatric treatment
- •Regular use of non-pharmacological methods such as yoga, psychotherapy, or similar practices
研究组 & 干预措施
Participants in this group received progressive relaxation exercises (PRE)
A structured progressive muscle relaxation program based on Jacobson's technique was implemented. The intervention lasted four weeks, with participants practicing three times per week in 45-minute sessions. The exercises were initially demonstrated in person by the researcher to ensure correct technique. Subsequently, participants followed pre-recorded audio instructions during each session to maintain consistency. The intervention aimed to reduce psychological symptoms and support biopsychosocial well-being in nursing students.
干预措施: Progressive relaxation exercise (Other)
Control group
Participants in this group did not receive any behavioral or psychological intervention during the study period. They continued their normal academic activities without any additional support or guidance. No relaxation techniques or recordings were provided to this group. Data were collected at the same time points as the experimental group to ensure consistency in measurement.
结局指标
主要结局
Change in depression, anxiety, and stress levels measured by DASS-21
时间窗: Baseline and Week 4
The Depression Anxiety Stress Scale - 21 (DASS-21) will be used to assess changes in psychological symptoms. It consists of three subscales measuring depression, anxiety, and stress. The scale will be administered at baseline (pre-test) and after the 4-week intervention (post-test).
次要结局
- Change in future orientation levels measured by the Future Orientation Scale(Baseline and Week 4)
- Change in biopsychosocial response levels measured by the Biopsychosocial Response Scale for Nursing Students(Baseline and Week 4)
研究者
Ahsen Taştan Gürkan
Research Assistant, PhD in Nursing
Ondokuz Mayıs University