Evaluatıon of The Effect of Laughter Yoga Applıed To Nursıng 1st Grade Students Before The Clınıcal Practıce Exam on Exam Anxıety

Öz

Objective: The aim of the study is to evaluate the effect of laughter yoga applied to Nursing 1st year students before the skill practice exam on exam anxiety. Material and Methods: The research was carried out between 30 May and 2 June 2022 in a single-group pre-test-post-test order using a quasi-experimental design. The sample of the study consisted of 48 first-year nursing students who voluntarily accepted to participate in the study and took the Fundamentals of Nursing course in the spring term of 2021-2022. The students who accepted to participate in the study were given 4 sessions of laughter yoga practice, which lasted approximately 30 minutes, 3 days before the clinical practice exam and on the morning of the exam. Before and after the application, students were asked to fill in the Exam Anxiety Scale. Results: After the application, it was determined that the mean scores of the students on the Exam Anxiety Scale decreased, but the difference was not statistically significant (p> 0.05). The pretest score average of the students in the mental and physical reactions sub-dimension was determined as 3.39± 0.67, while the posttest score average was 3.23. It was determined as ± 0.78. In the statistical analysis; It was determined that the difference between the mean scores of the mental and physical reactions sub-dimension of the scale before and after the laughter yoga practice of the students was statistically significant. (p<0.05). Conclusion: It has been determined that the practice of laughter yoga can be used as an alternative method to reduce exam anxiety in nursing students.

Anahtar Kelimeler

• laughter yoga
• exam anxiety
• student nurse

Hemşirelik 1. Sınıf Öğrencilerine Klinik Uygulama Sınavı Öncesinde Uygulanan Kahkaha Yogasının Sınav Kaygısı Üzerine Etkisinin Değerlendirilmesi

Öz

Amaç: Araştırmanın amacı, Hemşirelik 1. Sınıf öğrencilerine klinik uygulama sınavı öncesinde uygulanan kahkaha yogasının sınav kaygısı üzerine etkisinin değerlendirilmesidir. Gereç ve Yöntem: Araştırma,30 Mayıs-2 Haziran 2022 tarihleri arasında tek gruplu ön test-son test düzeninde yarı deneysel desen tasarım kullanılarak gerçekleştirilmiştir. Araştırmanın örneklemini, çalışmaya katılmayı gönüllü olarak kabul eden ve 2021-2022 bahar döneminde Hemşirelik Esasları dersini alan 48 birinci sınıf hemşirelik öğrencisi oluşturmuştur. Çalışmaya katılmayı kabul eden öğrencilere klinik uygulama sınavının 3 gün öncesinde ve sınav sabahı yaklaşık 30 dk süren 4 seans kahkaha yogası uygulaması yaptırılmıştır. Uygulama öncesinde ve sonrasında öğrencilerin Sınav Kaygısı Ölçeği’ ni doldurmaları istenmiştir. Bulgular: Uygulama sonrasında öğrencilerin Sınav Kaygısı Ölçeği puan ortalamalarının azaldığı ancak aradaki farkın istatistiksel olarak anlamlı olmadığı belirlenmiştir (p> 0.05). Öğrencilerin zihinsel ve bedensel tepkiler alt boyutundan aldıkları ön-test puan ortalaması 3,39±0,67 olarak belirlenirken son-test puan ortalaması 3,23±0,78 olarak saptanmıştır. Yapılan istatistiksel analizde; öğrencilerin kahkaha yogası uygulaması öncesi ve sonrası ölçeğin zihinsel ve bedensel tepkiler alt boyutu puan ortalamaları arasındaki farkın istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0.05). Sonuç: Kahkaha yogası uygulamasının hemşirelik öğrencilerinde sınav kaygısının azaltılmasında alternatif bir yöntem olarak kullanılabileceği belirlenmiştir.

Anahtar Kelimeler

• kahkaha yogası
• sınav kaygısı
• öğrenci hemşire

Kaynakça

1. 1. Manav, F. 2011. Kaygı Kavramı. Toplum Bilimleri Dergisi, 5(9), 201-211.
2. 2. Şanlı Kula K., Saraç, T. 2017. Fen Edebiyat Fakültesi Öğrencilerinin Kaygı Ve Umutsuzluklarının İncelenmesi. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 26(2), 14-29.
3. 3. Aslan, H., Akturk, U. 2018. Nursing Education Stress Levels of Nursing Students and the Associated Factors. Annals of Medical Research, 25(4), 660-666.
4. 4. Rezaei, R., Saatsaz, S., Nia, H. S., Moulookzadeh, S., Behedhti, Z. 2015. Anxiety and Critical Thinking Skills in Nursing Students. British Journal of Education, Society & Behavioural Science, 10(2), 1-7.
5. 5. Sharif, F., Dehbozorgi, R., Mani, A., Vossoughi, M., Tavakoli, P. 2013. Theeffect of Guided Reflection on Test Anxiety in Nursing Students. Nursing and Midwifery Studies, 2(3), 16-20.
6. 6. Strean, W. B. 2009. Laughter Prescription. Canadian Family Physician, 55(10), 965-967.
7. 7. Bennett, M.P., Lengacher, C. 2008. Humor and Laughter May İnfluence Health: III. Laughter And Health Outcomes. Evidence-Based Complementary and Alternative Medicine, 5(1), 37-40.
8. 8. Kım, S. R., Kook, J. R., Kwonm Son M. H., Ahn, S. D., Kım, Y. H. 2015. The Effects of Laughter Therapy on Mood State and Self-Esteem in Cancer Patients Undergoing Radiation Therapy: A Randomized Controlled Trial. The Journal of Alternative and Complementary Medicine, 21(4), 217-222.

