DOI QR코드

DOI QR Code

Effects of Laughter Therapy on Mood, Pain, and Stress of Mastectomy Patients

웃음치료가 유방절제술 환자의 기분, 통증 및 스트레스에 미치는 효과

  • Received : 2010.01.30
  • Accepted : 2010.02.25
  • Published : 2010.04.30

Abstract

Purpose: This study identified effects of laughter therapy administered to mastectomy patients as an adaptive coping mechanism. Methods: The study design was a non-synchronized design with a non-equivalent control group. Participants were 40 patients admitted to S hospital in Busan from July 1 to October 10, 2008. The laughter therapy was provided to the experimental group for 20 minutes, four times per week for 2 weeks in each patient's room. Results: The experimental and control groups showed significant differences in Mood (t=-2.314, p=.032), and Stress (t=-2.535 p=.020). Pain and serum cortisol in the experimental and control groups did not show any significant difference. Conclusion: Based on the findings the laughter therapy has significant effects on mastectomy patients' mood and stress.

Keywords

References

  1. 김경희, 이명화(1999). 유머중재 프로그램이 혈액투석환자의 불안, 우울과 유머대처에 미치는 효과. 재활간호학회지,2(1), 95-108.
  2. 김소희, 김연희, 김화정, 이순행, 유시온(2009). 웃음요법이 방사선요법을 받는 유방암 여성의 우울, 불안, 스트레스에 미치는 효과. 종양간호학회지, 9(2), 155-162.
  3. 김영선, 전성숙(2009). 노인에 대한 일회성 웃음요법이 스트레스 반응에 미치는 영향. 정신간호학회지, 18(3), 269-277.
  4. 김이수, 손현균(2001). 유방암 환자에서 유방전 절제술과 유방보존술의 정신증상 비교. 대한외과학회지, 60(3), 237-242.
  5. 김희진, 서문자(1996). 비디오 유머중재가 기동성장애환자의 불안, 우울과 유머대처에 미치는 효과. 서울대학교 간호학논문집, 10(2), 203-217.
  6. 보건복지부⋅중앙암등록본부(2007). 국가암등록사업 연례 보고서. 서울: 저자.
  7. 유정아, 김금순(2009). 웃음요법이 군병원 요통환자의 스트레스 반응과 통증에 미치는 영향. 근관절건강학회지, 16(1),36-45.
  8. 윤재량(1993). 운동 강도에 따른 달리기 운동이 호르몬 반응및 무드 변화에 미치는 영향. 서울대학교 박사학위논문,서울.
  9. 장화경(2001). 발 반사마사지가 유방암 환자의 수술 후 통증및 기분에 미치는 효과. 종양간호학회지, 1(2), 204-216.
  10. 정선미(2004). 웃음훈련이 청소년의 긍정적⋅부정적 정서에 미치는 효과. 창원대학교 석사학위논문, 창원.
  11. 정종순(2008). 웃음 치료 프로그램의 효과에 대한 연구. 조선대학교 석사학위논문, 광주.
  12. 허은화(2007). 웃음 요법이 혈액투석환자의 기분, 스트레스 및삶의 질에 미치는 영향. 포천중문 의과대학교 석사학위논문, 포천.
  13. Bennett, M. P., Zeller, J. M., Rosenberg, L., & McCann, J. (2003). The effect of mirthful laughter on stress and natural killer cell activity. Alternative Therapies in Health and Medicine, 9(2), 38-45.
  14. Bennett, M. P., & Lengacher, C. A. (2006). Humor and laughter may influence health. I. History and background. Evidence-based Complementary and Alternative Medicine, 3(1), 61-63. https://doi.org/10.1093/ecam/nek015
  15. Berk, L. S., Felten, D. L., Tan, S. A., Bittman, B. B., & Westengard, J. (2001). Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter. Alternative Therapies in Health and Medicine, 7(2), 62-76.
  16. Calson, C. (1978). Behavioral concepts and nursing intervention (2nd ed.). Philadelphia, PA: Lippincott.
  17. Cline, M. E., Herman. J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing Research, 41(6), 378-380.
  18. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  19. Francke, A. L., & Theeuwen, I. (1994). Inhibition in expressing pain: A qualitative study among Dutch surgical breast cancer patients. Cancer Nursing, 17(3), 193-199.
  20. Kaye, J., Morton, J., Bowcutt, M., & Maupin, D. (2000). Stress, depression, and psychoneuroimmunology. The Journal of Neuroscience Nursing, 32(2), 93-100. https://doi.org/10.1097/01376517-200004000-00005
  21. Kim, M. J., McFarland, G. K., & McLane, A. M. (1995). Pocket guide to nursing diagnosis (6th ed.). Saint Louis: Mosby.
  22. Lebowitz, K. R. (2002). The effects of humor on cardiopulmonary functioning, psychological wellbeing and health status among older adults with chronic obstructive pulmonary disease. Unpublished doctoral dissertation, The Ohio State University, Columbus, USA.
  23. Mandelblatt, J., Figueiredo, M., & Cullen, J. (2003). Outcomes and quality of life following breast cancer treatment in older women: When, why, how much, and what do women want? Health and Quality of Life Outcomes, 17(1), 45.
  24. McNair, D. M., Lorr, M., & Droppleman, L. F. (1992). EdITS manual for the profile of mood states. San Diego, CA: Educational and Industrial Testing Service.
  25. Roberts, A. K. P. (1993). The effects of imagery, group therapy or laughter/humor on quality of life in cancer patients. Unpublished doctoral dissertation, California institute of integral studies, San Francisco, USA.
  26. Seaward, B. L. (2004). Managing stress: Principles and strategies for health and well-being (4th ed.). Boston, MA: Jones and Bartlett Publishers.
  27. Selye, H. (1950). Stress and the general adaptation syndrome. British Medical Journal, June, 1383-1392.
  28. Speca, M., Carlson L. E., Goodey E., & Angen, M. (2000). Randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613-622. https://doi.org/10.1097/00006842-200009000-00004
  29. Sutherland, H. J., Walker, P., & Till, J. E. (1988). The development of a method for determiniJ., ncology patients' emotional distress uesJ.,lineakernalogue scales. Cancer NuresJ., 11(5), 303-308.
  30. Thomas, S. P., Groer, M., Davis, M., Droppleman, P., Mozingo, J., & Pierce, M. (2000). Anger and Cancer. Cancer Nursing, 23(5), 344-349. https://doi.org/10.1097/00002820-200010000-00003