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İyileştirici Bir Tebessüm: Mizah

Year 2021, Volume: 5 Issue: 1, 128 - 135, 31.01.2021
https://doi.org/10.46237/amusbfd.732067

Abstract

Mizah, olayların komik ve eğlenceli tarafını görmeye çalışmaktır. Mizah, bireylerin bilişsel düzeylerini değiştirerek farklı bir perspektiften düşünmelerine yardımcı olur. Mizah duygusu negatif bir olayla karşılaşılsa bile pozitif bakış açısı geliştirmeyi sağlar. Mizah beden ile ruhu kapsayan ve birbirine bağlayan bir enerji olarak değerlendirilebilir. Literatür, hemşireliğin ilk yıllarından itibaren az da olsa mizah kullanımının varlığını ortaya koymaktadır. Gelişen zamanla beraber hemşirelerin rolleri de değişmekte, mizah stili ve uygulamaları da tedavi ve bakımda kullanılmaya başlanmıştır. Mizahın sağlık üzerinde etkileri olduğuna dair çalışmalar bulunmaktadır. Mizahın bireye fiziksel, duygusal, sosyal ve bilişsel olarak birçok yararı vardır. Hastaların stres ve anksiyetesini azaltmak, baş etme mekanizmalarını daha iyi kullanmalarını sağlamak ve pozitif etkileşimlerini arttırmak amacıyla yapılan espri ve şakaları içermektedir. Mizah eğlenceli karikatürler, hikayeler, komik videolar, hemşirelerin hastalarla iletişim kurarken yaptığı şakalar ve hastane palyaçoları gibi farklı şekillerde olabilmektedir. Hastaya yapılacak girişimler sırasında dikkatini başka yöne çekmek, anksiyetesi yüksek hastayı rahatlatmak ya da hastanın tedaviye, tanıya veya ortama uyumunu arttırmak gibi hemşirelik bakımı alanlarında mizah kullanımı yaygınlaşmalıdır. Bu derlemenin amacı mizahın hemşirelik alanında kullanım amaçlarını incelemektir.

