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ÜNİVERSİTE ÖĞRENCİLERİNDE UZAKTAN EĞİTİM SÜRECİNDE MÜZİK TERAPİ VE PROGRESİF GEVŞEME EGZERSİZLERİNİN YAŞAM KALİTESİNE ETKİSİ

Year 2022, Volume: 3 Issue: 1, 18 - 23, 30.04.2022
https://doi.org/10.52831/kjhs.948442

Abstract

Amaç: Araştırmamızda, müzik terapi ve progresif gevşeme egzersizlerinin uzaktan eğitim gören üniversite öğrencilerinde yaşam kalitesi üzerine etkisini incelemek amaçlandı.
Yöntem: Türkiye genelinde farklı şehir ve üniversitelerden öğrencilere ulaşılarak bilgilendirilmiş onam formu paylaşıldı ve gönüllü olan katılımcılar, katılımcı değerlendirme formu ile değerlendirildi. Çalışmamıza Şubat 2021 – Nisan 2021 tarihleri arasında, dahil edilme kriterlerine uyan 88 gönüllü katılımcı dahil edildi. Katılımcılar randomize edilerek Müzik Terapi Grubu (n: 28), Progresif Gevşeme Egzersizi Grubu (n: 30) ve Kontrol Grubu (n: 30) olmak üzere üç gruba ayrıldı. Ses kayıtlarını oluşturmak amacıyla asoftmurmur.com adlı web sitesinin sahibinden ve WHOQOL-BREF Ölçeği kullanımı için WHOQOL Türkiye Merkezi’nden izin alındı. Araştırma öncesi katılımcıların demografik verileri kaydedildi; yaşam kalitesi, çalışmanın ilk ve son günlerinde; bedensel, ruhsal, sosyal ve çevresel alanları içeren WHOQOL-BREF Ölçeği kullanılarak değerlendirildi. Başlangıçta katılımcılara çevrimiçi toplantı ile eğitim verildi. Haftalık hatırlatma ve kontroller ile 4 hafta sürdürülen programda; Müzik Terapi Grubu 4 hafta boyunca uyku saatleri öncesinde 15 dakikalık doğa seslerinden oluşan ses kaydını dinlerken Progresif Gevşeme Egzersizi Grubu ses kaydı eşliğinde yapılandırılmış gevşeme egzersizleri programını uyguladı. Kontrol Grubu hazırlanan günlük çizelgeye her sabah kalp hızı, solunum frekansı ve kesintisiz uyku sürelerini kaydetti. Müzik ve Progresif Gevşeme Egzersizi Grupları da benzer günlük izlemi gerçekleştirdi. Araştırmadan elde edilen verilerin niteliksel ve niceliksel istatistiksel analizi SPSS 24 programı kullanılarak yapıldı.
Bulgular: Katılımcıların yaş ortalamaları X̄= 21,63±1,73 yıl, %73,9’u kadın, %26,1’i erkek idi. Katılımcıların demografik özellikleri benzerdi (p>0,05). Gruplar arası son değerlendirmelerde kontrol grubu ile müzik terapi grubu arasında müzik grubunda daha yüksek olmak üzere bedensel alan skorunda istatistiksel anlamlı fark bulundu (p<0,05). Grup içi ilk ve son değerlendirmelerin karşılaştırılmasında ise müzik terapi grubunun bedensel ve çevresel alan skorlarında istatistiksel anlamlı bir artış saptandı (p<0,05).
Sonuç: Çalışmamızda müzik terapinin uzaktan eğitim alan üniversite öğrencilerinin yaşam kalitesini arttırdığı sonucuna ulaşıldı. Gelecekte farklı müzik terapi / ev tabanlı fiziksel aktivite ve egzersiz ile gevşeme programlarının üniversite öğrencilerinde sağlıkla ilişkili yaşam kalitesine etkisini araştıran çalışmaların yürütülmesi ve bu protokollerin sağlıklı yaşam tarzına etkisi ile sağlık dışı lisans öğrencilerinde de yaygınlaştırılmasının sağlık ve öğrenmede katma değer yaratacağı düşünüldü.

