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The Effect of Laughter Yoga on Nurses Psychological Resilience and Sleep Quality During the Pandemic Period

Not Applicable
Completed
Conditions
Laughter Yoga
Interventions
Other: laughter yoga for nurses
Other: laughter yoga for nurses-Deep breathing exercises
Other: laughter yoga for nurses-Warm-up exercises
Other: laughter yoga for nurses-Childish games
Other: laughter yoga for nurses-Laughter exercises
Registration Number
NCT05301244
Lead Sponsor
Ataturk University
Brief Summary

This study aimed to determine the effects of laughter yoga on the psychological resilience and sleep quality of active nurses during the pandemic period. Initial stage of labor on randomized controlled birth outcomes and maternal satisfaction. A total of 100 nurses, determined by power analysis, were recruited into the randomized controlled, single-blind clinical study. The study included 2 groups (group A nurses who had active contact with patients diagnosed with or at risk of covid-19, group B: nurses who had active contact with patients diagnosed or at risk of covid-19 and participated in laughter yoga practice. Laughter yoga; immune system It has been proven by experimental studies that there is a connection between antibodies and endorphins, that it has a healing effect, that it accelerates the circulatory system as an adverse effect to stress, and that it has a vasodilation effect in the vessels.

Detailed Description

The study data were collected by the researchers using online systems with the snowball method due to the pandemic. The inclusion criteria of the study (not having undergone abdominal surgery in the last three months, not having uncontrolled hypertension, not having glaucoma, hernia, epilepsy, not having received a psychiatric diagnosis-treatment, not having received a diagnosis-treatment for sleep problems, having done laughter yoga before) The study consisted of 100 nurses who agreed to participate in the study. Descriptive features form consisting of 13 questions, Connor-Davidson Resilience Scale (CD-RISC) scale and Pittsburgh Sleep Quality Index (PSQI) were used to collect data. Research data were collected in 3 months. During the study, 4 people from the experimental group (3 people did not attend the sessions regularly, 1 person left voluntarily), 6 people from the control group (he left voluntarily) quit the study. Finally, the research was completed with 90 nurses, 46 of which were in the experimental group and 44 in the control group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Not have undergone abdominal surgery in the past three months
  • Not have uncontrolled hypertension
  • Not have epilepsy
  • Not have received a psychiatric diagnosis or treatment
  • Working actively during the pandemic period
Exclusion Criteria
  • Not attending sessions regularly

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Laughter yoga session parts-4laughter yoga for nurses-Childish gamesLaughter exercises (15 minutes)
laughter yoga practicelaughter yoga for nurses-Warm-up exercisesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate
laughter yoga practicelaughter yoga for nursesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate
Laughter yoga session parts-1laughter yoga for nursesDeep breathing exercises (5 minutes)
Laughter yoga session parts-3laughter yoga for nurses-Deep breathing exercisesChildish games (10 minutes)
Laughter yoga session parts-3laughter yoga for nurses-Warm-up exercisesChildish games (10 minutes)
Laughter yoga session parts-4laughter yoga for nursesLaughter exercises (15 minutes)
Laughter yoga session parts-4laughter yoga for nurses-Deep breathing exercisesLaughter exercises (15 minutes)
Laughter yoga session parts-4laughter yoga for nurses-Laughter exercisesLaughter exercises (15 minutes)
laughter yoga practicelaughter yoga for nurses-Deep breathing exercisesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate
laughter yoga practicelaughter yoga for nurses-Laughter exercisesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate
Laughter yoga session parts-1laughter yoga for nurses-Deep breathing exercisesDeep breathing exercises (5 minutes)
Laughter yoga session parts-2laughter yoga for nursesWarm-up exercises (10 minutes)
Laughter yoga session parts-2laughter yoga for nurses-Warm-up exercisesWarm-up exercises (10 minutes)
Laughter yoga session parts-3laughter yoga for nursesChildish games (10 minutes)
Laughter yoga session parts-3laughter yoga for nurses-Childish gamesChildish games (10 minutes)
laughter yoga practicelaughter yoga for nurses-Childish gamesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate
Laughter yoga session parts-1laughter yoga for nurses-Childish gamesDeep breathing exercises (5 minutes)
Laughter yoga session parts-1laughter yoga for nurses-Laughter exercisesDeep breathing exercises (5 minutes)
Laughter yoga session parts-2laughter yoga for nurses-Laughter exercisesWarm-up exercises (10 minutes)
Laughter yoga session parts-1laughter yoga for nurses-Warm-up exercisesDeep breathing exercises (5 minutes)
Laughter yoga session parts-2laughter yoga for nurses-Deep breathing exercisesWarm-up exercises (10 minutes)
Laughter yoga session parts-2laughter yoga for nurses-Childish gamesWarm-up exercises (10 minutes)
Laughter yoga session parts-3laughter yoga for nurses-Laughter exercisesChildish games (10 minutes)
Laughter yoga session parts-4laughter yoga for nurses-Warm-up exercisesLaughter exercises (15 minutes)
Primary Outcome Measures
NameTimeMethod
Connor-Davidson Resilience Scale (CD-RISC)-pre-testup to 5 weeks

