Laughter Therapy terhadap Tingkat Kecemasan Pasien Hemodialisis
Abstract
The objective of this study is to evaluate the efficacy of laughter therapy in reducing anxiety levels among individuals undergoing hemodialysis. This study employs a quasi-experimental design with a quantitative approach, utilizing a non-equivalent group design comprising an intervention group that receives laughter therapy and a control group that receives regular education from hemodialysis nurses. The results demonstrated that following a four-week intervention period, there was a notable reduction in anxiety levels among the intervention group, with a p-value of 0.04. However, the laughter therapy intervention group exhibited a more pronounced decline in anxiety levels, with a p-value of 0.00. In conclusion, it can be recommended that laughter therapy interventions be applied in the implementation of nursing care in the hemodialysis unit to reduce anxiety levels, thereby improving the quality of life of hemodialysis patients.
Keywords: Anxiety, Hemodialysis, Laughter therapy
References
Akimbekov, N. S., & Razzaque, M. S. (2021). Laughter Therapy: A Humor-Induced Hormonal Intervention to Reduce Stress and Anxiety. In Current Research in Physiology, 4. 135–138). Elsevier B.V. https://doi.org/10.1016/j.crphys.2021.04.002
Alan, N., Ugur, O., Bedez, G., & Tuna Oran, N. (2024). Investigation of the Effect of Laughter Yoga on Stress-Coping Behaviors in Nursing Students’ Starting University. Perspectives in Psychiatric Care, 2024, 1–8. https://doi.org/10.1155/2024/8253626
Alici, N. K., & Donmez, A. A. (2020). A Systematic Review of the Effect of Laughter Yoga on Physical Function and Psychosocial Outcomes in Older Adults. Complementary Therapies in Clinical Practice, 41, 101252. https://doi.org/10.1016/J.CTCP.2020.101252
Bennett, P. N., Hussein, W. F., Reiterman, M., Yu, J., & Schiller, B. (2020). The Effects of Laughter Therapy on Depression Symptoms in Patients Undergoing Center Hemodialysis: A Pragmatic Randomized Controlled Trial. Hemodialysis International, 24(4), 541–549. https://doi.org/10.1111/hdi.12870
Borzoee, F., Rad, M., Motlagh Quchan, A., Tabrizi, Z., Heshmatifar, N., Rastaghi, S., & Sahebkar, M. (2022). The Effect of Humor on Anxiety in Patients Receiving Hemodialysis: An Open-Label, Randomized Trial. Nursing and Midwifery Studies, 11(2), 112–117. https://doi.org/10.4103/nms.nms_130_21
Dogan, M. D. (2020). The Effect of Laughter Therapy on Anxiety. Holistic Nursing Practice 1, 35–39. https://doi.org/10.1097/HNP.0000000000000363
El-Sayed, M. M., Ali Hafez, S., Nashwan, A. J., Khedr, M. A., & El-Ashry, A. M. (2024). Feasibility of A Group-Based Laughter Yoga Therapy on Anxiety and Happiness Among Community-Dwelling Older Adults: A Quasi-Experimental Study. International Journal of Africa Nursing Sciences, 20, 100675. https://doi.org/https://doi.org/10.1016/j.ijans.2024.100675
Eraydin, C., & Alpar, S. E. (2022). The effect of Laughter Therapy on Nursing Students’ Anxiety, Satisfaction with Life, and Psychological Well-Being During the COVID-19 Pandemic: Randomized Controlled Study. Advances in Integrative Medicine, 9(3), 173–179. https://doi.org/10.1016/j.aimed.2022.06.006
Gebrie, M. H., Asfaw, H. M., Bilchut, W. H., Lindgren, H., & Wettergren, L. (2023). Health-Related Quality of Life Among Patients with End-Stage Renal Disease Undergoing Hemodialysis in Ethiopia: A Cross-Sectional Survey. Health and Quality of Life Outcomes, 21(1), 36. https://doi.org/10.1186/s12955-023-02117-x
Hu, L., Ma, Y., Wang, L., & Dai, Y. (2022). [Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia. Contrast Media & Molecular Imaging. Willey, 1, 5820707. https://doi.org/10.1155/2022/5820707
Lee, Y. J., Kim, M. A., & Park, H. J. (2020). Effects of A Laughter Programme with Entrainment Music on Stress, Depression, and Health-Related Quality of Life Among Gynaecological Cancer Patients. Complementary Therapies in Clinical Practice, 39. https://doi.org/10.1016/j.ctcp.2020.101118
Morais, E. M., Moreira, P. R., & Winkelmann, E. R. (2020). Movie Watching During Dialysis Sessions Reduces Depression and Anxiety and Improves Quality of Life: A Randomized Clinical Trial. Complementary Therapies in Medicine, 52(October 2019). https://doi.org/10.1016/j.ctim.2020.102488
