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Effectiveness of music therapy and progressive muscle relaxation in reducing stress before exams and improving academic performance in Nursing students: A randomized trial

Gallego-Gómez JI, Balanza S, Leal-Llopis J, García-Méndez JA, Oliva-Pérez J, Doménech-Tortosa J, Gómez-Gallego M, Simonelli-Muñoz AJ, Rivera-Caravaca JM

Nurse education today · 40 citas

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2019-10-18 · Nurse Educ Today · vol. 84 · pág. 104217
Editorial
Elsevier BV
Citado
85 citas · más que el 98% de estudios similares · 9.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
33 trabajos
Acceso
De pago
Áreas de investigación
Music Therapy and Health · Student Stress and Coping · Diverse Music Education Insights
Palabras clave
music therapy, progressive muscle relaxation, exam stress, nursing students, academic performance, cortisol, heart rate, blood pressure, relaxation intervention, nursing education
MeSH
humans, autogenic training, music therapy, statistics, nonparametric, stress, psychological, blood pressure, heart rate, education, nursing, baccalaureate, educational measurement, students, nursing, adolescent, adult, female, male, academic performance

9 autores

  • Juana Inés Gallego‐Gómez🇪🇸Universidad Católica de Murcia
  • Serafín Balanza🇪🇸Universidad Católica de Murcia
  • Jesús Leal-Llopis🇪🇸Universidad Católica de Murcia
  • Juan Antonio García-Méndez🇪🇸Universidad Católica de Murcia
  • José Oliva-Pérez🇪🇸Universidad Católica de Murcia
  • Javier Doménech-Tortosa🇪🇸Universidad Católica de Murcia
  • María Gómez-Gallego🇪🇸Universidad Católica de Murcia
  • Agustín Javier Simonelli‐Muñoz🇪🇸 · autor de correspondenciaUniversidad Católica de Murcia
  • José Miguel Rivera‐Caravaca🇪🇸Centro de Investigación en Red en Enfermedades Cardiovasculares; Instituto Murciano de Investigación Biosanitaria; Hospital Universitario Virgen de la Arrixaca; Universidad Católica de Murcia

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Nursing students experiencing high stress levels before exams could suffer worse academic performance.

Objective

We evaluated an intervention combining Progressive Muscle Relaxation (PMR) and music therapy on the decrease of before exams stress and the improvement of academic results.

Design and methods

Randomized controlled trial including students from the Nursing Degree during the first semester of the 2017-2018 academic year. All participants were randomized to the control (CG) or the experimental group (EG). The CG took the exam as usual whereas in the EG, PMR and music therapy were performed before exams. Blood samples were drawn to investigate variations in biochemical parameters. The academic performance was assessed by the score obtained in the "Clinical Nursing" exam.

Results

We included 112 students (75% females, mean age 24.3 ± 6.2 years, 56 students in every group). There were no differences in any parameter during the first measurement. Regarding the second measurement, we observed a reduction in heart rate for the EG and an increase in blood pressure, heart rate, and cortisol for the CG. Indeed, these parameters were significantly higher compared to the EG. The EG had a mean score of 5.07 ± 1.59 in the Clinical Nursing exam, which was significantly higher compared to the CG (4.42 ± 1.58, p = 0.033). The proportion of fails in the CG was also higher (62.5% vs. 42.9%, p = 0.037).

Conclusion

In this study including students from the Nursing degree, the combination of PMR and music therapy was effective for the control and decrease of stress before exams, and also demonstrated improvements in academic results.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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