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The Effect of Music Therapy and the 4-7-8 Breathing Exercise

The Effect of Music Therapy and the 4-7-8 Breathing Exercise Technique on Anxiety Management Among Nursing Students During IV Drug Administration Education:Randomized Controled Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07425847
Enrollment
97
Registered
2026-02-23
Start date
2025-03-15
Completion date
2025-07-15
Last updated
2026-02-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nursing Students

Keywords

Anxiety,, Breathing Exercises,, Music Therapy,, Nursing,, Students

Brief summary

Objective: This study was conducted to evaluate the effectiveness of music therapy and 4-7-8 breathing exercises in managing anxiety among nursing students during IV drug administration education. Method: This study was conducted using a randomized controlled experimental research model. The study was conducted between March and July 2025 with first-year nursing students studying at the Faculty of Nursing at a university in eastern Turkey. The sample consisted of 97 students (music therapy group: 32, 4-7-8 breathing exercise group: 32, control group: 33), determined using Power analysis. Data were collected using a "Personal Information Form" and the State Anxiety Inventory (STAI Form TX-I), which measures state anxiety levels.

Detailed description

When nursing students came to the laboratory application, a personal information form and state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The state anxiety inventory was administered again at the end of the 2nd lesson. Students were given information about the 4-7-8 breathing technique. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The State Anxiety Inventory was administered again after the breathing exercises.

Interventions

BEHAVIORALMusic therapy

When nursing students came to the laboratory application, a personal information form and state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The state anxiety inventory was administered again at the end of the 2nd lesson.

BEHAVIORALbreathing exercise

When nursing students arrived for the laboratory application, the personal information form and state anxiety inventory were administered. Students were given information about the 4-7-8 breathing technique. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The State Anxiety Inventory was administered again after the breathing exercises.

Sponsors

Inonu University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Intervention model description

Randomized controlled trial

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Students enrolled in the first year of nursing, * Taking the IV drug administration course for the first time, * Volunteering to participate in the study were included in the study.

Exclusion criteria

* Students repeating the course, students who graduated from health-related fields, * Students who did not volunteer to participate in the study were excluded from the study.

Design outcomes

Primary

MeasureTime frameDescription
Effect of State Anxiety3 hoursWhen nursing students came to the laboratory application, state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The state anxiety inventory was administered again at the end of the 2nd lesson. State Anxiety Inventory (STAI Form TX-I): The reliability of the original inventory was first examined by Spielberger et al. (1964). The Turkish adaptation and standardization of the scale were conducted by Öner and Le Compte.Higher total scores indicate higher levels of state anxiety.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026