The Effect of Laughter Therapy/Yoga on Physical and Mental Health: A Review of Nursing Graduate Theses

Yıl 2023, , 148 - 161, 31.12.2023

Özkan Uğuz

https://doi.org/10.59778/sbfdergisi.1352483

Öz

Objective: The study was conducted to examine the postgraduate nursing theses on the effects of laughter therapy/yoga on physical and mental health in Turkey. Materials and Method: The study was planned in a qualitative research design and document analysis was used as the data collection method. The study was conducted between 01.07.2023 and 15.07.2023, using the keywords "laughter therapy", "laughter yoga", in the "YOK National Thesis Center" database without any year limitation. The "Thesis Evaluation Form" prepared by the researcher was used for data collection. Descriptive statistics were used to evaluate the data. Results: As a result of the search, 13 theses were reached between 2016 and 2023 and it was determined that 7 of the theses were doctoral theses and 6 were master's theses. It was determined that most of the theses were conducted in 2022, 61.55% of them were conducted in the Department of Nursing, and the majority of them (n=9) were randomized controlled type. At the end of the study, laughter therapy/yoga was found to be effective in reducing pain, depression, fatigue, frequency of mental symptoms, stress and anxiety, and increasing psychological well-being, sleep quality, general health status and quality of life in individuals. Conclusion: As a result of our study, it was determined that laughter therapy/yoga can be evaluated as a suitable approach for nurses to improve the physical and mental health of individuals and its effectiveness can be tested. Laughter therapy/yoga is recommended as a drug-free, simple and inexpensive treatment method that can be used in nursing care.

Anahtar Kelimeler

nursing, laughter therapy, laughter yoga, thesis

Kahkaha Terapisi/Yoganın Fiziksel ve Ruhsal Sağlık Üzerindeki Etkisi: Hemşirelik Lisansüstü Tezleri Üzerine Bir İnceleme

Öz

Amaç: Çalışma, Türkiye’de uygulanan kahkaha terapi/yogasının fiziksel ve ruhsal sağlık üzerindeki etkilerini konu alan lisansüstü hemşirelik tezlerini incelemek amacıyla yapıldı. Gereç ve Yöntem: Nitel araştırma deseninde planlanan çalışmada, veri toplama yöntemi olarak doküman incelemesi kullanıldı. Çalışma, 01.07.2023 ve 15.07.2023 tarihleri arasında, “kahkaha terapisi”, “kahkaha yogası” anahtar kelimeleri kullanılarak, “YÖK Ulusal Tez Merkezi” veri tabanında yıl sınırlaması olmaksızın tarama yapıldı. Veri toplamada araştırmacı tarafından hazırlanan “Tez Değerlendirme Formu” kullanılmıştır. Veriler değerlendirilirken tanımlayıcı istatistikler kullanıldı. Bulgular: Tarama sonucunda 2016-2023 yılları arasında 13 teze ulaşılmış olup tezlerin 7’sinin doktora, 6’sının yüksek lisans tezi olduğu saptandı. Tezlerin çoğunlukla 2022 yılında yapıldığı ve %61,55’inin Hemşirelik Anabilim Dalında yapıldığı, büyük bir çoğunluğunun (n=9) randomize kontrollü tipte olduğu belirlendi. Çalışma sonunda kahkaha terapisi/yogasının bireylerde ağrı, depresyon, yorgunluk, ruhsal belirti sıklığı, stres ve kaygıyı azaltmada; psikolojik iyi oluş düzeyi, uyku kalitesi, genel sağlık durumu ve yaşam kalitesini artırmada etkili olduğu saptandı. Sonuç: Araştırmamızda sonuç olarak, kahkaha terapisi/yogasının, bireylerin fiziksel ve ruhsal sağlığını geliştirmek için hemşireler için uygun bir yaklaşım olarak değerlendirilebileceği ve etkinliğinin test edilebileceği belirlenmiştir. Kahkaha terapisi/yogası, bakımda kullanılabilecek, ilaçsız, basit ve ucuz bir tedavi yöntemi olarak önerilmektedir.