References

  • Schlosser CA, Anderson ML. Distance education: Review of the literature. AECT Publication Sales, 1025 Vermont Ave., NW, Ste. 820, Washington, DC 20005-3547. 1994;1-2.
  • Bartolic-Zlomislic S, Bates AT. Investing in on-line learning: Potential benefits and limitations. Can J Commun. 1999;24(3):349-366.
  • Moore MG. Theory of transactional distance. Theoretical principles of distance education. 1993;1:22-38.
  • Allen K, Golden LH, Izzo JL Jr, et al. Normalization of hypertensive responses during ambulatory surgical stress by perioperative music. Psychosom Med. 2001;63(3):487-492.
  • Edwards J. Possibilities and problems for evidence based practice in music therapy. Arts Psychother. 2005;32(4):293-301.
  • Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev. 2013;2013(12):CD006577.
  • Covington H, Crosby C. Music therapy as a nursing intervention. J Psychosoc Nurs Ment Health Serv. 1997;35(3):34-37.
  • Covington H. Therapeutic music for patients with psychiatric disorders. Holist Nurs Pract. 2001;15(2):59-69.
  • White JM. State of the science of music interventions. Critical care and perioperative practice. Crit Care Nurs Clin North Am. 2000;12(2):219-225.
  • McCallie MS, Blum CM, Hood CJ. Progressive muscle relaxation. J Hum Behav Soc Environ. 2006;13:51-66.
  • Boyacıoğlu G, Kabakçı E. Gevşeme Egzersizleri Kaseti. Ankara: Türk Psikologlar Derneği Yayınları. www.psikolog.org.tr/03.12.2020.
  • Nazik E, Öztunç G, Şahin B. Kemoterapi alan meme kanserli hastalarda progresif gevşeme egzersizlerinin uyku kalitesi ve ağrıya etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014;17:171-178.
  • Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, Rafatbakhsh M. Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. J Clin Nurs. 2009;18(15):2171-2179.
  • Dehdari T, Heidarnia A, Ramezankhani A, Sadeghian S, Ghofranipour F. Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian J Med Res. 2009;129(5):603-608.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
  • Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7(2):23-40.
  • Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Hekimler Yayın Birliği. 2007;3:346-353.
  • Eser E. Türkler için sağlık ve sosyal bilim araştırmalarında kullanılan linert tipi yanıt ölçekleri: WHOQOL Türkçe versiyonu yanıt skalaları sonuçları. 3P Dergisi Özel Sayısı. 1999;7(2):5-13.
  • Mushtaq B, Khan AA. Jacobson Muscle Relaxatation Technique (Jpmr)(20 Min). JOJ Nursing & Health Care. 2018;8(1):755-757.
  • Ogba FN, Ede MO, Onyishi CN, et al. Effectiveness of music therapy with relaxation technique on stress management as measured by perceived stress scale [retracted in: Medicine (Baltimore). 2020 Mar;99(11):e19635]. Medicine (Baltimore). 2019;98(15):e15107.
  • Harmat L, Takács J, Bódizs R. Music improves sleep quality in students. J Adv Nurs. 2008;62(3):327-335.
  • Kurt T, Çelik S. Yoğun bakım hastalarını mekanik ventilasyondan ayırma sürecinde doğa temelli ses terapisinin etkisi. Çukurova Med J. 2019;44(1):119-132.
  • Seifi L, Najafi Ghezeljeh T, Haghani H. Comparison of the effects of benson muscle relaxation and nature sounds on the fatigue in patients with heart failure: a randomized controlled clinical trial. Holist Nurs Pract. 2018;32(1):27-34.
  • İnangil D, Şendir M, Kabuk A, Türkoğlu İ. The effect of music therapy and progressive muscle relaxation exercise on anxiety before the first clinical practice in nursing students: a randomized controlled study. Florence Nightingale J Nurs. 2020;28(3):341-349.
  • Eyüboğlu G, Göçmen Baykara Z, Çalışkan N, et al. Effect of music therapy on nursing students' first objective structured clinical exams, anxiety levels and vital signs: a randomized controlled study. Nurse Educ Today. 2021;97:104687.
  • Ozgundondu B, Gok Metin Z. Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive Crit Care Nurs. 2019;54:54-63.
  • Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28(3):551-558.
  • Cassileth BR. Psychiatric benefits of integrative therapies in patients with cancer. Int Rev Psychiatry. 2014;26(1):114-127.
  • Dikmen HA, Terzioglu F. Effects of reflexology and progressive muscle relaxation on pain, fatigue, and quality of life during chemotherapy in gynecologic cancer patients. Pain Manag Nurs. 2019;20(1):47-53.
  • Kütmeç Yilmaz C. Effect of progressive muscle relaxation on adaptation to old age and quality of life among older people in a nursing home: a randomized controlled trial. Psychogeriatrics. 2021;21(4):560-570.
  • Hassanpour-Dehkordi A, Jalali A. Effect of progressive muscle relaxation on the fatigue and quality of Life Among Iranian aging persons. Acta Med Iran. 2016;54(7):430-436.
  • Saza S, Çevik K. KOAH tanısı almış hastalara uygulanan progresif gevşeme egzersizlerinin yorgunluk ve yaşam kalitesine etkisi. Çukurova Med J. 2020;45(2):662-671.
  • Choi YK. The effect of music and progressive muscle relaxation on anxiety, fatigue, and quality of life in family caregivers of hospice patients. J Music Ther. 2010;47(1):53-69.

