Nurses with rotating shifts, including night shifts, have suffered from low physical activity during the COVID-19 pandemic and lower sleep quality due to the disruption of their circadian rhythm. This study aimed to develop and examine the effectiveness of a mobile wellness program on daily steps, sleep quality, exercise self-efficacy, intrinsic motivation for exercise, self-rated fatigue, and wellness. A cluster randomized controlled trial design was used to examine the effectiveness of the mobile wellness program for nurses with rotating shifts. Sixty nurses from one university hospital participated and were allocated to an intervention group and a control group. The intervention group received a 12-week mobile wellness program to improve their physical activity and sleep quality, and the control group was only given a Fitbit to self-monitor their health behaviors. There were significant differences between the two groups in daily steps (p = 0.000), three components (subjective sleep quality, sleep disturbance, daytime dysfunction) of the PSQI, exercise self-efficacy, intrinsic motivation for exercise, and wellness. In conclusion, this study provides meaningful information that the mobile wellness program using Fitbit, online exercise using Zoom, online health coaching on a Korean mobile platform, and motivational text messages effectively promoted physical activity and sleep quality for nurses with rotating shifts during the COVID-19 pandemic.

Purpose: This study was to examine the effect of Progressive Muscle Relaxation Therapy on stress and anxiety of traffic accident patients. Method: Subjects of this study were 39 hospitalized patients at orthopedic ward. An experimental group received Progressive Muscle Relaxation Therapy five times each week for four weeks beginning from the fourth day following the injury, whereas a control group received regular care. A tape of Jacobson's Progressive Muscle Relaxation Therapy recorded in Korean by the Rheumatoid Health Academic Society was used for relaxation therapy. Data were analyzed using SPSS 13.0 for Windows. Results: Patients who received Progressive Muscle Relaxation Therapy experienced lower level of stress (t=-9.829, p<.001) and anxiety (t=-15.303, p<.001) than those who did not. Conclusion: Progressive Muscle Relaxation Therapy may be an effective nursing intervention to reduce levels of stress and anxiety of traffic accident patients.