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CompletedNCT06814613Updated Feb 7, 2025

The Effect of Progressive Relaxation Exercises on the Sleep Quality of Nursing Students

An interventional study of Exercise in University Students, sponsored by Inonu University. Completed at 1 site in Turkey. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-07.

Sponsored by Inonu University · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Dec 2023, registered Jan 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
86
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Aim: The study aims to examine the effect of progressive relaxation exercises administered to nursing students via telenursing on sleep quality after the February 6 earthquake in Turkey.

Materials and Methods: The study was conducted as a randomized controlled study. The study population consisted of first-, second-, and third-year nursing students enrolled in the nursing departments of two universities located in eastern Turkey, who were residing in one of the 11 cities affected by the earthquake during the February 6 Turkey earthquake. The sample included 86 students (40 experimental, 46 control). While the control group received no intervention, the experimental group received progressive relaxation exercises for 20 minutes every night for 4 weeks, 1 hour before the routine bedtime (or the time they planned to go to sleep) by making a video call (via Google Meet application) with the student. Data were collected using a personal information form and the Pittsburgh Sleep Quality Scale. Descriptive statistical methods (frequency, percentage, arithmetic mean, standard deviation), independent groups t-test, and paired t-test were used to evaluate the data.

Conclusion: The research results can showed that progressive relaxation exercises could be an effective intervention in improving sleep quality after an earthquake. Additionally, conducting these exercises via telenursing could contribute significantly to the sustainability and control of the intervention.

Read the detailed description
  • If the students have any pre-sleep habits (using aromatic oil, massage, listening to music, etc.) that they routinely practice and that may affect the results of the study, they will be asked not to do so for 6 weeks.
  • A video call is made with the students.
  • The procedure is explained to the patient and any questions are answered or concerns are addressed.
  • If possible, the patient is asked to move to a ventilated room away from noise so that the procedure can be performed comfortably and not interrupted.
  • Procedure
  • It is explained to the individual that the procedure can be done sitting or lying down and he/she is asked to release his/her muscles and take a comfortable position.
  • The individual is asked to close his/her eyes and focus only on his/her body.
  • For 5 seconds, the individual is asked to take a slow deep breath.
  • He/she is asked to breathe out in a controlled manner in 3-4 seconds.
  • The process of taking a deep breath in 5 seconds and giving it back in 3-4 seconds is repeated 3 times.
  • While breathing, the individual is asked to squeeze his/her forehead muscles by raising his/her eyebrows as high as possible at the same time.
  • After 10 seconds of tightening the forehead muscles, the patient is asked to slowly lower his/her eyebrows and slowly relax and release the forehead muscles while exhaling. He/she is encouraged to feel the relaxation in the forehead muscles.
  • The individual is asked to take a deep breath, close his/her eyes tightly and squeeze the muscles around the eyes.
  • After 10 seconds of tightening the muscles around the eyes, he/she is asked to slowly relax and release the muscles around the eyes while exhaling. With muscle
02

Conditions studied

  • University Students

Keywords

  • Earthquake
  • Nursing students
  • Progressive relaxation exercises
  • Sleep
  • Telenursing
03

In context

Lead sponsor

Inonu University is the lead sponsor of 375 studies on the registry; 86 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • The study included students who were in one of the 11 cities affected by the Turkey earthquake,
  • did not have a medical diagnosis related to sleep disorders,
  • were not using any sleep medications or long-acting treatments,
  • had access to necessary equipment for telenursing such as the internet, computer, or phone,
  • were enrolled in the first, second, or third year of the nursing program.

Exclusion criteria

Exclusion Criteria:

  • The fourth-grade nursing students were excluded from the study because they undergo internship training and work night shifts,
  • which may affect their sleep patterns and quality and create a difference between them and other students.
  • Students with any diagnosis related to sleep and those with any psychiatric diagnosis were also excluded.
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Single group
Masking
Single (Participant)
Enrollment
86 participants (actual)

Study arms

  • Experimental
    Intervention

    Progressive relaxation exercises were conducted by the researcher, who had received training in this area. The students were informed in detail about the study's implementation process. For the next 4 weeks, every night, 1 hour before the routine bedtime (or the time when the student planned to sleep), a video call (via the Google Meet application) was made with the student, and progressive relaxation exercises were performed. The exercise took approximately 20 minutes and followed the implementation protocol (Davis et al., 2008; Payne, 2000). Group interviews were conducted for students with similar sleep hours. They were asked to move to a ventilated room away from noise so that the exercises could be practiced comfortably and not interrupted.

    Other: Exercise

  • No intervention
    control

    No intervention was applied to the control group in the study. Data collection forms were filled out only at the beginning and in the fourth week of the study.

Interventions

  • OtherExercise

    For the next 4 weeks, every night, 1 hour before the routine bedtime (or the time when the student planned to sleep), a video call (via the Google Meet application) was made with the student, and progressive relaxation exercises were performed. The exercise took approximately 20 minutes and followed the implementation protocol (Davis et al., 2008; Payne, 2000). Group interviews were conducted for students with similar sleep hours. They were asked to move to a ventilated room away from noise so that the exercises could be practiced comfortably and not interrupted.

    Also known as: Progressive relaxation exercises practice

06

What researchers measure

Primary outcomes

  1. Pittsburgh Sleep Quality Index

    Pittsburgh Sleep Quality Index The scale was developed by Buysse et al. and validated in Turkish by Agargün et al. (Buysse et al., 1989; Agargün, 1996). Of the 24 items on the scale, 18 are included in the evaluation. The scale consists of 7 sub-dimensions: Subjective Sleep Quality, Sleep Latency, Sleep Duration, Habitual Sleep Efficacy, Sleep Disturbances, Use of Sleep Medication, and Daytime Dysfunction. Each sub-dimension is scored between 0-3, and the total scale score ranges from 0 to 21. An increase in the scale score indicates a decline in sleep quality. The results are evaluated in three categories: 0-5 points indicate healthy sleep, 6-10 points indicate poor sleep, and above 10 points indicate chronic sleep disturbance. The Cronbach's alpha internal consistency coefficient for the scale was calculated as 0.80 by Ağargün (1996).

    Time frame: 3 month

07

Study locations

1 site
  • Inonu university
    Malatya, Center 44100, Turkey
08

References and documents

Individual participant data

Plan to share: No — Participants' data were collected for research purposes only according to the ethical principle of condentiality and protection. Therefore, it cannot be shared.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06814613
Lead sponsor
Inonu University
Responsible party
seher ÇEVİK (Principal Investigator, Inonu University) — Principal investigator
First posted
Feb 7, 2025
Start date
Dec 1, 2023
Primary completion
Feb 15, 2024
Completion
Mar 30, 2024
Last update
Feb 7, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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