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All Journal Malahayati International Journal of Nursing and Health Science Journal of Medical Surgical Concerns
Alamsyah, Azhar
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Health Professions Nursing Public Health

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Modification of deep breathing relaxation techniques on the osce participants’ anxiety level: a randomized control trial Nurhilmiah, Tia; Alamsyah, Azhar; Novryanthi, Dhinny
JOURNAL OF Medical Surgical Concerns Vol. 5 No. 1 (2025): June Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v5i1.1321

Abstract

Background: The final semester exam for students is a stressor that causes anxiety. The semester’s final exam can be theoretical and practice exams. The practice exam is an evaluation to know nursing students' skills before practicing in healthcare facilities. The method to evaluate students’ skills is Objective Structured Clinical Examination (OSCE) Purpose: To determine the effect of modified deep breathing relaxation techniques on the anxiety levels of (OSCE) participants through a randomized controlled trial design. Method: A randomized control trial of the parallel groups. The number of samples was 36 respondents. Data analysis using shapiro wilk, Levene test, paired t-test, independent t-test, and Cohen’s d. Results: the mean of anxiety decreased from 66.72 (3.2) to 53.72 (5.8) in the experimental group with a p-value is 0.000. On the other hand, the mean of anxiety increased from 43.17 (7.5) to 48.39 (9.3) in the control group with a p-value of 0.017. Additional data showed that the p-value of experimental vs control is 0.000, meaning there is a difference in score anxiety between the experimental and control group with an effect size is 0.5 (medium). Conclusion: A significant effect of modification of deep breathing relaxation on the anxiety level of students facing the OSCE exam.  Keywords: Anxiety; Deep Breathing Relaxation Technique; Dzikr; OSCE.
Modified breathing relaxation in OSCE participants: A randomized controlled trial Nurhilmiah, Tia; Alamsyah, Azhar; Suryadin, Asep
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1425

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.
Co-Authors Dhinny Novryanthi Nurhilmiah, Tia Suryadin, Asep