Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Laughter Therapy on Postpartum Fatigue and Stress Responses of Postpartum Women

웃음요법이 산욕기 산모의 산후 피로와 스트레스 반응에 미치는 효과

  • Received : 2010.10.19
  • Accepted : 2011.06.07
  • Published : 2011.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effects of laughter therapy on postpartum fatigue and stress respon-ses of postpartum women. Methods: The research design was a nonequivalent control group non-synchronized design. The participants were 67 postpartum women who agreed to participate in this study, selected by convenience sampling: (experiment group-33 and control group-34). The data were collected from August 5 to September 30, 2010. The experimental group received laughter therapy from a laughter therapy expert for 60 min, twice a week for 2 weeks, a total of 4 sessions. To evaluate the effects of laughter therapy, postpartum fatigue by self-report questionnaire and cortisol concentration in breast milk were measured. The data were analyzed using the SPSS WIN 13.0 Program. Results: The first hypothesis that "the degree of postpartum fatigue in the experimental group participating in laughter therapy would be lower than that of the control group" was accepted. These findings indicate that laughter therapy has a positive effect on decreasing postpartum fatigue. Conclusion: The finding provides evidence for use of complementary and alternative nursing in Sanhujori facilities and obstetric units to reduce postpartum women's fatigue.

Keywords

References

  1. Assel, M. A., Landry, S. H., Swank, P. R., Steelman, L., Miller-Loncar, C., & Smith, K. E. (2002). How do mothers' childbearing histories, stress and parenting affect children's behavioral outcomes? Child Care, Health & Development, 28, 359-368. doi:10.1046/j.1365-2214.2002.00285.x
  2. Bennett, M. P., & Lengacher, C. (2008). Humor and laughter may influence health: III. Laughter and health outcomes. Evidence Based Complement Alternative Medicine, 5, 37-40. doi:10.1093/ecam/nem041
  3. Choi, J. H., Kim, K. H., Cha, S. J., Pyo, H. J., & Kim, Y. K. (2010). Effects of laughter therapy on mood, pain, and stress of mastectomy patients. Journal of Korean Clinical Nursing Research, 16, 83-93.
  4. Glynn, L. M., Davis, E. P., Schetter, C. D., Chicz-Demet, A., Hobel, C. J., & Sandman, C. A. (2007). Postnatal maternal cortisol levels predict temperament in healthy breastfed infants. Early Human Development, 83, 675-681. doi:10.1016/j.earlhumdev.2007.01.003
  5. Groer, M., Davis, M., Casey, K., Short, B., Smith, K. L., & Groer, S. (2005). Neuroendocrine and immune relationship in postpartum fatigue. The American Journal of Maternal Child Nursing. 30, 133-138. doi:10.1097/00005721-200503000-00012
  6. Heo, E. H. (2007). Effect of laughter on mood, stress response and health-related quality of life among hemodialysis patients. Unpublished master's thesis, CHA University, Pocheon.
  7. Johnson, P. (2002). The use of humor and its influences on spirituality and coping in breast cancer survivors. Oncology Nursing Forum, 29, 691-695. doi:10.1188/02.ONF.691-695
  8. Kanji, N., White, A., & Ernst, E. (2006). Autogenic training to reduce anxiety in nursing students: Randomized controlled trail. Journal of Advanced Nursing, 53, 729-735. doi:10.1111/j.1365-2648.2006.03779.x
  9. Kim, S. H., Kim, Y. H., Kim, H. J., Lee, S. N., & Yu, S. O. (2009). The effects of laughter therapy on depression, anxiety, and stress in patients with breast cancer undergoing radiotherapy. Journal of Korean Oncological Nursing, 9, 155-162.
  10. Kim, S. J., Jeong, G. H., & Kim, E. H. (2001). Mothers perception of fatigue in postpartum period. Korean Journal of Women Health Nursing, 7, 461-471.
  11. Kim, Y. S. (2008). Effects of aromatherapy on postpartum mother's perineal discomfort, fatigue and postpartum depression. Unpublished master's thesis, Eulji University, Seongnam.
  12. Kim, Y. S., & Jun, S. S. (2009). The influence of one-time laughter therapy on stress response in the elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18, 269-277.
  13. Larson, M. R., Duberstein, P. R., Talbot, N. L., Caldwell, C., & Moynihan, J. A. (2000). A presurgical intervention for breast cancer patients: Psychological distress and the immune response. Journal of Psychosomatic Research, 48, 187-194. doi:10.1016/S0022-3999(99)00110-5
  14. Lee, J. Y. (2006). Fatigue, parenting stress, and sleep patterns of women according to period of postpartum. Unpublished master's thesis, Keimyung University, Daegu.
  15. Lee, M. H. (2006). Laughter therapy. Korean Nurses, 45, 36-39.
  16. Lee, S. O., Ahn, S. H., & Kim, M. O. (2005). A study on women's fatigue and sleeping disturbance. Korean Journal of Women Health Nursing, 11, 163-168.
  17. Llcol, Y. O., Hizli, Z. B., & Ozkan, T. (2006). Leptin concentration in breast milk and its relationship to duration of lactation and hormonal status. Internal Breastfeeding Journal, 17, 21-28. doi:10.1186/1746-4358-1-21
  18. Patacchioli, F. R., Cigliana, G., Cilumbriello, A., Perrone, G., Capri, O., Alema, G. S., et al. (1992). Maternal plasma and milk free cortisol during the first 3 days of breast-feeding following spontaneous delivery or elective cesarean section. Gynecologic and Obstetric Investigation, 34(3), 159-163. doi:10.1159/000292751
  19. Pugh, L .C. (1993). Childbirth and the measurement of fatigue. Journal of Nursing Measurement, 1, 57-66.
  20. Pugh, L. C., & Milligan, R. (1993). A framework for the study of childbearing fatigue. Journal of Advance in Nursing Science, 15(4), 60-70.
  21. Song, J. E. (2007). Predictors of postpartum fatigue between early and late postpartum period in parturient women-divided by 3/4 weeks of postpartum period-. Korean Journal of Women Health Nursing, 13, 299-309.
  22. Song, J. E., Chang, S. B., & Kim, S. (2008). Child care stress, postpartum depression, and postpartum fatigue between women who used and not used sanhujori facility. Journal of the Korean Society of Maternal and Child Health, 12, 33-46.
  23. Takash, H., Satoru, T., Tadao, I., Tamiko, T., Teiko, Y., Rieto, I., et al. (2007). Laughter up-regulates the gene related to NK cell activity in diabetes. Biomedical Research, 28, 281-285. doi:10.2220/biomedres.28.281
  24. Wilkins, J., & Eisenbraun, A. J. (2009). Humor theories and the physiological benefits of laughter. Advances in Mind and Body Medicine, 24(2), 8-12.
  25. Yu, J. A., & Kim, K. S. (2009). Effects of laughter therapy on stress response and pain of military personnel with low back pain in hospital. Journal of Muscle and Joint Health, 16, 36-45. uci:G300-jX1189976.v16n1p36

