The Effect of Laughter Yoga on Nurses' Perceived Stress, Sleep Quality, and Burnout Levels
- Conditions
- Healthy Participants
- Interventions
- Behavioral: Laughter Yoga
- Registration Number
- NCT06350747
- Lead Sponsor
- Celal Bayar University
- Brief Summary
The aim of the study was to investigate the effects of laughter yoga on nurses' perceived stress, sleep quality, and burnout levels.
- Detailed Description
In the literature, it has been found that laughter yoga improves mental health and respiratory functions, positively influences sleep, reduces stress, creates positive mood, enhances cognitive functions, reduces pain, and facilitates circulation. Nurses are a high-risk occupational group for stress, sleep problems, and burnout due to their working conditions and patient care burdens. The aim of this planned study is to examine the effects of laughter yoga on nurses' perceived stress, sleep quality, and burnout levels.
The sample size for the experimental study, which will be conducted as a pre-test post-test control group design, was calculated using the G\*Power 3.1.9.7 program. Sample size calculation was performed for the independent-samples t-test. The effect size used in the calculation was based on the results of the study conducted by Çelik and Kılınç (2022). With an effect size of 2.20 (d = 2.20), a 5% error margin (α = 0.05), and 95% power (1-β = 0.95), the sample size for each group was calculated as 6. However, considering the high effect size obtained from the reference study, a recommended effect size of 0.80 (d = 0.50), a 5% error margin (α = 0.05), and 80% power (1-β = 0.80) were used, resulting in a sample size of 26 for each group. Taking into account the possibility of data loss, the sample size for each group was increased by 20%, and a total of 64 participants, with 32 participants in each group, were planned to be included in the sampling. Nurses participating in the study will be stratified according to the units they work in (internal and surgical units) and randomized. In data collection, the Demographic Characteristics Questionnaire, Perceived Stress Scale, Jenkins Sleep Scale, and Maslach Burnout Scale will be used. For data analysis, number percentage distribution and descriptive statistics will be used to describe demographic characteristics. Differences between basic descriptive characteristics of nurses in the experimental and control groups will be analyzed using Chi-square and Fisher's exact tests. The relationship between the scale score averages of the experimental and control groups will be analyzed using independent-samples t-tests and the Mann-Whitney U test.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 64
- working as a nurse
- over 18 years old
- 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
Group Intervention Description Laughter Yoga group Laughter Yoga The 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
Name Time Method Jenkins Sleep Scale two 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 Scale two 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 Scale two 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
Name Time Method
Trial Locations
- Locations (1)
Manisa Celal Bayar Üniversitesi Hafsa Sultan Hastanesi
🇹🇷Manisa, Turkey