Anahtar Kelimeler

hemşirelik, tez, kahkaha terapisi, kahkaha yogası

Kaynakça

• Auerbach, S., Hofmann, J., Platt, T., Ruch, W. F. (2014). An investigation of the emotions elicited by hospital clowns in comparison to circus clowns and nursing staff. The European Journal of Humour Research, 1(3), 26-53.
• Bal, F. (2021), Investigation of the effect of laughter yoga on depression Ulakbilge Journal of Social Sciences 65 (October 2021): p. 1237–1248.
• Bedez, G. (2022). The effect of laughter yoga on nausea, vomiting and anxiety in hematological cancer patients. (Unpublished Master Thesis). Dokuz Eylul University Institute of Health Sciences. Izmir.
• Bressington, D., Yu, C., Wong, W., Ng, T. C., & Chien, W. T. (2018). The effects of group based Laughter Yoga interventions on mental health in adults: A systematic review. Journal of psychiatric and mental health nursing, 25(8), 517–527. https://doi.org/10.1111/jpm.12491
• Cho, E. A., Oh, H. E. (2011). Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy of nursing, 41(3), 285-293.
• Çeli̇k, A. S., Kılınç, T. (2022). The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial. Complementary therapies in clinical practice, 49, 101637.
• Dogan, M. D. (2020). The effect of laughter therapy on anxiety: a meta-analysis. Holistic nursing practice, 34(1), 35-39.
• Eraydin, C. (2023). Effect of laughter therapy on hemodialysis patients: randomized controlled trial. (Unpublished PhD Thesis). Marmara University Institute of Health Sciences. Istanbul.
• Farifteh, S., Mohammadi-Aria, A., Kiamanesh, A., Mofid, B. (2014). The Impact of Laughter Yoga on the Stress of Cancer Patients before Chemotherapy. Iranian journal of cancer prevention, 7(4), 179–183.
• Fujisawa, A., Ota, A., Matsunaga, M., Li, Y., Kakizaki, M., Naito, H., Yatsuya, H. (2018). Effect of laughter yoga on salivary cortisol and dehydroepiandrosterone among healthy university students: A randomized controlled trial. Complementary therapies in clinical practice, 32, 6-11. https://doi.org/10.1016/j.ctcp.2018.04.005
• Fukuoka, A., Ueda, M., Ariyama, Y., Iwai, K., Kai, Y., Kunimatsu, M., ... & Kimura, H. (2016). Effect of Laughter Yoga on Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease.
• Guleria, K., Manta, P. (2021). Effectiveness of Laughter Therapy on Reduction of Stress among Nursing Students. Indian Journal of Forensic Medicine & Toxicology, 15(1).
• Han, J. H., Park, K. M., Park, H. (2017). Effects of laughter therapy on depression and sleep among patients at long-term care hospitals. Korean Journal of Adult Nursing, 29(5), 560-568.
• Heidari, M., Borujeni, M. G., Rezaei, P., Abyaneh, S. K., Heidari, K. (2020). Effect of laughter therapy on depression and quality of life of the elderly living in nursing homes. The Malaysian journal of medical sciences: MJMS, 27(4), 119.
• Ince Karagoz, Z. (2022). The effect of laughter yoga practiced on women with gynecological cancer on psychological well-being. (Unpublished Master Thesis). Istanbul Okan University Graduate Education Institute. Istanbul.
• Kaba Koroglu, N. (2022). The effect of laughter therapy and mindfulness practices on nurses' fatigue and work performance perceptions and attention levels. (Unpublished PhD Thesis). Karadeniz Technical University Institute of Health Sciences. Trabzon.
• Kanbur, S., Baştemur, Ş. (2023). Why Laughter Heals? A Review on the Use of Humor in Therapy. Current Approaches in Psychiatry/Psikiyatride Guncel Yaklasimlar, 15(3).
• Karakas, H. (2022). The effect of laughter therapy applied to women with breast cancer on perceived stress level and quality of life. (Unpublished Master Thesis). İzmir Bakırçay University Institute of Health Sciences. Izmir. Karali, E. (2020). The effect of laughter yoga on premenstrual symptoms. (Unpublished Master Thesis). Marmara University Institute of Health Sciences. Istanbul.
• Kataria, M. (2018). Certified laughter yoga teacher training manual. (Guide) Bangalore: Laughter Yoga International University.
• Kataria, M. (2021), Laugh for no reason, Madhuri International. Mumbai (India).
• Kim, S., Kim, M., Jeong, H. (2021). The effect of laughter therapy on anxiety, depression and stress of cancer patients admitted to long-term care unit. Physical Therapy Rehabilitation Science, 10(2), 197-204.
• Kin, O.K., Yıldırım, Y., Yesilbalkan Ö. U. (2017). Examples of use in laughter therapy and health. Anatolian Journal of Nursing and Health Sciences, 20(1), 63-66.
• Kizilkaya, G. (2022). The effect of laughter yoga on depression and serotonin levels in patients undergoing bariatric surgery. (Unpublished PhD Thesis). İnönü University Institute of Health Sciences. Malatya.
