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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, N. Sari, Endro Haksara, Satriya Pranata

Open Access Macedonian Journal of Medical Sciences March 7, 2022 DOI: 10.3889/oamjms.2022.8695 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental study with a one-group pre-test-post-test design Peer reviewed
Sample size 83
Population Level II Indonesian nursing students at Stikes Kesdam IV/Diponegoro who met inclusion criteria
Interventions Behavioral activation Mindfulness exercises Loving-kindness meditation exercise
Duration 4-week data collection period (April–May 2021)
Measures Perceived Stress Scale
Topics Meditation
Keywords Education
Key findings After behavioral activation, mindfulness exercises, and loving-kindness meditation exercises, mean Perceived Stress Scale scores decreased from 16.66 to 14.76 (mean difference 1.90), and the dependent t-test indicated a significant pre–post difference (p < 0.05). The authors recommend these practices as stress-coping mechanisms for Indonesian nursing students during the COVID-19 pandemic.

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.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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