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The Effect of Laughter Yoga on Nurses' Perceived Stress Burnout and Life Satisfaction During the Pandemic Period

Not Applicable
Completed
Conditions
Done Laughter Yoga Before
Hypertension
Epilepsy
Abdominal Surgery
Interventions
Other: Laughter yoga practiced
Registration Number
NCT05317091
Lead Sponsor
Ataturk University
Brief Summary

This study aimed to determine the effects of laughter yoga on the perceived stress, burnout and life satisfaction of nurses working actively during the pandemic period. A total of 120 nurses, determined by power analysis, were included in the randomized controlled study. The study included 2 groups. (A group of nurses who have active contact with patients diagnosed with or at risk of covid-19, group B: nurses who have active contact with patients diagnosed with or at risk of covid-19 and participate in laughter yoga practice. Laughter yoga; immune system antibodies and endorphin hormone. It has been proven by experimental studies that there is a connection between the two, 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. Introductory features form consisting of 13 questions, Maslach Burnout Scale and Life Satisfaction Scale, Perceived Stress Scale and life satisfaction scale were used to collect data. Research data were collected in 3 months. During the study, 9 people from the experimental group (8 people did not attend the sessions regularly, 1 person left voluntarily), 10 people from the control group (he left voluntarily) quit the study. Finally, the research was completed with 101 nurses, 51 of whom were in the experimental group and 50 in the control group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
101
Inclusion Criteria
  • Not have undergone abdominal surgery in the past three months
  • Uncontrollable hypertension
  • Without epilepsy
Exclusion Criteria
  • Antidepressant etc. nurses using drugs
  • Not attending sessions regularly

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Laughter yoga practiceLaughter yoga practicedLaughter yoga for nurses The experimental group was divided into three groups as 18-17-16 people. Sessions 1st group Monday-Thursday between 12:00-13:00; 2nd group Tuesday-Friday between 17:00-18:00; The third group was held on Wednesday Saturday between 20:00-21:00.laughter yoga for nurses-Deep breathing exercises Deep breathing exercises (5 minutes), Warm-up exercises (10 minutes) laughter yoga for nurses-Childish games Childish games (10 minutes), Laughter exercises (15 minutes).
Laughter yoga session parts-2Laughter yoga practicedWarm-up exercises (10 minutes) Rhythm of 1-2, 1-2-3 is added to increase the energy level even more and synchronize the movements of the group. After a few rhythmic clapping movements, another movement is added. Whisking hands left and right. Then an audible rhythm of ho, ho, ha-ha-ha is added to the clapping gesture. Make eye contact with people in the group and smile at them.
Laughter yoga session parts-4Laughter yoga practicedLaughter exercises (15 minutes) This section includes a variety of laughter exercises such as greetings, strawberry milk, conductor, bonus, hot soup, lion, aloha, bird, appreciation, laughter lotion, elevator, cream cake, and bursting balloon laughter.
Laughter yoga session parts-1Laughter yoga practicedDeep breathing exercises (5 minutes) Breathing is held for 4-5 seconds after deep inspiration. While the arms are brought to the normal position, exhale slowly and rhythmically. When expressing after deep inspiration, the lips can be pursed as if whistling or exhaled with laughter.
Laughter yoga session parts-3Laughter yoga practicedChildish games (10 minutes) Childlike games are used to help laugh without reason just like a child. The group is motivated by visualizing these games in their minds, raising the arms up in the form of a "Y" letter, and saying "very good (applause), very good (applause), hey" with palms facing the sky.
Primary Outcome Measures
NameTimeMethod
Introductory Information Form (questionnaire)up to 2 weeks

In this form prepared by the researchers; There are a total of 9 questions including age, gender, education level, marital status, working year, frequently worked shift, Covid-19 passing and being vaccinated, whether or not he has knowledge about laughter yoga.

Perceived Stress Scaleup to 5 weeks]

The scale, which was created in order to understand how stressful individuals perceive certain events they experience, consists of 14 items, graded in a 5-point Likert type. In the scale, 7 items containing positive statements are reverse scored. The score range of the scale ranges from 0 to 56, and a high score indicates a high level of stress. The internal consistency coefficient of the scale was calculated as 0.84. In this study, the Cronbach alpha internal consistency coefficient was found to be 0.75.

Life Satisfaction Scaleup to 5 weeks

There are 5 items in the scale, and each item is arranged according to a 7-point answer system. A score between 5-35 can be obtained from the scale. Higher scores indicate higher life satisfaction. The Cronbach Alpha value of the scale is .88. In this study, the Cronbach Alpha coefficient was found to be .87.

Maslach Burnout Scaleup to 5 weeks

The scale, consisting of 22 items and three sub-dimensions, is in the 5-point Likert type. The sub-dimensions of the scale are emotional exhaustion, depersonalization and personal achievement. Positive statements in the dimension of personal achievement are reverse coded. The high mean score of the emotional exhaustion and depersonalization sub-dimensions and low personal achievement mean scores indicate high burnout. The lowest score that can be obtained from the scale is 0 and the highest score is 88. The Cronhbach Alpha values of the scale were found to be 0.83 for emotional exhaustion, 0.65 for depersonalization and 0.72 for personal achievement.

Secondary Outcome Measures
NameTimeMethod
Perceived Stress Scaleup to 5 weeks

The scale, which was created in order to understand how stressful individuals perceive certain events they experience, consists of 14 items, graded in a 5-point Likert type. In the scale, 7 items containing positive statements are reverse scored. The score range of the scale ranges from 0 to 56, and a high score indicates a high level of stress. The internal consistency coefficient of the scale was calculated as 0.84. In this study, the Cronbach alpha internal consistency coefficient was found to be 0.75.

Life Satisfaction Scaleup to 5 weeks

There are 5 items in the scale, and each item is arranged according to a 7-point answer system. A score between 5-35 can be obtained from the scale. Higher scores indicate higher life satisfaction. The Cronbach Alpha value of the scale is .88. In this study, the Cronbach Alpha coefficient was found to be .87.

Maslach Burnout Scaleup to 5 weeks

The scale, consisting of 22 items and three sub-dimensions, is in the 5-point Likert type. The sub-dimensions of the scale are emotional exhaustion, depersonalization and personal achievement. Positive statements in the dimension of personal achievement are reverse coded. The high mean score of the emotional exhaustion and depersonalization sub-dimensions and low personal achievement mean scores indicate high burnout. The lowest score that can be obtained from the scale is 0 and the highest score is 88. The Cronhbach Alpha values of the scale were found to be 0.83 for emotional exhaustion, 0.65 for depersonalization and 0.72 for personal achievement.

Trial Locations

Locations (1)

Tülay Kılınç

🇹🇷

Erzurum, Palandöken, Turkey

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