• Kuru, N. (2016). The effect of laughter therapy on the quality of life of individuals staying in nursing homes. (Unpublished PhD Thesis). Hacettepe University Institute of Health Sciences. Ankara.
• Kuru, N., Kublay, G. (2017). The effect of laughter therapy on the quality of life of nursing home residents. Journal of clinical nursing, 26(21-22), 3354-3362.
• Kuzu, S. (2022). The effect of laughter yoga on sleep quality, pain, anxiety level and physiological parameters in patients with hematological cancer. (Unpublished Master Thesis). Istanbul Medipol University Institute of Health Sciences. Istanbul.
• Memarian, A., Sanatkaran, A., & Bahari, S. M. (2017). The effect of laughter yoga exercises on anxiety and sleep quality in patients suffering from Parkinson’ s disease. Biomedical Research and Therapy, 4(07), 1463-1479.
• Memarian, A., Sanatkaran, A., Bahari, S. M. (2017). The effect of laughter yoga exercises on anxiety and sleep quality in patients suffering from Parkinson’ s disease. Biomedical Research and Therapy, 4(07), 1463-1479.
• Moon, H., Lee, S. (2022). Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers. Cancer Nursing, 10 1097.
• Mora, R. R. (2010) The Therapeutic Value of Laughter İn Medicine. Altern Ther Health Med, 16, 56 -64 Morreall, J. (1983). Taking laughter seriously. Suny Press.
• Ozer, Z., Ateş, S. (2021). Effects of laughter yoga on hemodialysis patients’ plasma-beta endorphin levels, pain levels and sleep quality: a randomized controlled trial. Complementary therapies in clinical practice, 43, 101382.
• Ozturk, F. O., Tekkas Kerman, K. (2022). The effect of online laughter therapy on depression, anxiety, stress, and loneliness among nursing students during the Covid-19 pandemic. Archives of psychiatric nursing, 41, 271–276. https://doi.org/10.1016/j.apnu.2022.09.006
• Ozturk, F.O. (2018). Evaluation of the effect of laughter yoga on the frequency of psychological symptoms and salivary cortisol level in first year nursing students. (Unpublished PhD Thesis). Ankara University Institute of Health Sciences. Ankara.
• Patra, S.,Kumar, A. (2019). Laughter therapy decreases depression among in senior citizens residing in old age homes. Medical & Clinical Research, 4(1), 1-2. doi:10.32474/IGWHC.2018.02.000143.
• Ripoll, R. M., Casado, I. Q. (2010). Laughter and positive therapies: modern approach and practical use in medicine. Revista de psiquiatria y salud mental, 3(1), 27–34. https://doi.org/10.1016/S1888-9891(10)70006-9.
• Rouhi, S., Etemadi, S., Pooraghajan, M. (2020). Laughter in combination with yoga exercises: Changes in psychological distress and quality of life in patients with coronary heart disease (CHD). The Open Psychology Journal, 13(1).
• Sahin, G. (2022). The effect of laughter yoga on anxiety and stress levels of postpartum women. (Unpublished Master Thesis). Ataturk University Institute of Health Sciences. Erzurum.
• Si S Çeli K, A., Kılınç, T. (2022). The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial. Complementary therapies in clinical practice, 49, 101637. https://doi.org/10.1016/j.ctcp.2022.101637
• Stiwi, K., Rosendahl, J. (2022). Efficacy of laughter-inducing interventions in patients with somatic or mental health problems: A systematic review and meta-analysis of randomized -controlled trials. Complementary therapies in clinical practice, 47, 101552. https://doi.org/10.1016/j.ctcp.2022.101552 Tdk.gov.tr./sozluk.gov.tr (Erişim 10/07/2023)
• Uner, E. (2022). The effect of laughter therapy on the general health status, sleep quality and stress level of nursing students. (Unpublished PhD Thesis). Marmara University Institute of Health Sciences. Istanbul.
• Üner, E., Sezer Balcı, A. Kadıoğlu, H. (2022). The effect of laughter therapy on physical and mental health: systematic review. Halk Sağlığı Hemşireliği Dergisi, 4 (3), 251-269. DOI: 10.54061/jphn.1102843
• Van der Wal, C. N., Kok, R. N. (2019). Laughter-inducing therapies: Systematic review and meta -analysis. Social science & medicine (1982), 232, 473–488. https://doi.org/10.1016/j.socscimed.2019.02.018
• Yim, J. (2016). Therapeutic benefits of laughter in mental health: a theoretical review. The Tohoku journal of experimental medicine, 239(3), 243-249.
• Yoshikawa, Y., Ohmaki, E., Kawahata, H., Maekawa, Y., Ogihara, T., Morishita, R., Aoki, M. (2018). Beneficial effect of laughter therapy on physiological and psychological function in elders. Nursing open, 6(1), 93–99. https://doi.org/10.1002/nop2.190.
• Zhao, J., Yin, H., Zhang, G., Li, G., Shang, B., Wang, C., Chen, L. (2019). A meta-analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults. Journal of advanced nursing, 75(11), 2435–2448. https://doi.org/10.1111/jan.14000