Cited by

  1. Effects of Laughter Therapy on Immune Responses in Postpartum Women vol.21, pp.12, 2011, https://doi.org/10.1089/acm.2015.0053
  2. Laughter and Stress Relief in Cancer Patients: A Pilot Study vol.2015, pp.None, 2011, https://doi.org/10.1155/2015/864739
  3. 웃음치료가 골관절염 재가여성노인의 관절통증, 관절강직, 우울 및 수면에 미치는 효과 vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.123
  4. 발 반사마사지가 산욕기 산모의 피로, 스트레스, 산후 우울에 미치는 효과 vol.45, pp.4, 2011, https://doi.org/10.4040/jkan.2015.45.4.587
  5. 요양시설에 거주하는 치매노인을 위한 웃음요법과 음악요법이 우울과 자율신경활성도에 미치는 영향 vol.17, pp.3, 2011, https://doi.org/10.7586/jkbns.2015.17.3.245
  6. 한국 산욕기 여성의 보완대체의학 사용실태와 영향요인 vol.22, pp.1, 2011, https://doi.org/10.4069/kjwhn.2016.22.1.1
  7. Efficacy of Warm Showers on Postpartum Fatigue Among Vaginal-Birth Taiwanese Women: A Quasi-Experimental Design vol.31, pp.2, 2011, https://doi.org/10.1891/1541-6577.31.2.96
  8. Effects of Meridian Acupressure Massage on Body Composition, Edema, Stress, and Fatigue in Postpartum Women vol.23, pp.10, 2011, https://doi.org/10.1089/acm.2016.0362
  9. Effectiveness of non-pharmacological interventions for reducing postpartum fatigue: a systematic review protocol vol.11, pp.10, 2021, https://doi.org/10.1136/bmjopen-2021-051136