Symposium on Health Futures, Nursing Innovation, and Community Wellbeing

General Health

PPAVI-2026-0932AA2A Poster General Health

CALM-STUDENT: A Pilot Study of State Anxiety Before and After a Five-Minute Guided Breathing Exercise in Nursing Students

Authors: Oktaviana Alvionita Safitri

Supervisor: Maria Floriana Ping, S.Kep., MSN

Affiliation: STIKES Dirgahayu Samarinda

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Abstract

Nursing skills examinations are evaluative situations that may elicit anxiety among students. A brief guided breathing exercise may offer an accessible strategy for managing pre-examination anxiety. This pilot study assessed changes in state anxiety among 20 nursing students before and after the CALM-STUDENT intervention using a single-group pretest–posttest design. Anxiety was measured using the Indonesian six-item State-Trait Anxiety Inventory (STAI-6), with summed raw scores ranging from 6 to 24, and pretest and posttest scores were compared using the Wilcoxon signed-rank test. The mean anxiety score decreased from 16.70 (SD = 2.41) before the intervention to 13.40 (SD = 1.47) afterward, a mean reduction of 3.30 points. Scores decreased for 18 students (90%), remained unchanged for one student, and increased for one student. The pre–post difference was statistically significant (p < 0.001). These results show a preliminary reduction in state anxiety following the exercise. However, because the study had no comparison group, the change cannot be attributed to the intervention alone. Controlled studies are needed to assess its effectiveness.

Keywords

state anxiety, nursing students, nursing skills examination, guided breathing, pilot study

Conference Certificate

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Certificate No. PPAVI-2026-0932AA2A

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of Presentation

This certificate is formally awarded to:

Oktaviana Alvionita Safitri, Maria Floriana Ping

for presenting the paper entitled:

CALM-STUDENT: A Pilot Study of State Anxiety Before and After a Five-Minute Guided Breathing Exercise in Nursing Students

PPAVI-2026-0932AA2A / Poster

The 1st PPAVI Student Research and Vocational Conference 2026

16 Oct 2026 - 31 Oct 2026

General Health

RD. Dr. Antonius Ary Setyawan, S.S., M.A, M.M.

Ketua Pengurus PPAVI

Romanus Edy Prabowo, S.Si., M.Sc., Ph.D.

Ketua Panitia

Digitally issued by PPAVI Conference System on 15 October 2026. Available at:

https://ppavi.or.id/conferences/ppavi-student-research-vocational-conference-2026/presentations/PPAVI-2026-0932AA2A/