Table of Contents
ISRN Nursing
Volume 2012, Article ID 827972, 5 pages
Research Article

Biofeedback Intervention for Stress and Anxiety among Nursing Students: A Randomized Controlled Trial

1Department of Advanced Studies in Education and Counseling, California State University, Long Beach, CA 90840, USA
2Student Health Services, California State University, Long Beach, CA 90840, USA
3Department of Nursing, Boromarajonani College of Nursing, Nakhornratchasima 30000, Thailand

Received 30 March 2012; Accepted 7 May 2012

Academic Editors: F.-H. Chou and N. E. Ervin

Copyright © 2012 Paul Ratanasiripong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training. The purpose of this randomized controlled study is to investigate the impact of biofeedback intervention program on nursing students' levels of stress and anxiety during their first clinical training. Methods. Participants consisted of 60 second-year baccalaureate nursing students. The 30 participants in the biofeedback group received training on how to use the biofeedback device to assist in stress and anxiety management for 5 weeks while the 30 in the control group did not receive any training. Findings. Results indicated that the biofeedback group was able to maintain the stress level while the control group had a significant increase in the stress level over the 5-week period of clinical training. Additionally, the biofeedback group had a significant reduction in anxiety, while the control group had a moderate increase in anxiety. Conclusions. The better the nursing students can manage their stress and anxiety, the more successful they can be in their clinical training. Ultimately, the more psychologically healthy the nursing students are, the more likely they will flourish and graduate to become productive and contributing members of the nursing profession.