Modified breathing relaxation in OSCE participants: A randomized controlled trial
DOI: https://doi.org/10.33024/minh.v8i7.1425
Anxiety Deep Breathing Relaxation Technique Dzikr OSCE
Abstract
Background: Academic examinations, especially practical exams such as OSCE, often trigger high levels of anxiety among nursing students. Anxiety arises from environmental pressure, limited time, and strict regulations, which negatively affect students’ performance. Non-pharmacological interventions, particularly breathing relaxation techniques combined with spiritual elements, are considered effective to reduce anxiety before examinations.
Purpose: To identify the effect of modified deep breathing relaxation techniques with dzikr on the anxiety levels of nursing students facing OSCE at Muhammadiyah University of Sukabumi.
Method: This research was a randomized control trial with parallel group design. A total of 36 nursing students were recruited and divided equally into intervention and control groups using simple random sampling. The intervention group received modified deep breathing relaxation combined with dzikr prior to OSCE, while the control group did not receive the intervention. Anxiety was measured using the Zung Self Anxiety Scale (ZSAS) before and after the OSCE. Data were analyzed using Shapiro-Wilk, Levene test, paired t-test, independent t-test, and Cohen’s d.
Results: The findings showed a significant reduction in anxiety in the intervention group, with the mean score decreasing from 66.72 to 53.72 (p = 0.000). Conversely, the control group experienced an increase in anxiety, from 43.17 to 48.39 (p = 0.017). The difference between groups was statistically significant (p = 0.049) with a medium effect size (0.682).
Conclusion: Modified deep breathing relaxation combined with dzikr is effective in reducing anxiety among OSCE participants. Nursing education institutions are encouraged to apply this technique as part of routine preparation to help students manage anxiety before practical examinations.
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References
Apriady, T., Yanis, A., & Yulistini, Y. (2016). Prevalensi ansietas menjelang ujian tulis pada mahasiswa kedokteran fk unand tahap akademik. Jurnal Kesehatan Andalas, 5(3).
Budi, Y. S., Wardaningsih, S., & Afandi, M. (2016). Pengaruh Situasionalterhadap Kecemasan Mahasiswa Program Studi D Iii Keperawatan Menghadapi Ujian Skill Laboratorium: Studi Mixed Methods. IJNP (Indonesian Journal of Nursing Practices), 1(1), 77-83.
Budiarto, F., Nugrahayu, E. Y., & Riastiti, Y. (2021). Hubungan tingkat kecemasan dengan penyesuaian diri pada mahasiswa baru kedokteran unmul saat pembelajaran online. Jurnal Verdure, 3(1), 18-24.
Dewi, E., & Pusparatri, E. (2016). Gambaran gejala somatik kecemasan mahasiswa keperawatan semester awal saat melakukan OSCA. Jurnal Komunikasi Kesehatan (Edisi 13), 7(02).
Gerliandi, G. B., Pratiwi, R. D. N., & Agustina, H. S. (2021). Intervensi Non-Farmakologis Untuk Mengurangi Kecemasan Pada Mahasiswa: Sebuah Narrative Review. Jurnal Keperawatan BSI, 9(2), 234-245.
Ghorbani, N., Watson, P. J., Tahbaz, S., & Chen, Z. J. (2017). Religious and psychological implications of positive and negative religious coping in Iran. Journal of Religion and Health, 56(2), 477-492.
Hamidah, E., Fauziah, S., & Novryanthi, D. (2022). Hubungan Internet Addiction dengan Hubungan Interpersonal dan Kecemasan pada Remaja di Mts Persatuan Islam Cianjur. Malahayati Nursing Journal, 4(8), 2018-24.
Eldarir, S. A., Nagwa, A., & Hamid, A. (2013). Objective structured clinical evaluation (OSCE) versus traditional clinical students achievement at maternity nursing: A comparative approach. IOSR Journal of Dental and Medical Sciences, 4(3), 63-68.
Kusumastuti, D. (2020). Kecemasan dan prestasi akademik pada mahasiswa. Analitika: Jurnal Magister Psikologi UMA, 12(1), 22-33.
Kusumawardhani, A., Prihartanti, N., & Karyani, U. (2014). Pelatihan resiliensi untuk menurunkan tingkat kecemasan akademik pada remaja (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Mahdavi, A., Gorji, M. A. H., Gorji, A. M. H., Yazdani, J., & Ardebil, M. D. (2013). Implementing benson's relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. North American journal of medical sciences, 5(9), 536.
Mantika, N. I., Rochdiat, W., Syafitri, E. N., & Yogyakarta, U. R. (2019). Perbandingan Skor OSCE Mahasiswa Keperawatan Angkatan 2015, 2016 Dengan 2017 Berdasarkan Kecemasan. Jurnal Medika Respati, 14(4), 277-286.
Mawardika, T., Rahmawati, I. N., & Kurniawati, W. (2020). Relaksasi pernafasan dan dzikir menurunkan tingkat kecemasan pada ibu hamil HIV positif: Literature review. Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 6(2), 101-108.
Perry, A. G., & Potter, P. A. (2010). Mosby's Pocket Guide to Nursing Skills and Procedures-E-Book. Elsevier Health Sciences.
Rasyidin, M. U., & Pratiwi, T. I. (2022). Penerapan Teknik Relaksasi untuk Menangani Kecemasan dalam Menghadapi Ujian pada Siswa. Universitas Negeri Surabaya, 12, 865–877.
Sari, D. P., & Dewi, E. (2018). Pengaruh Relaksasi Otot Progresif Terhadap Tingkat Kecemasan Mahasiswa Keperawatan Sebelum Osca (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Silvitasari, I., & Hermawati, H. (2018). Pengaruh Spiritual relaksasi terhadap kecemasan mahasiswa menghadapi ujian OSCA di STIKES AISYIYAH Surakarta. Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan, 8(1).
Stunden, A., Halcomb, E., & Jefferies, D. (2015). Tools to reduce first year nursing students' anxiety levels prior to undergoing objective structured clinical assessment (OSCA) and how this impacts on the student's experience of their first clinical placement. Nurse Education Today, 35(9), 987-991.
Syifa, A., Khairiyah, M., & Asyanti, S. (2019). Relaksasi pernafasan dengan zikir untuk mengurangi kecemasan mahasiswa. Jurnal Intervensi Psikologi, 11(1), 1–10.
Yuhelrida, Y., Andriani, P., & Sofya, P. A. (2016). Tingkat kecemasan dalam menghadapi Objective Structured Clinical Examination (OSCE): Studi pada peserta UKMP2DG Unsyiah periode II tahun 2016. Journal Caninus Dentistry, 1(4), 26–31.
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