THE EFFECTS OF MUSIC THERAPY AND PROGRESSIVE RELAXATION EXERCISES ON THE QUALITY OF LIFE OF UNIVERSITY STUDENTS IN DISTANCE EDUCATION

Year 2022, Volume: 3 Issue: 1, 18 - 23, 30.04.2022
https://doi.org/10.52831/kjhs.948442

Abstract

Objective: The aim of this study was to analyze the effects of music therapy and progressive relaxation exercise on distance learning receiver university students’ quality of life. Students from different cities and universities across Turkey were sent consent forms by reaching and volunteered participants were evaluated with a participant evaluation form.
Method: Between February 2021 and April 2021, 88 volunteer participants who met the inclusion criteria were included in our study. Participants were divided into 3 groups by randomizing as Control Group (n: 30), Music Therapy Group (n: 28) and Progressive Relaxation Exercise Group (n: 30). Permission was obtained from the owner of the website asoftmurmur.com in order to create the audio recordings and for the use of WHOQOL-BREF Scale, from WHOQOL Turkey Center. Demographic data of the participants were recorded before the research; the quality of life was evaluated on the first and the last day of the study using the WHOQOL-BREF Scale which includes physical, psychological, social and environmental domains. Participants were given training by means of online meetings in the beginning of the practice. In the 4-week experiment with weekly reminders and controls; whereas the Music Therapy Group listened to 15-minute audio recordings of nature sounds daily for 4 weeks, the Progressive Relaxation Exercise Group applied the configured relaxation exercises program with the same audio recordings. The Control Group recorded heart rate, respiratory frequency and uninterrupted sleep duration every morning to the chart prepared for the research. Music and Progressive Relaxation Exercise Groups also performed similar daily follow-ups. The qualitative and quantitative statistical analysis of the data obtained from the research was performed using the SPSS 24 program.
Results: The average age of participants was X̄= 21,63±1,73 years. 73,9% of the participants were female and 26,1% were male. Demographic characteristics of the participants were similar (p>0,05). In the last evaluation among the groups’ final scores a statistically significant difference was found between the Control Group and the Music Therapy Group in the physical area score (p<0,05). A statistically significant increase was found in the physical and environmental field scores of the Music Therapy Group in the initial and final evaluation comparisons within the group (p<0,05).
Conclusion: In our study, it was concluded that music therapy and progressive relaxation exercises improved the quality of life of university students receiving distance learning. It was thought that conducting studies investigating the effects of different music therapy / home-based physical activity and relaxation with exercise programs on health-related quality of life in university students in the future and the effect of these protocols on healthy lifestyles and their dissemination among undergraduate students who do not study in a health-related department would create added value in health and learning.

