The Effect of Laughter Therapy on Self-Esteem and Quality of Life in Patients With Stoma:Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- Rosenberg Self-Esteem Scale
研究概览
简要总结
Stoma is a surgical intervention to ensure that body wastes are removed differently from the normal physiological opening. The stoma patient has to cope with complex emotional, social and physical problems associated with this change. Physical health problems (such as stoma), change in body image and negative emotions affect self-esteem and quality of life. Laughing provides mental and physical relaxation with the release of endorphins. Therefore, laughter therapy has an important contribution to increase the well-being of patients.This study was planned as a randomized controlled experimental study to evaluate the effect of laughter therapy on self-esteem and quality of life in patients with stoma.
详细描述
The total number of individuals with a stoma is thought to be between 725,000 and 1 million (Faqs, 2020). Stoma can cause many physical, social, cognitive and emotional problems in an individual's life. These problems can negatively affect the quality of life of patients with stoma (Karadag et al. 2011).
Self-esteem is an individual's positive or negative evaluation of himself/herself (Ayaz, 2008). This evaluation stems not from the individual's need to feel perfect, but from the need to accept himself and be accepted by others. Physical health problems, changes in body image and negative emotions affect self-esteem.
Laughter is generally considered to be a visual expression of happiness or a feeling of joy, and it occurs with stimuli such as hearing a joke or being tickled. Neurophysiology has shown that laughter is associated with the activation of the lower middle frontal lobe cortex, which produces endorphins (Satish 2012). Laughing provides mental and physical relaxation with the release of endorphins (Farifteh et al. 2014).
Psychological benefits of laughing;
- Decreases symptoms of depression, anxiety and stress level.
- Increases self-confidence, hope, energy and strength.
- Increases memory, creative thinking and problem solving ability.
- Increases interpersonal relationship and social interaction.
- Collaboration enhances group identity and solidarity.
- Strengthens the relationship between the health personnel and the patient.
- Provides psychological well-being.
- Increases joy and it's mostly contagious (Ripoll and Casado 2010).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being over 18 years old,
- •Being able to understand and speak Turkish,
- •Stoma has been opened at least 6 months ago,
- •To have completed oncological treatments,
- •Having a smart phone or computer,
- •Being able to use a smart phone or computer,
- •Having internet,
- •Being able to use Whatsapp video calling program,
- •Agreeing to participate in the research.
排除标准
- •Hernia, prolapse of stoma complications or glaucoma disease,
- •Presence of hypertension and heart disease,
- •Abdominal surgery in the last 3 months.
结局指标
主要结局
Rosenberg Self-Esteem Scale
时间窗: Change from baseline to 1 months
This scale consists of 10 questions that measure self-esteem. If the total score from 10 questions is 0-1, it indicates high self-esteem, 2-4 indicates medium, and 5-6 indicates low self-esteem. The highest score that can be obtained from the scale is 6
City of Hope Quality of Life Ostomy
时间窗: Change from baseline to 1 months
This scale, which evaluates the quality of life, consists of 43 items. In this scale, quality of life items are grouped into four sub-dimensions: physical well-being (1-11 items), psychological well-being (12-24 items), social anxiety (25-36 items) and spiritual well-being (37-43 items).
次要结局
- Rosenberg Self-Esteem Scale(Change from baseline to 3 months)
- City of Hope Quality of Life Ostomy(Change from baseline to 3 months)
研究者
Hatice Merve Alptekin
Research Assistant
Istanbul University - Cerrahpasa (IUC)