Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The Effect of Laughter Therapy on Anxiety, Depression and Stress of Cancer Patients Admitted to Long-Term Care Unit

  • Received : 2021.06.05
  • Accepted : 2021.06.16
  • Published : 2021.06.30
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Abstract

Objective: This study is based on a parallax design before and after a non-equivalent control group to examine the effects of laughter therapy on the anxiety, depression, and stress in patients with cancer admitted to a nursing hospital. Design: A randomized controlled trial. Methods: Data collection was conducted on 34 patients who agreed to participate in the study among patients admitted to E Cancer Hospital from September to November 2018. Laughter treatment interventions were performed three times a week for 50 minutes each and a total of eight times. In this study, a tool developed by Spielberger was used to measure state anxiety, a tool developed by Beck was used to measure depression, and the Perceived Stress Scaled eveloped by Cohen was used to measure stress. Results: Anxiety was significantly lower in the experimental group than in the control group (F=10.74, p=0.003). Depression was lower in both the experimental group and the control group that did not participate in the laughter therapy intervention and was not significant (F=0.58, p=0.451). Stress was significantly lower in the experimental group than in the control group (F=4.36, p=0.045). Conclusions: The results of this study suggest that laughter therapy has a positive effect on reducing anxiety and stress in patients with cancer admitted to nursing hospitals.

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References

  1. National Cancer Information Center. Cancer incidence. Goyang (Republic of Korea); 2017.
  2. Kim SH, Kim YH, Kim HJ, Lee SH, Yu SO. The effect of laughter therapy on depression, anxiety, and stress in patients with breast cancer undergoing radiotherapy. Asian Oncology Nursing. 2009;9:155-62.
  3. Kim BR, Kim YH, Kim JS, Jeong IS, Kim JS.A Study to the coping patterns of cancer patients. J Korean AcadNurs. 2003;33:321-30.
  4. Hong SJ, Lee HH. Effects of naturopathic treatments of koreancancer patients. Journal of Naturopathy. 2013;2:154-63.
  5. Park JS, Oh YJ. Development and evaluation of the psychosocial distress nursing intervention for patients with gynecological cancer. The Journal of Korean Academic Society of Adult Nursing. 2012;24:219-31. https://doi.org/10.7475/kjan.2012.24.3.219
  6. Berk LS, Felten DL, Tan SA, Bittman BB, Westengard J. Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter. Altern Ther Health Med. 2001;7:62-72, 4-6.
  7. Choi JH, Kim KH, Cha SJ, Pyo HJ, Kim YK. Effects of laughter therapy on mood, pain, and stress of mastectomy patients. J Korean Clin Nurs Res. 2010;16:83-93.
  8. Kim YS, Jun SS. The influence of one-time laughter therapy on stress response in the elderly. J Korean AcadPsychiatrMent Health Nurs. 2009;18:269-77.
  9. Fry WF, Jr. The physiologic effects of humor, mirth, and laughter. JAMA. 1992;267:1857-8. https://doi.org/10.1001/jama.267.13.1857
  10. Miller M, Fry WF. The effect of mirthful laughter on the human cardiovascular system. Med Hypotheses. 2009;73:636-9. https://doi.org/10.1016/j.mehy.2009.02.044
  11. Penson RT, Partridge RA, Rudd P, Seiden MV, Nelson JE, Chabner BA, et al. Laughter: the best medicine? Oncologist. 2005;10:651-60. https://doi.org/10.1634/theoncologist.10-8-651
  12. Christie W, Moore C. The impact of humor on patients with cancer. Clin J Oncol Nurs. 2005;9:211-8. https://doi.org/10.1188/05.CJON.211-218
  13. Lee JH, Shin CM, Ko YH, Lim JH, Joe SH, Kim SH, et al. The reliability and validity studies of the Korean version of the perceived stress scale. Korean J Psychosom Med. 2012;20:127-34.
  14. Lee YM, Sohn JN. The effects of laughter therapy on anger, anger expressions and mental status after oil spill in victimized community residence. J Korean AcadPsychiatrMent Health Nurs. 2010;19:186-95.
  15. Suh MJ, Kim KS. Effect of humor nursing intervention on the stress response for the cancer patient undergoing chemotherapy. Korean J Stress Res. 1994;2:193-206.
  16. Cho EA. Effects of laughter therapy on depression, quality of life, resilience and immune responses. Gwangju: Chosun University; 2010.
  17. Lee YJ. The effect of laughter therapy program on stress, depression and quality of life of patients with gynecological cancer. Pocheon: Cha University; 2016.
  18. Lee IS, Bae KH, Baek JS. Laughter therapy. Seoul: Changjisa; 2009.
  19. Spielberger CD. Anxiety: state-trait process. Stress and Anxiety. 1975;1:115-43.
  20. Beck AT, Steer RA. Manual for the Beck Anxiety Inventory. Texas: Psychological Corporation; 1990.
  21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385-96. https://doi.org/10.2307/2136404
  22. You ES, Choi YH. The effects of laughter therapy on pain and anxiety among patients with postmastectomy. J. East-West Nurs. Res. 2012;18:47-52. https://doi.org/10.14370/JEWNR.2012.18.1.047
  23. Yang MS. The effects of laughter therapy on pain and state anxiety of spinal surgery patients. Jeonju: Jeonbuk National University; 2008.
  24. Kim KH, Lee MH. Effects of humor intervention program on anxiety, depression and coping of humor in hemodialysis patients. Korean Academic Society of Rehabilitation Nursing. 1999;2:95-108.
  25. Kim HJ, Suh MJ. Effect of humor video tape on an anxiety, depression and coping of the impaired mobility patient. The Seoul Journal of Nursing. 1996;10:203-17.
  26. Oh EY, Kang KH, Son OL, Wo MA, Lee MS, Kim SJ. The effects of laughter therapy on stress response and coping for specialized burn hospital nurses. Korean Journal of Stress Research. 2011;19:323-31.