The scale consists of 25 items and has a 5-point Likert type scoring ranging from 'never true' (0) to 'always true' (4). Scale; It consists of three sub-dimensions, namely perseverance and personal competence, tolerance to negative phenomena, and spiritual inclination, and the total score to be taken from the scale is minimum 0 and maximum 100 points. High scores obtained from the scale indicate high levels of psychological resilience. According to the factor structure, perseverance and personal competence with items 1, 5, 10, 11, 12, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25; Resilience levels can be determined by examining tolerance to negative events with items 4, 6, 7, 8, 13, 14, and moral tendency with items 2, 3, 9, 20. The Cronbach's alpha coefficient of the scale was stated as 0.89. In this study, the Cronbach's alpha coefficient of the scale was calculated as 0.92.

Introductory Information Form (questionnaire)up to 2 weeks

The form prepared by the researchers consists of a total of 13 questions, including some demographic characteristics (age, education level, marital status, etc.) and professional characteristics (working years, frequently worked shifts, clinic/unit worked during the epidemic period, etc.) of the nurses.

Pittsburgh Sleep Quality Index (PSQI)-pre-testup to 5 weeks

In the form consisting of a total of 24 questions, scores of 7 components are obtained. PSQI; It consists of seven sub-components that evaluate subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and dysfunction during the day. The response of each is scored between 0-3 according to symptom frequency. The sum of the scores of the seven components gives the total PSQI score. The total score obtained varies between 0-21, and high values indicate poor sleep quality and high sleep disturbance level. A total score of 6 or above indicates that the sleep quality is clinically significantly worse. The Cronbach Alpha internal consistency coefficient of the scale was found to be 0.80. In this study, the Cronbach's alpha coefficient of the PSQI Scale was calculated as 0.83.

Secondary Outcome Measures
NameTimeMethod
Connor-Davidson Resilience Scale (CD-RISC)-post-application testingup to 5 weeks

The scale consists of 25 items and has a 5-point Likert type scoring ranging from 'never true' (0) to 'always true' (4). Scale; It consists of three sub-dimensions, namely perseverance and personal competence, tolerance to negative phenomena, and spiritual inclination, and the total score to be taken from the scale is minimum 0 and maximum 100 points. High scores obtained from the scale indicate high levels of psychological resilience. According to the factor structure, perseverance and personal competence with items 1, 5, 10, 11, 12, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25; Resilience levels can be determined by examining tolerance to negative events with items 4, 6, 7, 8, 13, 14, and moral tendency with items 2, 3, 9, 20. The Cronbach's alpha coefficient of the scale was stated as 0.89. In this study, the Cronbach's alpha coefficient of the scale was calculated as 0.92.

Pittsburgh Sleep Quality Index (PSQI)-post-application testingup to 5 weeks

n the form consisting of a total of 24 questions, scores of 7 components are obtained. PSQI; It consists of seven sub-components that evaluate subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and dysfunction during the day. The response of each is scored between 0-3 according to symptom frequency. The sum of the scores of the seven components gives the total PSQI score. The total score obtained varies between 0-21, and high values indicate poor sleep quality and high sleep disturbance level. A total score of 6 or above indicates that the sleep quality is clinically significantly worse. The Cronbach Alpha internal consistency coefficient of the scale was found to be 0.80. In this study, the Cronbach's alpha coefficient of the PSQI Scale was calculated as 0.83.

Trial Locations

Locations (1)

Süheyla Yaralı

🇹🇷

Yakutiye, Erzurum, Turkey

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