The effect of exergames on sleep quality in nursing students: A randomized controlled trial


Bozkurt F. D., Dolu I., Ustun A. B.

TEACHING AND LEARNING IN NURSING, cilt.21, sa.1, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.teln.2025.09.001
  • Dergi Adı: TEACHING AND LEARNING IN NURSING
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL
  • İstanbul Üniversitesi Adresli: Hayır

Özet

Background Many nursing students experience sleep problems. Exergames offer a nonpharmacological method to improve sleep. Aim This study aimed to evaluate the effects of exergames on sleep quality among nursing students. Methods A pretest-post-test randomized controlled trial was conducted between September 2023 and December 2024 at a public university in Turkiye. Sixty nursing students were randomly assigned to intervention and control groups. The intervention group completed a 3-session exergame program. Data were collected pre- and postintervention using questionnaires, the Pittsburgh Sleep Quality Index (PSQI), and wrist actigraphy. Changes in subjective and objective sleep measures were analyzed using a Paired Samples t-test. Results The intervention group's mean PSQI scores improved from 5.33 (SD = 2.38) to 5.07 (SD = 2.40), showing a statistically significant difference (t = 16.544; p < 0.001). Actigraphy data indicated increased sleep efficiency from 76.78% to 82.05%. Significant improvements were observed in sleep efficiency, total sleep time, wake after sleep onset, and average awakenings. Conclusion Exergames enhanced sleep quality in nursing students by promoting physical activity, indicating their potential as an alternative method. Future studies should examine long-term effects and different exercise types. (c) 2025 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.