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

References

  • 1. Hulse, J.R. (1994). Humor: A nursing intervention for the elderly: Used appropriately, humor can aid in education, reduce stress, and relieve the depersonalization many elderly people feel. Geriatric Nursing, 15(2), 88-90.
  • 2. Buxman, K. (2018). How one mad scientist grasped the profound potential of humor and changed the face of nursing. Humor, 31(2), 329-337.DOI: 10.1515/humor-2018-0020
  • 3. Koç, S. (2016). The Compassionate Touch in Intensive Care: Humor and Smiling. Aslan, F.E., Olgun, N. Intensive Care Selected Symptoms and Management of Findings. 1st Edition (s. 113-27). Nobel Medical Bookstores, Ankara.
  • 4. Robinson, V. (1995). Humor in nursing: A hysterical perspective. Buxman, K., LeMoine, A. Nursing perspectives on humor. 1st ed.USA: Power Publications.
  • 5. Schwartz, E.A. (2010). Humor and health care: The laughter prescription. 2nd ed. Brockton, MA: Western Schools.
  • 6. Kelly, L. (1981). Dimensions of professional nursing. 4th ed. New York: Macmillan.
  • 7. Beck, C.T. (1997). Humor in nursing practice: a phenomenological study. Int J Nurs Stud, 34(5), 346-352.doi:10.1016/s0020-7489(97)00026-6.
  • 8. Aydın, A. (2005) Nursing and humor. Journal of Cumhuriyet University School of Nursing, 9(1):1-5. http://eskidergi.cumhuriyet.edu.tr/makale/1118.pdf
  • 9. Martin, R. (2008). Humor and health in The Primer of Humor Research. Raskin, V.1st ed. (ss.479–522).Berlin: Mouton de Gruyter.
  • 10. Gremigni, P. (2012). Humor and Health Promotion. 1st ed. Hauppage, NY: Nova Science Publishers.
  • 11. Sigmund Freud 1856-1939 (1905). Jokes and their relation to the unconscious / Sigmund Freud; translated from the German and edited by James Strachey. W. W. Norton & Company.
  • 12. Ziv, A. (1988). Teaching and learning with humor: Experiment and replication. J Exp Educ, 57(1), 5-15.
  • 13. Goldstein, J.,& Ruch, W. (2018). Paul McGhee and humor research. Humor, 31(2), 169-181.
  • 14. Yun, O.B., Kim, S.J., & Jung,D. (2015). Effects of a clown–nurse educational intervention on the reduction of postoperative anxiety and pain among preschool children and their accompanying parents in South Korea. J Pediatr Nurs, 30(6), 89-99.doi: 10.1016/j.pedn.2015.03.003.
  • 15. Mora, R.R., & García, M.R. (2008). Therapeutical value of laughter in medicine. Medicina clinica, 131(18), 694-698.doi: 10.1157 / 13129114.
  • 16. Haydon, G., & Riet, P. Van Der. (2014). A narrative inquiry: How do nurses respond to patients’ use of humour? Contemporary Nurse, 46(2), 197–205. https://doi.org/10.5172/conu.2014.46.2.197
  • 17. Sousa, L.M.M., Marques-Vieira, C.M.A., Antunes, A.V., Frade, M. de F.G., Severino, S.P.S., & Valentim, O.S. (2019). Humor intervention in the nurse-patient interaction. Revista Brasileira de Enfermagem, 72(4), 1078–1085. https://doi.org/10.1590/0034-7167-2018-0609
  • 18. Tremayne, P. (2014). Using humour to enhance the nurse-patient relationship. Nursing Standard, 28(30), 37–40. https://doi.org/10.7748/ns2014.03.28.30.37.e8412
  • 19. Butcher, H. K., Bulechek, G. M., Dochterman, J. M., & Wagner, C. M. (2018). Nursing interventions classification (NIC). St. Louis: Elsevier.
  • 20. Simpson, J.M., & Snow, S.J. (2017). Why We Should Try to Get the Joke: Humor, Laughter, and the History of Healthcare. The Oral History Review, 44(1), 77- 93.doi:10.1093/ohr/ohw110.
  • 21. Beach, W.A., & Prickett, E. (2017). Laughter, humor, andcancer: Delicate moments and poignant interactional circumstances. Health communication, 32(7), 791-802. doi:10.1080/10410236.2016.1172291
  • 22. Grant, W.M. (2017). Humor in Medicine: A Literature Review of Humor’s Potential Therapeutic Value in Health Care. https://scholarworks.uark.edu/psycuht/11.
  • 23. Sridharan, K., & Sivaramakrishnan, G. (2017). Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials-corrigendum. Eur J Pediatr, 176(2), 289-289.doi:10.1007/s00431-016-2832-5.
  • 24. Perktaş, E., & Özmert, E. (2017). An assessment on the reduction of children's hospital anxiety: The hospital clown project. Journal of Child Health and Diseases, 60(3), 83- 87.
  • 25. Ruch, W., & Hofmann, J. (2017). Fostering humour. Ruch, W., Hofmann, J. Positive psychology interventions in practice. 1st ed. (ss. 65-80). Springer, Cham.
  • 26. Ruch, W., & McGhee, P.E. (2014). Humor intervention programs. Schueller S, Parks A. Handbook of Positive Psychological Interventions. 1st ed. Oxford: Wiley-Blackwell.
