Yoganın hemşirelerin psikiyatrik belirtileri, yaşam doyumu ve psikolojik iyi oluşuna etkisi: yarı deneysel bir çalışma

Abstract

Amaç: Bu çalışma ile hemşirelere uygulanan yoganın hemşirelerin depresyon, anksiyete, stress, yaşam doyumu ve psikolojik iyi oluş düzeylerine etkisini incelemek amaçlanmıştır. Yöntem: Araştırma yarı deneysel, ön test-son test ölçüm desenlidir. Bir devlet hastanesinde çalışan 30 hemşireye sekiz hafta boyunca haftada üç kez yoga uygulanmıştır. Araştırmanın verileri Tanıtıcı Bilgiler Formu, Depresyon Anskiyete Stres-21 Ölçeği, Psikolojik İyi Oluş Ölçeği ve Yaşam Doyum Ölçeği ile toplanmıştır. Bulgular: Araştırmada uygulanan sekiz haftalık yoga ile hemşirelerin depresyon ve stress düzeylerinde bir azalma saptanırken (p<0.050), anksiyete düzeylerinde son testte, ön teste göre bir düşüş ortaya çıkmasına karşın farkın istatistiksel olarak anlamlı olmadığı saptanmıştır (p>0.050). Hemşirelerin yoga sonrasında psikolojik iyi oluşları istatistiksel olarak anlamlı düzeyde artarken, yaşam doyumlarının da arttığı ancak farkın istatistiksel olarak anlamlı olmadığı görülmüştür. Sonuç: Yoğun iş yükü ve yüksek stres içeren çalışma ortamı nedeniyle hemşirelerin yoga gibi koruyucu, geliştirici ve iyileştirici etkileri olan, maliyeti düşük uygulamalarla desteklenmesinin bakım kalitesini artırmak açısından faydalı olacağı düşünülmektedir.

Keywords

• Hemşire
• Yoga
• Stres
• Anksiyete
• Depresyon

The effect of yoga on nurses' psychiatric symptoms, life satisfaction, and psychological well-being: a quasi-experimental study

Abstract

Aims: This study aimed to examine the effect of yoga on nurses' depression, anxiety, stress, life satisfaction, and psychological well-being. Methods: A quasi-experimental pretest–posttest design was used. Yoga was implemented three times a week for eight weeks among 30 nurses working in a state hospital. Data were collected using the Introductory Information Form, the Depression Anxiety Stress Scale-21, the Psychological Well-Being Scale, and the Life Satisfaction Scale. Results: After the eight-week yoga program, nurses’ depression and stress levels significantly decreased (p<0.050). Although anxiety levels also decreased in the post-test compared with the pre-test, this change was not statistically significant (p>0.050). Psychological well-being increased significantly, while life satisfaction also showed improvement, though not significantly. Conclusion: Given the high workload and stressful work environment of nurses, low-cost and accessible practices such as yoga, which have protective, supportive, and therapeutic benefits, may contribute positively to nurses’ well-being and the quality of care.

Keywords

• Nurse
• yoga
• stress
• anxiety
• depression

References

1. Bennetts A. How does yoga practice and therapy yield psychological benefits? A review and model of transdiagnostic processes. Complement Ther Clin Pract. 2022; 46:101514. doi:10.1016/j.ctcp.2021.101514
2. Mohammad A, Thakur P, Kumar R, Kaur S, Saini RV, Saini AK. Biological markers for the effects of yoga as a complementary and alternative medicine. J Complement Integr Med. 2019;16(1):10.1515/jcim-2018-0094. doi:10.1515/jcim-2018-0094
3. Gimbel MA. Yoga, meditation, and imagery: clinical applications. Nurse Pract Forum. 1998;9(4):243-255.
4. Nirwan M, Halder K, Saha M, Pathak A, Balakrishnan R, Ganju L. Improvement in resilience and stress-related blood markers following ten months yoga practice in Antarctica. J Complement Integr Med. 2020; 18(1):201-207. doi:10.1515/jcim-2019-0240
5. Streeter CC, Gerbarg PL, Brown RP, et al. Thalamic gamma aminobutyric acid level changes in major depressive disorder after a 12-week iyengar yoga and coherent breathing intervention. J Altern Complement Med. 2020;26(3):190-197. doi:10.1089/acm.2019.0234
6. Wu Y, Yan D, Yang J. Effectiveness of yoga for major depressive disorder: a systematic review and meta-analysis. Front Psychiatry. 2023;14: 1138205. doi:10.3389/fpsyt.2023.1138205
7. Talebiazar N, Anzali BC, Abbasi M, et al. Does mindfulness-based stress reduction training have an impact on the occupational burnout and stress experienced by nurses? A randomized controlled trial. Int Arch Occup Environ Health. 2025;98(1):1-11. doi:10.1007/s00420-024-02078-8
8. Fang R, Li X. A regular yoga intervention for staff nurse sleep quality and work stress: a randomised controlled trial. J Clin Nurs. 2015;24(23-24):3374-3379. doi:10.1111/jocn.12983

