Progressive Muscle Relaxation Exercise on Intensive Care Nurses

Not Applicable

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.

Recruitment & Eligibility

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.

Arm && Interventions

Group	Intervention	Description
Relaxation exercise	Progressive muscle relaxation	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.

Primary Outcome Measures

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

Secondary Outcome Measures

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

Locations (1): Ankara City Hospital Cardiovascular Hospital
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Ankara, Cankaya, Turkey

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