  • 27. Goodenough, B., Low, L.F., Casey, A.N., Chenoweth, L., Fleming, R., Spitzer, P., et al. (2012). Study protocol for a randomized controlled trial of humor therapy in residential care: the Sydney Multisite Intervention of Laughter Bosses and Elder Clowns (SMILE). Int Psychogeriatr, 24(12), 2037-2044. doi:10.1017/s1041610212000683.
  • 28. Kim, S.H., Kook, J.R., Kwon, M., Son, M.H., Ahn, S.D., & Kim, Y H. (2015). The effects of laughter therapy on mood state and self-esteem in cancer patients undergoing radiation therapy: a randomized controlled trial. JACM, 21(4), 217-222.doi: 10.1089/acm.2014.0152
  • 29. Itami, J. (2000). A Trial Psychosomatic Treatment for Cancer: Meaningful Life Therapy. Journal of International Society of Life Information Science, 18(1), 162-171.doi:
  • 10.18936/islis.18.1_162.
  • 30. Venter, M., Venter, C., Botha, K., & Strydom, M. (2008). Cancer patients’ illness experiences during a group intervention. J Psychol Afr, 18(4), 549-560.doi: 10.1080/14330237.2008.10820234.
  • 31. Shahidi, M., Mojtahed, A., Modabbernia, A., Mojtahed, M., Shafiabady, A., Delavar, A., et al. (2011). Laughter yoga versus group exercise program in elderly depressed women: a randomized controlled trial. Int J Geriatr Psychiatry, 26(3), 322-327.doi: 10.1002/gps.2793.
  • 32. Martin, R.A. (2019). Humor. Gallagher, MW., Lopez, SJ. Positive psychological assessment: A handbook of models and measures. 1st ed.(305–316).
  • 33. Ruch, W., Proyer, R.T., & Weber, M. (2010). Humor as a character strength among the elderly. Zeitschrift für Gerontologie und Geriatrie, 43(1), 13-18.doi:10.1007/s00391- 009-0090-0.
  • 34. Kuiper, N., Kirsh, G., & Maiolino, N. (2016). Identity and intimacy development, humor styles, and psychological well-being. Identity, 16(2), 115-125.doi: 10.1080/15283488.2016.1159964
  • 35. Maiolino, N., & Kuiper, N. (2016). Examining the impact of a brief humor exercise on psychological well-being. Transl Issues Psychol Sci, 2(1), 4.doi: 10.1037/tps0000065.
  • 36. Zorlu, H.,& Gündüz, Ö. (2019). Psikoterapide Mizah. JCBPR,8(3), 190−199.
  • 37. Woodbury-Farina, M.A., & Antongiorgi, J.L. (2014). Humor. Psychiatricclinics, 37(4), 561-578.
  • 38. Linge-Dahl, L.M., Heintz, S., Ruch, W., & Radbruch, L. (2018). Humor assessment and interventions in palliative care: A systematic review. Frontiers in psychology,19(9):1- 12. doi: 10.3389/fpsyg.2018.00890890.
  • 39. Tuğut, N., & Kaya, D. (2017). The Relationship Between Nurses' Using Therapeutic Humor and Problem Solving Skills. Dokuz Eylul University E-Journal of Nursing Faculty, 10(3), 131-136. http://www.deuhyoedergi.org/index.php/DEUHYOED/article/view/364
  • 40. Demjen, Z. (2016). Laughing at cancer: Humour, empowerment, solidarity and coping online. Journal of Pragmatics, 101(1), 18-30.doi:10.1016/j.pragma.2016.05.010.
  • 41. Koç, S. (2011). Determining the effect of hospital clowns on anxiety levels of children and their parents in the pre-operative period. Journal of Education and Research in Nursing, 8(3), 26-31.https://www.journalagent.com/kuhead/pdfs/KUHEAD_8_3_26_31.pdf
  • 42. Warren, B., & Spitzer, P. (2011). Laughing to longevity—the work of elder clowns. The Lancet, 378(9791), 562-563.doi:10.1016/s0140-6736(11)61280-4.
  • 43. Ruch, W., Heintz, S., Platt, T., Wagner, L., & Proyer, R. T. (2018). Broadening humor: comic styles differentially tap into temperament, character, and ability. Frontiers in Psychology, 9, 6.doi:10.3389/fpsyg.2018.00006.
  • 44. McCreaddie, M., & Payne, S. (2014). Humour in health-care interactions: a risk worth taking. Health Expectations, 17(3), 332–344. https://doi.org/10.1111/j.1369- 7625.2011.00758.x
  • 45. Bennett, P.N., Parsons, T., Ben-Moshe, R., Weinberg, M., Neal, M., Gilbert, K., et al. (2014). Laughter and Humor Therapy in Dialysis. Seminars in Dialysis, 27(5), 488–493. https://doi.org/10.1111/sdi.12194
  • 46. Sanchez, J.C., Echeverri, L.F., Londono, M.J., Ochoa, S.A., Quiroz, A.F., Romero, C.R., et al. (2017). Effects of a Humor Therapy Program on Stress Levels in Pediatric Inpatients. Hospital Pediatrics, 7(1), 46–53. https://doi.org/10.1542/hpeds.2016-0128
  • 47. Mendiburo-Seguel, A., Paez, D., & Martinez-Sanchez, F. (2015). Humor styles and personality: A meta-analysis of the relation between humor styles and the Big Five personality traits. Scandinavian Journal of Psychology, 56(3), 335–340. https://doi.org/10.1111/sjop.12209