References

  • Schlosser CA, Anderson ML. Distance education: Review of the literature. AECT Publication Sales, 1025 Vermont Ave., NW, Ste. 820, Washington, DC 20005-3547. 1994;1-2.
  • Bartolic-Zlomislic S, Bates AT. Investing in on-line learning: Potential benefits and limitations. Can J Commun. 1999;24(3):349-366.
  • Moore MG. Theory of transactional distance. Theoretical principles of distance education. 1993;1:22-38.
  • Allen K, Golden LH, Izzo JL Jr, et al. Normalization of hypertensive responses during ambulatory surgical stress by perioperative music. Psychosom Med. 2001;63(3):487-492.
  • Edwards J. Possibilities and problems for evidence based practice in music therapy. Arts Psychother. 2005;32(4):293-301.
  • Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev. 2013;2013(12):CD006577.
  • Covington H, Crosby C. Music therapy as a nursing intervention. J Psychosoc Nurs Ment Health Serv. 1997;35(3):34-37.
  • Covington H. Therapeutic music for patients with psychiatric disorders. Holist Nurs Pract. 2001;15(2):59-69.
  • White JM. State of the science of music interventions. Critical care and perioperative practice. Crit Care Nurs Clin North Am. 2000;12(2):219-225.
  • McCallie MS, Blum CM, Hood CJ. Progressive muscle relaxation. J Hum Behav Soc Environ. 2006;13:51-66.
  • Boyacıoğlu G, Kabakçı E. Gevşeme Egzersizleri Kaseti. Ankara: Türk Psikologlar Derneği Yayınları. www.psikolog.org.tr/03.12.2020.
  • Nazik E, Öztunç G, Şahin B. Kemoterapi alan meme kanserli hastalarda progresif gevşeme egzersizlerinin uyku kalitesi ve ağrıya etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014;17:171-178.
  • Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, Rafatbakhsh M. Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. J Clin Nurs. 2009;18(15):2171-2179.
  • Dehdari T, Heidarnia A, Ramezankhani A, Sadeghian S, Ghofranipour F. Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian J Med Res. 2009;129(5):603-608.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
  • Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7(2):23-40.
  • Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Hekimler Yayın Birliği. 2007;3:346-353.
  • Eser E. Türkler için sağlık ve sosyal bilim araştırmalarında kullanılan linert tipi yanıt ölçekleri: WHOQOL Türkçe versiyonu yanıt skalaları sonuçları. 3P Dergisi Özel Sayısı. 1999;7(2):5-13.
  • Mushtaq B, Khan AA. Jacobson Muscle Relaxatation Technique (Jpmr)(20 Min). JOJ Nursing & Health Care. 2018;8(1):755-757.
  • Ogba FN, Ede MO, Onyishi CN, et al. Effectiveness of music therapy with relaxation technique on stress management as measured by perceived stress scale [retracted in: Medicine (Baltimore). 2020 Mar;99(11):e19635]. Medicine (Baltimore). 2019;98(15):e15107.
  • Harmat L, Takács J, Bódizs R. Music improves sleep quality in students. J Adv Nurs. 2008;62(3):327-335.
  • Kurt T, Çelik S. Yoğun bakım hastalarını mekanik ventilasyondan ayırma sürecinde doğa temelli ses terapisinin etkisi. Çukurova Med J. 2019;44(1):119-132.
  • Seifi L, Najafi Ghezeljeh T, Haghani H. Comparison of the effects of benson muscle relaxation and nature sounds on the fatigue in patients with heart failure: a randomized controlled clinical trial. Holist Nurs Pract. 2018;32(1):27-34.
  • İnangil D, Şendir M, Kabuk A, Türkoğlu İ. The effect of music therapy and progressive muscle relaxation exercise on anxiety before the first clinical practice in nursing students: a randomized controlled study. Florence Nightingale J Nurs. 2020;28(3):341-349.
  • Eyüboğlu G, Göçmen Baykara Z, Çalışkan N, et al. Effect of music therapy on nursing students' first objective structured clinical exams, anxiety levels and vital signs: a randomized controlled study. Nurse Educ Today. 2021;97:104687.
  • Ozgundondu B, Gok Metin Z. Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive Crit Care Nurs. 2019;54:54-63.
  • Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28(3):551-558.
  • Cassileth BR. Psychiatric benefits of integrative therapies in patients with cancer. Int Rev Psychiatry. 2014;26(1):114-127.
  • Dikmen HA, Terzioglu F. Effects of reflexology and progressive muscle relaxation on pain, fatigue, and quality of life during chemotherapy in gynecologic cancer patients. Pain Manag Nurs. 2019;20(1):47-53.
  • Kütmeç Yilmaz C. Effect of progressive muscle relaxation on adaptation to old age and quality of life among older people in a nursing home: a randomized controlled trial. Psychogeriatrics. 2021;21(4):560-570.
  • Hassanpour-Dehkordi A, Jalali A. Effect of progressive muscle relaxation on the fatigue and quality of Life Among Iranian aging persons. Acta Med Iran. 2016;54(7):430-436.
  • Saza S, Çevik K. KOAH tanısı almış hastalara uygulanan progresif gevşeme egzersizlerinin yorgunluk ve yaşam kalitesine etkisi. Çukurova Med J. 2020;45(2):662-671.
  • Choi YK. The effect of music and progressive muscle relaxation on anxiety, fatigue, and quality of life in family caregivers of hospice patients. J Music Ther. 2010;47(1):53-69.
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Ufuk Yurdalan 0000-0003-0985-0100

Begüm Ünlü 0000-0001-6927-6396

Anıl Gökçen 0000-0002-8542-6582

Berkay Bozkurt 0000-0002-3081-3761

Havva Erva Küçükislamoğlu

Publication Date April 30, 2022
Submission Date June 9, 2021
Published in Issue Year 2022 Volume: 3 Issue: 1

Cite

Vancouver Yurdalan U, Ünlü B, Gökçen A, Bozkurt B, Küçükislamoğlu HE. ÜNİVERSİTE ÖĞRENCİLERİNDE UZAKTAN EĞİTİM SÜRECİNDE MÜZİK TERAPİ VE PROGRESİF GEVŞEME EGZERSİZLERİNİN YAŞAM KALİTESİNE ETKİSİ. Karya J Health Sci. 2022;3(1):18-23.