9. Sharma VK, Kathrotia R, Barde PB, et al. COVID-19-induced stress in health-care workers: effect of 8-week common yoga protocol on autonomic function and inflammatory and oxidative stress markers. Int J Yoga. 2023;16(2):79-89. doi:10.4103/ijoy.ijoy_127_23
10. Chidiebere Okechukwu E, Tibaldi L, La Torre G. The impact of COVID-19 pandemic on mental health of Nurses. Clin Ter. 2020;171(5):e399-e400. doi:10.7417/CT.2020.2247
11. Danet Danet A. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Med Clin (Barc). 2021;156(9):449-458. doi:10.1016/j.medcli.2020.11.009
12. Bambi S, Lucchini A. Nurses' well-being: an amazing recipe, but what ingredients remain missing? Dimens Crit Care Nurs. 2024;43(3):107-110. doi:10.1097/DCC.0000000000000635
13. Cocchiara RA, Peruzzo M, Mannocci A, et al. The use of yoga to manage stress and burnout in healthcare workers: a systematic review. J Clin Med. 2019;8(3):284. doi:10.3390/jcm8030284
14. Alexander GK, Rollins K, Walker D, Wong L, Pennings J. Yoga for self-care and burnout prevention among nurses. Workplace Health Saf. 2015; 63(10):462-470. doi:10.1177/2165079915596102
15. Patil NJ, Nagaratna R, Tekur P, Manohar PV, Bhargav H, Patil D. A randomized trial comparing effect of yoga and exercises on quality of life in among nursing population with chronic low back pain. Int J Yoga. 2018;11(3):208-214. doi:10.4103/ijoy.IJOY_2_18
16. Kavurmaci M, Tan M, Bahcecioglu Turan G. Determining the effect of yoga on job satisfaction and burnout of nurse academicians. Perspect Psychiatr Care. 2022;58(1):404-410. doi:10.1111/ppc.12806
17. Önal R, Kutay Ordu Gökkaya N, Korkmaz S, Utku B, Yaşar E. Effect of yoga-based exercises on functional capacity, dyspnea, quality of life, depression, anxiety, and sleep of infected healthcare workers during the COVID-19 pandemic: a prospective clinical trial. Turk J Phys Med Rehabil. 2023;69(4):488-499. doi:10.5606/tftrd.2023.11605
18. Selya AS, Rose JS, Dierker LC, Hedeker D, Mermelstein RJ. A practical guide to calculating Cohen's f(2), a measure of local effect size, from PROC MIXED. Front Psychol. 2012;3:111. doi:10.3389/fpsyg.2012.00111
19. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3): 335-343. doi:10.1016/0005-7967(94)00075-u
20. Sariçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. J Cognitive Behavioral Psychotherapies Res. 2018;7(1): 19-30. doi:10.5455/JCBPR.274847
21. Diener E, Wirtz D, Tov W, et al. New well-being measures: short scales to assess flourishing and positive and negative feelings. Social Indicators Research. 2010;97:143-156.
22. Telef B. The adaptation of psychological well-being into Turkish: a validity and reliability study. Hacettepe University Journal of Education. 2013;28(3):374-384.
23. Larsen RJ, Diener ED, Emmons RA. An evaluation of subjective well-being measures. Social Indicators Research.1985;17:1-17.
24. Dağlı A, Baysal N. Adaptation of the satisfaction with life scale into Turkish: the study of validity and reliability. Electronic J Social Sci. 2016; 15(59):1250-1262. doi:10.17755/esosder.75955
25. Hilcove K, Marceau C, Thekdi P, Larkey L, Brewer MA, Jones K. Holistic nursing in practice: mindfulness-based yoga as an intervention to manage stress and burnout. J Holist Nurs. 2021;39(1):29-42. doi:10.1177/0898010120921587. Erratum in: J Holist Nurs. 2022;40(3): NP1-NP5. doi:10.1177/08980101221127086
26. Anderson R, Mammen K, Paul P, Pletch A, Pulia K. Using yoga nidra to improve stress in psychiatric nurses in a pilot study. J Altern Complement Med. 2017;23(6):494-495. doi:10.1089/acm.2017.0046
27. Cohen C, Pignata S, Bezak E, Tie M, Childs J. Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open. 2023;13(6):e071203. doi:10.1136/bmjopen-2022-071203
28. Nanthakumar C. Yoga for anxiety and depression–a literature review. J Mental Health Training, Educ Pract. 2020;15(3):157-169. doi:10.1108/JMHTEP-09-2019-0050
29. Urso C, Laserna A, Feng L, et al. Mindfulness as an antidote to burnout for nursing and support staff in an oncological intensive care unit: a pilot study. Holist Nurs Pract. 2022;36(5):E38-E47. doi:10.1097/HNP. 0000000000000544
30. Falsafi N. A randomized controlled trial of mindfulness versus yoga: effects on depression and/or anxiety in college students. J Am Psychiatr Nurses Assoc. 2016;22(6):483-497. doi:10.1177/1078390316663307
31. Martínez-Calderon J, Casuso-Holgado MJ, Muñoz-Fernandez MJ, Garcia-Muñoz C, Heredia-Rizo AM. Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression. Br J Sports Med. 2023;57(22):1442-1449. doi:10.1136/bjsports-2022-106497
32. Nauphal M, Mischoulon D, Uebelacker L, Streeter C, Nyer M. Yoga for the treatment of depression: five questions to move the evidence-base forward. Complement Ther Med. 2019;46:153-157. doi:10.1016/j.ctim. 2019.08.012
33. Mahalingam, Craighead J, Gomathi. Yoga practices and psychological well-being of student nurses. Nurs J India. 2015;106(2):84-87.
34. Liu L, Liu D, Liu C, Si Y. A study on the relationship between yoga exercise intervention and the comprehensive well-being of female college students. Front Psychol. 2024;15:1425359. doi:10.3389/fpsyg. 2024.1425359
35. Korkmaz A, Bernhardsen GP, Cirit B, et al. Sudarshan kriya yoga breathing and a meditation program for burnout among physicians: a randomized clinical trial. JAMA Netw Open. 2024;7(1):e2353978. doi:10. 1001/jamanetworkopen.2023.53978
36. Seki Öz H, Ciriş, V. The effect of Hatha yoga on stress, life satisfaction and quality of life in nursing students. Humanistic Perspective. 2022:4(3):606-622. doi:10.47793/hp.1158945