A Therapeutic Smile: Humor

Year 2021, Volume: 5 Issue: 1, 128 - 135, 31.01.2021
https://doi.org/10.46237/amusbfd.732067

Abstract

Humor is trying to see the funny and entertaining side of the events. Humor helps individuals to think from a different perspective by changing their cognitive levels. It provides a positive perspective even if a sense of humor is encountered. Humor can be considered as an energy that explains and connects the body and spirit. The literature reveals the existence of a small amount of humor use since the early years of nursing.. With the developing time, the roles of nurses also change, and humor style and practices have started to be used in treatmentand care. There are studies showing that humor has effects on health. Humor has many benefits to the individual physically, emotionally, socially and cognitively. Humor can take different forms such as funny cartoons, stories, funny videos, jokes made by nurses while communicating with patients, and hospital clowns. The use of humor should become widespread in nursing care areas such as distracting attention during interventions on the patient, relieving the patient with high anxiety, or increasing the patient’s adaptation to treatment, diagnosis or environment.. The purpose of this review is to examine the uses of humor in nursing.

Project Number

Yok

References

  • 1. Hulse, J.R. (1994). Humor: A nursing intervention for the elderly: Used appropriately, humor can aid in education, reduce stress, and relieve the depersonalization many elderly people feel. Geriatric Nursing, 15(2), 88-90.
  • 2. Buxman, K. (2018). How one mad scientist grasped the profound potential of humor and changed the face of nursing. Humor, 31(2), 329-337.DOI: 10.1515/humor-2018-0020
  • 3. Koç, S. (2016). The Compassionate Touch in Intensive Care: Humor and Smiling. Aslan, F.E., Olgun, N. Intensive Care Selected Symptoms and Management of Findings. 1st Edition (s. 113-27). Nobel Medical Bookstores, Ankara.
  • 4. Robinson, V. (1995). Humor in nursing: A hysterical perspective. Buxman, K., LeMoine, A. Nursing perspectives on humor. 1st ed.USA: Power Publications.
  • 5. Schwartz, E.A. (2010). Humor and health care: The laughter prescription. 2nd ed. Brockton, MA: Western Schools.
  • 6. Kelly, L. (1981). Dimensions of professional nursing. 4th ed. New York: Macmillan.
  • 7. Beck, C.T. (1997). Humor in nursing practice: a phenomenological study. Int J Nurs Stud, 34(5), 346-352.doi:10.1016/s0020-7489(97)00026-6.
  • 8. Aydın, A. (2005) Nursing and humor. Journal of Cumhuriyet University School of Nursing, 9(1):1-5. http://eskidergi.cumhuriyet.edu.tr/makale/1118.pdf
  • 9. Martin, R. (2008). Humor and health in The Primer of Humor Research. Raskin, V.1st ed. (ss.479–522).Berlin: Mouton de Gruyter.
  • 10. Gremigni, P. (2012). Humor and Health Promotion. 1st ed. Hauppage, NY: Nova Science Publishers.
  • 11. Sigmund Freud 1856-1939 (1905). Jokes and their relation to the unconscious / Sigmund Freud; translated from the German and edited by James Strachey. W. W. Norton & Company.
  • 12. Ziv, A. (1988). Teaching and learning with humor: Experiment and replication. J Exp Educ, 57(1), 5-15.
  • 13. Goldstein, J.,& Ruch, W. (2018). Paul McGhee and humor research. Humor, 31(2), 169-181.
  • 14. Yun, O.B., Kim, S.J., & Jung,D. (2015). Effects of a clown–nurse educational intervention on the reduction of postoperative anxiety and pain among preschool children and their accompanying parents in South Korea. J Pediatr Nurs, 30(6), 89-99.doi: 10.1016/j.pedn.2015.03.003.
