Behavioral Activation, Mindfulness Exercises, and Loving-Kindness Meditation Exercises as Effective Therapies to Reduce Stress among Nursing Students’ during COVID-19 Pandemic

Dwi Mulianda; Ainnur Rahmanti; Margiyati Margiyati; Novita Wulan Sari; Endro Haksara; Satriya Pranata

doi:10.3889/oamjms.2022.8695

Authors

Dwi Mulianda Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Kesdam IV Diponegoro, Semarang, Central Java, Indonesia https://orcid.org/0000-0002-1507-1747
Ainnur Rahmanti Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Kesdam IV Diponegoro, Semarang, Central Java, Indonesia https://orcid.org/0000-0002-9991-2442
Margiyati Margiyati Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Kesdam IV Diponegoro, Semarang, Central Java, Indonesia https://orcid.org/0000-0002-9576-9079
Novita Wulan Sari Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Kesdam IV Diponegoro, Semarang, Central Java, Indonesia
Endro Haksara Soedjono Army Hospital, Magelang, Central Java, Indonesia https://orcid.org/0000-0002-9931-5891
Satriya Pranata Department of Nursing, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia https://orcid.org/0000-0002-2026-8931

DOI:

https://doi.org/10.3889/oamjms.2022.8695

Keywords:

Stress management, COVID-19, Pandemics, Students, Nursing

Abstract

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic could increase stress which will impact the student’s achievement during the pandemic situation.

AIM: The purpose of the study was to analyze stress among Indonesian nursing students’ after giving the interventions of behavioral activation (BA), mindfulness exercises (ME), and loving-kindness meditation exercise (LKME) during the COVID-19 pandemic.

METHODS: This study was a quasi-experimental study with a one-group pre-test-post-test design. Data collection has been conducted in 4 weeks’ period on April–May 2021 using consecutive sampling. The sample of this study was 83 respondents in Level II of Indonesian nursing students at Stikes Kesdam IV/Diponegoro who have fulfilled the inclusion criteria. The instrument used was the Perceived Stress Scale.

RESULTS: The majority of respondents are women, namely, 64 respondents (77.1%). After being given the intervention of BA, ME, and LKME, respondents decreased their stress with a mean of 16.66 became 14.76. The dependent t-test showed that the p value was 0.000 (p < 0.05), which means that there was a significance difference in stress pre- and post-intervention. The mean difference was 1.90 and the paired difference t-test was 0.000 (p < 0.05).

CONCLUSION: BA, MEs, and LKME are recommended as stress coping mechanisms for Indonesian nursing students during the COVID-19 pandemic.

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