Journal Menu
By: anjali samson
Background: Nursing students often encounter significant anxiety throughout their educational journey. Key factors include heavy academic workloads, unclear assignments, and demanding shift schedules, personal and professional anxiety. Beyond these academic pressures, relationships with faculty, clinical experiences, and time constraints can also contribute to their anxiety levels. This anxiety can adversely impact student’s performance if not managed effectively. Progressive Muscle Relaxation (PMR) is a well-regarded technique for alleviating anxiety, as it lowers arousal levels in response to stressors, leading to a more relaxed physiological and psychological state. Objectives: a) To evaluate the anxiety levels among nursing students at a specific Nursing College b) To develop a module to demonstrate Progressive Muscle Relaxation c) To determine the impact of Progressive Muscle Relaxation on anxiety reduction among nursing students at the same college. Materials and Methods: A pre-experimental study was carried out using a one-group pre-test and post-test design. The research took place at the College of Nursing in Haryana, India, The study sample comprised 106 nursing students, selected through purposive sampling. Progressive Muscle Relaxation was taught over 10 consecutive days, with a post-test conducted on the 11th day. The assessment tool utilized was the Beck Anxiety Inventory. Result: Result and conclusion: The result of the study revealed that (100%) of nursing students had anxiety, A majority, (58) 54.71%, fall into the low anxiety category. In the moderate anxiety group, (40) 37.73% of the students, suggesting a significant portion experience a moderate level of anxiety. Lastly, (8) 7.54% of the students are classified under severe anxiety, The mean score for the pre-test is 58.864, indicating the anxiety level of participants before the intervention. The mean difference of 38.2134 signifies a substantial reduction in anxiety after the intervention, suggesting a significant change in anxiety level. The standard deviation for the pre-test is 29.434, reflecting a wide variation in participants’ scores. The computed Z score of 11.87 shows a significant deviation from the mean, indicating that the observed changes are statistically meaningful. The P value, reported as less than 0.05 (P<0.05), further confirms the effectiveness of progressive muscle relaxation. With a post-test mean score of 20.651, this underscores the positive effect of progressive muscle relaxation on participants’ anxiety levels.
KEYWORDS: Effectiveness, Progressive Muscle Relaxation, Anxiety, Nursing Students, Nursing College
Citation:
Refrences:
1. Singh R, Goyal M, Tiwari S, Ghildiyal A, Nattu SM, Das S. Effect of examination stress on mood, performance and cortisol levels in medical students. Indian J Physiol Pharmacol. 2012 Jan-Mar;56(1):48-55. PMID: 23029964.
2. Lazarus, R. S., & Folkman, S. (1984). Anxiety, appraisal, and coping. New York: Springer.
3. Duffy A. Guiding students through reflective practice – The preceptors experiences. A qualitative descriptive study. Nurse Educ Pract. 2009 May;9(3):166-75. doi: 10.1016/j.nepr.2008.07.002. Epub 2008 Sep 2. PMID: 18768370.
4. Tully, A. (2004). Anxiety, sources of stress and ways of coping among psychiatric nursing students. Journal of Psychiatric and Mental Health Nursing, 11(1), 43-47.
5. McKenna L, Plummer V. Indonesian student nurses’ perceptions of anxiety in clinical learning: A phenomenological study. J Nurs Educ Pract. 2013;3(5):56-65.
6. Ab Latif R, Nor MZ. Stressors and coping strategies during clinical practice among diploma nursing students. Malays J Med Sci. 2019;26(2):88-98.
7. Samreen S, Siddiqui NA, Mothana RA. Prevalence of anxiety and associated factors among pharmacy students in Saudi Arabia: a Cross-Sectional Study. BioMed Research International. 2020 Oct 26;2020.
8. Otim M, Al Marzouqi AM, Subu M, Damaj N, Al-Harbawi S. Prevalence of generalized anxiety disorders among clinical training students at the University of Sharjah. J Multidiscip Healthc. 2021;14:1863-1872.
9. Melaku Leta, Mossie Andualem, Negash Alemayehu. Anxiety among Medical Students and Its Association with Substance Use and Academic Performance. Journal of Biomedical Education 2015;2015:1-9. https://doi.org/10.1155/2015/149509
10. Altiok HO, Ustun B. The anxiety sources of nursing students. Educ Sci Theor Pract. 2013;13(2):747-766.
11. Sarafis P, Rousaki E, Tsounis A, et al. The impact of occupational anxiety on nurses’ caring behaviors and their health-related quality of life. BMC Nurs. 2016;15:56.
12. Daubenmier JJ, Weidner G, Sumner MD, Mendell N, Merritt-Worden T, Studley J, Ornish D. The contribution of changes in diet, exercise, and anxiety management to changes in coronary risk in women and men in the multisite cardiac lifestyle intervention program. Annals of Behavioral Medicine. 2007 Feb 1;33(1):57-68.
13. The Progressive Muscle Relaxation of Dr Edmund Jacobson (PMR). 29 January 2014. Available online at: https://hypnos.co.uk/jacobson-relaxation.html
14. Patel MP. A study to assess the effectiveness of progressive muscle relaxation therapy on anxiety among staff nurses working in selected hospitals in Vadodara City. IOSR Journal of Nursing and Health Science. 2014;3(3):34-59.
15. Charlet, J. V., & Vaz, et al. (2018). Factors influencing examination anxiety among undergraduate nursing students. *Journal of Clinical and Diagnostic Research*, 12(7), JC16–JC19.
16. Toqan, D., & Ayed, A. (2022). Effect of progressive muscle relaxation exercise on anxiety reduction among nursing students during their initial clinical training: A quasi-experimental study. *Sage Journals*. https://doi.org/10.1177/00469580221097425
17. Maharjan, G., & Baby, L. (2019). A study to assess the effectiveness of progressive muscle relaxation on stress among nursing students in a selected nursing college, Bangalore. *International Journal of Health Sciences & Research*, 9(11), 150.