  • 15. Mora, R.R., & García, M.R. (2008). Therapeutical value of laughter in medicine. Medicina clinica, 131(18), 694-698.doi: 10.1157 / 13129114.
  • 16. Haydon, G., & Riet, P. Van Der. (2014). A narrative inquiry: How do nurses respond to patients’ use of humour? Contemporary Nurse, 46(2), 197–205. https://doi.org/10.5172/conu.2014.46.2.197
  • 17. Sousa, L.M.M., Marques-Vieira, C.M.A., Antunes, A.V., Frade, M. de F.G., Severino, S.P.S., & Valentim, O.S. (2019). Humor intervention in the nurse-patient interaction. Revista Brasileira de Enfermagem, 72(4), 1078–1085. https://doi.org/10.1590/0034-7167-2018-0609
  • 18. Tremayne, P. (2014). Using humour to enhance the nurse-patient relationship. Nursing Standard, 28(30), 37–40. https://doi.org/10.7748/ns2014.03.28.30.37.e8412
  • 19. Butcher, H. K., Bulechek, G. M., Dochterman, J. M., & Wagner, C. M. (2018). Nursing interventions classification (NIC). St. Louis: Elsevier.
  • 20. Simpson, J.M., & Snow, S.J. (2017). Why We Should Try to Get the Joke: Humor, Laughter, and the History of Healthcare. The Oral History Review, 44(1), 77- 93.doi:10.1093/ohr/ohw110.
  • 21. Beach, W.A., & Prickett, E. (2017). Laughter, humor, andcancer: Delicate moments and poignant interactional circumstances. Health communication, 32(7), 791-802. doi:10.1080/10410236.2016.1172291
  • 22. Grant, W.M. (2017). Humor in Medicine: A Literature Review of Humor’s Potential Therapeutic Value in Health Care. https://scholarworks.uark.edu/psycuht/11.
  • 23. Sridharan, K., & Sivaramakrishnan, G. (2017). Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials-corrigendum. Eur J Pediatr, 176(2), 289-289.doi:10.1007/s00431-016-2832-5.
  • 24. Perktaş, E., & Özmert, E. (2017). An assessment on the reduction of children's hospital anxiety: The hospital clown project. Journal of Child Health and Diseases, 60(3), 83- 87.
  • 25. Ruch, W., & Hofmann, J. (2017). Fostering humour. Ruch, W., Hofmann, J. Positive psychology interventions in practice. 1st ed. (ss. 65-80). Springer, Cham.
  • 26. Ruch, W., & McGhee, P.E. (2014). Humor intervention programs. Schueller S, Parks A. Handbook of Positive Psychological Interventions. 1st ed. Oxford: Wiley-Blackwell.
  • 27. Goodenough, B., Low, L.F., Casey, A.N., Chenoweth, L., Fleming, R., Spitzer, P., et al. (2012). Study protocol for a randomized controlled trial of humor therapy in residential care: the Sydney Multisite Intervention of Laughter Bosses and Elder Clowns (SMILE). Int Psychogeriatr, 24(12), 2037-2044. doi:10.1017/s1041610212000683.
  • 28. Kim, S.H., Kook, J.R., Kwon, M., Son, M.H., Ahn, S.D., & Kim, Y H. (2015). The effects of laughter therapy on mood state and self-esteem in cancer patients undergoing radiation therapy: a randomized controlled trial. JACM, 21(4), 217-222.doi: 10.1089/acm.2014.0152
  • 29. Itami, J. (2000). A Trial Psychosomatic Treatment for Cancer: Meaningful Life Therapy. Journal of International Society of Life Information Science, 18(1), 162-171.doi:
  • 10.18936/islis.18.1_162.
  • 30. Venter, M., Venter, C., Botha, K., & Strydom, M. (2008). Cancer patients’ illness experiences during a group intervention. J Psychol Afr, 18(4), 549-560.doi: 10.1080/14330237.2008.10820234.
  • 31. Shahidi, M., Mojtahed, A., Modabbernia, A., Mojtahed, M., Shafiabady, A., Delavar, A., et al. (2011). Laughter yoga versus group exercise program in elderly depressed women: a randomized controlled trial. Int J Geriatr Psychiatry, 26(3), 322-327.doi: 10.1002/gps.2793.
