Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Laughter Therapy on Pain and Anxiety among Patients with Postmastectomy

웃음요법이 유방절제술 후 환자의 통증과 상태불안에 미치는 영향

  • Received : 2012.05.31
  • Accepted : 2012.06.28
  • Published : 2012.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The design of this study is a nonequivalent control group, non-synchronized quasi-experimental study. The purpose of this study is to examine the effects of laughter therapy on pain and anxiety of patients with postmastectomy. Methods: The participants were 33 patients admitted for mastectomy in a college affiliated hospital (17 patients in experimental group and 16 patients in control group from November, 2008 to March, 2009). The registered nurse who were certified as the 1st degree laughter specialist implemented the intervention once a day for 30 minutes from the 2nd day to the 6th day after surgery when visited them. Date were analyzed using t, Mann-Whitney U test, repeated measures of ANOVA, paired t-test, or ANCOVA. Results: The level of pain was significantly lower in the experimental group than in the control group. Since the level of pain in all participants was reduced as time passed, the interaction effect between time and group existed. The level of anxiety was significantly lower in the experimental group than in the control group. Conclusion: Based on the results, the laughter therapy may be recommended as an useful intervention to effectively reduce the levels of pain and anxiety among patients with postmastectomy.

Keywords

References

  1. Bennet, M. P., & Cecile, A. L. (2006). Humor and laughter may influence health. The history and background. Evidence Based Complex Medium, 3(1), 61-63.
  2. 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. Altern Ther Health Med, 7(2), 62-72, 74-76.
  3. Christie, W., & Moore, C. (2005). The impact of humor on patient with cancer. Clinical Journal Oncology Nursing, 9, 211-218. https://doi.org/10.1188/05.CJON.211-218
  4. Chung, B. Y., & Choi, E. H. (2007). Effect of foot massage on anxiety and pain in mastectomy patients. Asian Oncology Nursing, 7(1), 47-55.
  5. Foley, E., Matheis, R., & Schaefer, C. (2002). Effect of forced laughter on mood. Psycholology Report, 90(1), 184-190. https://doi.org/10.2466/pr0.2002.90.1.184
  6. Han, K. I. (2006). Laughter Therapy. Seoul: Samho Media.
  7. Huh, E. W. (2007). Effect of laughter on mood, stress response and health-related quality of life among hemodialysis patients. Unpublished master's thesis, Cha University, Pocheon.
  8. Hyun, S. S., Kim, E. K., Kim, E. J., Chae, H. J., Ko, Y. H., & Lee, M. Y. (2004). The effect of music therapy on pain and anxiety after CPM exercise in surgical patient of skeletal and muscle wound. Clinical Nursing Research, 9(2), 93-106.
  9. Jung, J. S. (2008). A study of effect on laughter therapy program. Unpublished master's thesis, Chosun University, Gwangju.
  10. Kim, H. J., & Seo, M. J. (1996). Effect of humor video tape on an anxiety, depression and coping of the impaired mobility patient. The Seoul Journal of Nursing, 10(2), 203-217.
  11. Kim, H. J., & So, H. S. (2001). A study on health promoting behavior in postmastectomy patients. Korean Journal of Adult Nursing, 13(2), 82-95.
  12. Kim, J. H., & Park, K. S. (2002). The effect of foot massage on post operative pain in patients following abdominal surgery. Korean Journal of Adult Nursing, 14(1), 34-43.
  13. Kim, J. T., & Shin, D. K. (1978). A study based on the standization of the STAI for Korea. New Medical Journal, 21(11), 69-75.
  14. Kim, M. Y., Jeon, S. Y., Song, Y. H., Choi, E. J., Kim, J. H., & Kim, M. S. (2006). The effects of head and neck massage on the sleep and anxiety of ICU patients. Clinical Nursing Research, 11(2), 49-61.
  15. Kim, S. H. (2007). The effects of music therapy on pain, anxiety, and discomfort behavior during burn dressing change. Clinical Nursing Research, 13(1), 143- 155.
  16. Kim, Y. H., & Lee, H. J. (2002). The effects of informational intervention on postoperative pain following tonsillectomy in children. Journal of Korean Academic of Child Health Nursing, 8, 400-413.
  17. Kim, Y. S. (2006). The influence of one-time laughter therapy on stress response in the elderly. Unpublished doctoral dissertation, Pusan National University, Busan.
  18. King, M. T., Kenny, P., Shill, A., Hall, J., & Boyages, J. (2002). Quality of life three months and year after first treatment for early stage breast cancer: Influence of treatment and patient characteristics. Quality of Life Research, 9, 789-800.
  19. Lee, B. N., & Lee, G. E. (2006). Effects of pain control education on pain control barrier postoperative pain and pain control satisfaction in gynecological patients. Journal of Korean Academic of Nursing, 36, 968-975.
  20. Lee, J. H., Cho, J. K., Oh, J. N., Kim, S. H., & Kim, Y. Y. (2006). Effects of an exercise program on physical functions and quality of life for mastectomy patients. Korean Journal Women Health Nursing, 12(1), 37-46.
  21. Lee, M. S. (2007). Effects of music therapy on anxiety and depression in breast cancer patients. Unpublished master's thesis, Wonkwang University, Iksan.
  22. Martin, R. A., & Lefcourt, H. M. (1983). Sense of humor as a moderator of the relation between stressors and moods. Journal of Personality and Social Psychology, 45, 1313-1324.
  23. Neuhoff, C. C., & Schaefer, C. (2002). Effects of laughing, smiling, and howling on mood. Psychology Report, 91, 1079-1080.
  24. Oh, S. J. (2005). A study on the self-care of lymphedema in the mastectomy patients. Unpublished master's thesis, Pusan National University, Busan.
  25. Spielberger, C. D. (1997). Theory and measurement of anxiety states. In. Cattel RB, Dreger, R. M. (Eds.). Handbook of modern personality theory. New York: John Wiley & Sons.
  26. Yu, S. J., Lee, J. E., & Lee, K. R. (2005). The effects of laughter therapy on vital sign and emotional state in homes for the aged. Journal of Korean Academic of Psychiatric and Mental Health Nursing, 14(1), 55-63.

Cited by

  1. 유머와 관련된 국내 간호연구의 통합적 고찰 vol.20, pp.1, 2012, https://doi.org/10.4094/chnr.2014.20.1.58
  2. 국소마취 환자의 수술시 손잡아주기, 내관지압이 불안과 통증에 미치는 효과 vol.14, pp.11, 2014, https://doi.org/10.5392/jkca.2014.14.11.378
  3. 웃음요법 프로그램이 간호대학생의 지각된 스트레스와 우울에 미치는 효과 vol.15, pp.11, 2012, https://doi.org/10.5392/jkca.2015.15.11.289
  4. Mind-Body Interventions for Anxiety Disorders: A Review of the Evidence Base for Mental Health Practitioners vol.19, pp.2, 2021, https://doi.org/10.1176/appi.focus.20200042
  5. Effectiveness of progressive muscle relaxation and laughter therapy on mental health and treatment outcomes in women undergoing in vitro fertilization: A randomized controlled trial vol.44, pp.6, 2012, https://doi.org/10.1002/nur.22187