9. 9. Ko, H.J., Youn, C.H. 2011. Effects of Laughter Therapy on Depression, Cognition and Sleep Among the Community-Dwelling Elderly. Geriatr Gerontol Int, 11, 267-274.
10. 10. Shahıdı, M., Mojtahed, A., Modabbernıa, A., Mojtahed, M., Shafıabady, A., Delavar, A., Honarı, H. 2011. Laughter Yoga Versus Group Exercise Program in Elderly Depressed Women: A Randomized Controlled Trial. International Journal of Geriatricpsychiatry, 26(3), 322-327.
11. 11. Yazdanı, M., Esmaeılzadeh, M., Pahlavanzadeh, S., Khaledı, F. 2014. The Beffect of Laughter Yoga on General Health Among Nursing Students. Iranian Journal of Nursing and Midwifery Research, 19(1), 36-40.
12. 12. Kaur, L., Walıa, I. 2008. Effect of laughter therapy on level of stress: A study among nursing students. Nursing And Midwifery Research Journal, 4(1).
13. 13. Le Texıer, J. A. 2015. The Use of Laughter Yoga to Decrease Stress and Improve Coping in Nursing Students.
14. 14. Rosner, F. 2002. Therapeutic Efficacy of Laughter in Medicine: OP–ED. Cancer investigation, 20(3), 434-436.
15. 15. Rıpoll, R. 2010. The Therapeutic Value of Laughter in Medicine. AlternTherHealthMed, 16(6), 56-64.
16. 16. Mallett, J. (1995). Humour and laughter therapy. Complementary therapies in Nursing and midwifery, 1(3), 73-76.
17. 17. Nagendra, H.R., Chaya, M.S, Nagarathna, R., Katarıa, M., Manjunath, M.K., Raghavendra, R.M. 2007. The efficacy of Laughter Yoga on IT Professionals to overcome Professional stress. Laughter Yoga International: Mumbai, India.
18. 18. Yım, J. 2016. Therapeutic Benefits of Laughter in Mental Health: A Theoretical Review. The Tohoku Journal of Experimental Medicine, 239(3), 243-249.
19. 19. Bahçeci, D. 2006. Anatomi dersinde portfolyo kullanmanın öğrencilerin bilişsel ve duyuşsal özellikleri üzerine etkisi (Yayınlanmamış doktora tezi). Gazi Üniversitesi, Eğitim Bilimleri Enstitüsü, Ankara.
20. 20. Öztürk, F. Ö., Tezel, A. 2021. Kahkaha Yogası ve Hemşirelik. Sürekli Tıp Eğitimi Dergisi, 30(2), 144-151.
21. 21. Geetha, R. A. 2021. Study to Evaluate the Effectiveness of Laughter Yoga Exercises on Stress Reduction due to Online Classes among Ist Year B.Sc. Nursing Students in Mother Teresa College of Nursing, Pudukkottai. 2021. International Journal of Science and Healthcare Research, 6(2), 168-173.
22. 22. สำรวย ส่ง ศรี. 2018. Effects of laughter yoga exercises to reduce stress of the second year nursing student of Ubon Ratchathani Rajabhat University. UBRU Journal for Public Health Research, 7(1), 59-68. 23. Eraydin, C., Alpar, S. E. 2022. The effect of laughter therapy on nursing students' anxiety, satisfaction with life, and psychological well-being during the COVID-19 pandemic: Randomized controlled study. Advances in Integrative Medicine, 9(3), 173-179.
23. 24. Devi, L. M., Mangaiyarkkarasi, K. A. 2019. Comparative Study to Assess the Effectiveness of Laughter Therapy Versus Meditation on Stress and Anxiety among Nursing Students at Selected College, Bangalore. International Journal of Nursing Education, 11(4), 71-74.
24. 25. Guleria, K., Manta, P. 2021. Effectiveness of laughter therapy on reduction of stress among nursing students. Indian J. Forensic Med. Toxicol, 15(1), 126-132.