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The Effect of Laughter Yoga on Nurses' Perceived Stress, Sleep Quality, and Burnout Levels

Not Applicable
Completed
Conditions
Healthy Participants
Interventions
Behavioral: Laughter Yoga
Registration Number
NCT06350747
Lead Sponsor
Celal Bayar University
Brief Summary

The planned study aims to contribute to the existing literature by comparatively evaluating the effects of online and face-to-face laughter yoga interventions on nurses, focusing on stress, sleep quality, and burnout. In line with this purpose, the research hypotheses are as follows:

H1. Laughter yoga intervention provided to nurses has a positive effect on their perceived stress levels.

H2. Laughter yoga intervention provided to nurses has a positive effect on their sleep quality.

H3. Laughter yoga intervention provided to nurses has a positive effect on their burnout levels.

H4. There is a significant difference between the effects of online and face-to-face laughter yoga interventions.

Detailed Description

This study investigated whether laughter yoga can help reduce stress, improve sleep, and prevent burnout among nurses. Nurses often work in challenging conditions with long shifts, which can negatively affect their mental and physical health. In this study, nurses were divided into three groups: one received face-to-face laughter yoga, another participated in laughter yoga online, and the third group did not receive any intervention.

Laughter yoga sessions were conducted twice a week for two weeks and included deep breathing, playful activities, and laughter exercises. Participants completed surveys before and after the sessions to measure their stress levels, sleep quality, and signs of burnout.

The results showed that nurses who participated in the online laughter yoga program experienced better sleep, felt less emotionally exhausted, and had a stronger sense of personal accomplishment. These benefits were not observed in the face-to-face or control groups. Interestingly, the program did not significantly reduce stress levels in any of the groups.

This study suggests that online laughter yoga may be a useful and accessible tool to support the well-being of nurses, especially in healthcare settings where in-person wellness programs are difficult to organize.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • working as a nurse
  • over 18 years old
Exclusion Criteria
  • No uncontrolled hypertension
  • No history of abdominal surgery in the last three months
  • Not suffering from glaucoma, hernia or epilepsy
  • Not receiving psychiatric diagnosis and treatment
  • Not receiving sleep-related diagnosis and treatment
  • having incontinence

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Laughter Yoga groupLaughter YogaThe nurses selected for the experimental group will be provided with information about the study, and suitable days of the week will be determined for their participation, with two days per week designated. Written and verbal informed consent will be obtained from the volunteers on the first designated day. Subsequently, the nurses will be administered the Demographic Information Form, Perceived Stress Scale, Jenkins Sleep Scale, and Maslach Burnout Scale. Following this, the first session of the planned six sessions of laughter yoga will be conducted. The sessions, lasting approximately 30-45 minutes, will be scheduled between 15:00-16:00 on the two designated workdays per week for one month. After the final session, the nurses will be administered the Perceived Stress Scale, Jenkins Sleep Scale, and Maslach Burnout Scale as post-tests.
Primary Outcome Measures
NameTimeMethod
Jenkins Sleep Scaletwo week and three week after intervention

It is used in clinical studies to evaluate patients' sleep problems. Patients are asked 4 questions about their sleep problems in the last month and asked to tick the boxes that apply to them. 0 (almost never), 1 (1-3 days per month), 2 (4-7 days per month), 3 (8-14 days per month), 4 (15-21 days per month), 5 (23-31 days per month) It is evaluated as . An increase in the score indicates that the person's sleep quality decreases.

Perceived Stress Scaletwo week and three week after intervention

ASQ is designed to measure how stressful some situations in a person's life are perceived. A total score of 0-32 is taken from the scale. It has two subscales: perceived stress (items 1, 2, 3, 7, 8) and perceived coping (items 4, 5, and 6). The scale is evaluated on both total score and subscale scores. A high total score means a high perceived stress level. High scores from the subscales are a negative situation.

Maslach Burnout Scaletwo week and three week after intervention

This measurement tool consists of a total of 22 items and three subscales. Among these subscales, the emotional exhaustion subscale consists of 9 items, the depersonalization subscale consists of 5 items, and the personal accomplishment subscale consists of a total of 8 items. Scale items are scored as "1: never" and "7: always". It was decided to arrange the scale as a five-degree scale, with the answer options being "0 never" and "4 always". The high level of burnout reflects the high score on the emotional exhaustion and depersonalization subscales and the low score on the personal accomplishment subscale. Moderate levels of burnout reflect moderate scores for all three subscales, while low levels reflect low scores on the emotional exhaustion and depersonalization subscales and high scores on the "personal accomplishment" subscale.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Manisa Celal Bayar Üniversitesi Hafsa Sultan Hastanesi

🇹🇷

Manisa, Turkey

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