  • 32. Martin, R.A. (2019). Humor. Gallagher, MW., Lopez, SJ. Positive psychological assessment: A handbook of models and measures. 1st ed.(305–316).
  • 33. Ruch, W., Proyer, R.T., & Weber, M. (2010). Humor as a character strength among the elderly. Zeitschrift für Gerontologie und Geriatrie, 43(1), 13-18.doi:10.1007/s00391- 009-0090-0.
  • 34. Kuiper, N., Kirsh, G., & Maiolino, N. (2016). Identity and intimacy development, humor styles, and psychological well-being. Identity, 16(2), 115-125.doi: 10.1080/15283488.2016.1159964
  • 35. Maiolino, N., & Kuiper, N. (2016). Examining the impact of a brief humor exercise on psychological well-being. Transl Issues Psychol Sci, 2(1), 4.doi: 10.1037/tps0000065.
  • 36. Zorlu, H.,& Gündüz, Ö. (2019). Psikoterapide Mizah. JCBPR,8(3), 190−199.
  • 37. Woodbury-Farina, M.A., & Antongiorgi, J.L. (2014). Humor. Psychiatricclinics, 37(4), 561-578.
  • 38. Linge-Dahl, L.M., Heintz, S., Ruch, W., & Radbruch, L. (2018). Humor assessment and interventions in palliative care: A systematic review. Frontiers in psychology,19(9):1- 12. doi: 10.3389/fpsyg.2018.00890890.
  • 39. Tuğut, N., & Kaya, D. (2017). The Relationship Between Nurses' Using Therapeutic Humor and Problem Solving Skills. Dokuz Eylul University E-Journal of Nursing Faculty, 10(3), 131-136. http://www.deuhyoedergi.org/index.php/DEUHYOED/article/view/364
  • 40. Demjen, Z. (2016). Laughing at cancer: Humour, empowerment, solidarity and coping online. Journal of Pragmatics, 101(1), 18-30.doi:10.1016/j.pragma.2016.05.010.
  • 41. Koç, S. (2011). Determining the effect of hospital clowns on anxiety levels of children and their parents in the pre-operative period. Journal of Education and Research in Nursing, 8(3), 26-31.https://www.journalagent.com/kuhead/pdfs/KUHEAD_8_3_26_31.pdf
  • 42. Warren, B., & Spitzer, P. (2011). Laughing to longevity—the work of elder clowns. The Lancet, 378(9791), 562-563.doi:10.1016/s0140-6736(11)61280-4.
  • 43. Ruch, W., Heintz, S., Platt, T., Wagner, L., & Proyer, R. T. (2018). Broadening humor: comic styles differentially tap into temperament, character, and ability. Frontiers in Psychology, 9, 6.doi:10.3389/fpsyg.2018.00006.
  • 44. McCreaddie, M., & Payne, S. (2014). Humour in health-care interactions: a risk worth taking. Health Expectations, 17(3), 332–344. https://doi.org/10.1111/j.1369- 7625.2011.00758.x
  • 45. Bennett, P.N., Parsons, T., Ben-Moshe, R., Weinberg, M., Neal, M., Gilbert, K., et al. (2014). Laughter and Humor Therapy in Dialysis. Seminars in Dialysis, 27(5), 488–493. https://doi.org/10.1111/sdi.12194
  • 46. Sanchez, J.C., Echeverri, L.F., Londono, M.J., Ochoa, S.A., Quiroz, A.F., Romero, C.R., et al. (2017). Effects of a Humor Therapy Program on Stress Levels in Pediatric Inpatients. Hospital Pediatrics, 7(1), 46–53. https://doi.org/10.1542/hpeds.2016-0128
  • 47. Mendiburo-Seguel, A., Paez, D., & Martinez-Sanchez, F. (2015). Humor styles and personality: A meta-analysis of the relation between humor styles and the Big Five personality traits. Scandinavian Journal of Psychology, 56(3), 335–340. https://doi.org/10.1111/sjop.12209
There are 48 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review Articles
Authors

Seher Çevik Aktura 0000-0001-7299-1788

Gürkan Özden 0000-0002-2775-3163

Seyhan Çıtlık Sarıtaş 0000-0003-2519-0261

Project Number Yok
Publication Date January 31, 2021
Published in Issue Year 2021 Volume: 5 Issue: 1

Cite

APA Çevik Aktura, S., Özden, G., & Çıtlık Sarıtaş, S. (2021). İyileştirici Bir Tebessüm: Mizah. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(1), 128-135. https://doi.org/10.46237/amusbfd.732067