Mosleh, H., Alenezi, M., Al, S., Alsani, A., & Fairaq, G. (2020). Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis : A Cross- sectional Single-Center Study in Saudi Arabia. Cureus 12(1), 1–11. https://doi.org/10.7759/cureus.6668
Özer, Z., & Ateş, S. (2021). Effects of Laughter Yoga on Hemodialysis Patients’ Plasma-Beta Endorphin Levels, Pain levels and Sleep quality: A Randomized Controlled Trial. Complementary Therapies in Clinical Practice, 43, 1–7. https://doi.org/10.1016/j.ctcp.2021.101382
Ozturk, F. O. (2021). Effect of Laughter Yoga on Mental Symptoms and Salivary Cortisol Levels in First-Year Nursing Students : A Randomized Controlled Trial. January, 1–10. https://doi.org/10.1111/ijn.12924
Sahebkar, M., Ansari, M., Attarzadeh, F., & Borzoee, F. (2024). Evaluating The Effects of Humor Therapy on Fatigue Levels of Hemodialysis Patients : A Single Blind , Randomized Clinical Trial Study. https://doi.org/10.4103/jrms.jrms
Shi, H., Wu, Y., Wang, L., Zhou, X., & Li, F. (2023). Effects of Laughter Therapy on Improving Negative Emotions Associated with Cancer: A Systematic Review and Meta-Analysis. In ONCOLOGY (United States), 102. 343–353. UBM Medica Healthcare Publications. https://doi.org/10.1159/000533690
Sun, X., Zhang, J., Wang, Y., Zhang, X., Li, S., Qu, Z., & Zhang, H. (2023). the Impact of Humor Therapy on People Suffering from Depression or Anxiety: An Integrative Literature Review. In Brain and Behavior, 13(9), 1–24. John Wiley and Sons Ltd. https://doi.org/10.1002/brb3.3108
Trkulja, V., & Barić, H. (2020). Current research on complementary and alternative medicine (CAM) in the treatment of anxiety disorders: an evidence-based review. Anxiety Disorders: rethinking and understanding recent discoveries, 415-449.https://link.springer.com/chapter/10.1007/978-981-32-9705-0_22
Ye, W., Wang, L., Wang, Y., Wang, C., & Zeng, J. (2022). Depression and Anxiety Symptoms Among Patients Receiving Maintenance Hemodialysis: A Single Center Cross-Sectional Study. BMC Nephrology, 23(1), 417. https://doi.org/10.1186/s12882-022-03051-8
Alan, N., Ugur, O., Bedez, G., & Tuna Oran, N. (2024). Investigation of the Effect of Laughter Yoga on Stress-Coping Behaviors in Nursing Students’ Starting University. Perspectives in Psychiatric Care, 2024, 1–8. https://doi.org/10.1155/2024/8253626
Alici, N. K., & Donmez, A. A. (2020). A Systematic Review of the Effect of Laughter Yoga on Physical Function and Psychosocial Outcomes in Older Adults. Complementary Therapies in Clinical Practice, 41, 101252. https://doi.org/10.1016/J.CTCP.2020.101252
Bennett, P. N., Hussein, W. F., Reiterman, M., Yu, J., & Schiller, B. (2020). The Effects of Laughter Therapy on Depression Symptoms in Patients Undergoing Center Hemodialysis: A Pragmatic Randomized Controlled Trial. Hemodialysis International, 24(4), 541–549. https://doi.org/10.1111/hdi.12870
Borzoee, F., Rad, M., Motlagh Quchan, A., Tabrizi, Z., Heshmatifar, N., Rastaghi, S., & Sahebkar, M. (2022). The Effect of Humor on Anxiety in Patients Receiving Hemodialysis: An Open-Label, Randomized Trial. Nursing and Midwifery Studies, 11(2), 112–117. https://doi.org/10.4103/nms.nms_130_21
Dogan, M. D. (2020). The Effect of Laughter Therapy on Anxiety. Holistic Nursing Practice 1, 35–39. https://doi.org/10.1097/HNP.0000000000000363
El-Sayed, M. M., Ali Hafez, S., Nashwan, A. J., Khedr, M. A., & El-Ashry, A. M. (2024). Feasibility of A Group-Based Laughter Yoga Therapy on Anxiety and Happiness Among Community-Dwelling Older Adults: A Quasi-Experimental Study. International Journal of Africa Nursing Sciences, 20, 100675. https://doi.org/https://doi.org/10.1016/j.ijans.2024.100675
Eraydin, C., & Alpar, S. E. (2022). The effect of Laughter Therapy on Nursing Students’ Anxiety, Satisfaction with Life, and Psychological Well-Being During the COVID-19 Pandemic: Randomized Controlled Study. Advances in Integrative Medicine, 9(3), 173–179. https://doi.org/10.1016/j.aimed.2022.06.006
Gebrie, M. H., Asfaw, H. M., Bilchut, W. H., Lindgren, H., & Wettergren, L. (2023). Health-Related Quality of Life Among Patients with End-Stage Renal Disease Undergoing Hemodialysis in Ethiopia: A Cross-Sectional Survey. Health and Quality of Life Outcomes, 21(1), 36. https://doi.org/10.1186/s12955-023-02117-x
Hu, L., Ma, Y., Wang, L., & Dai, Y. (2022). [Retracted] Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia. Contrast Media & Molecular Imaging. Willey, 1, 5820707. https://doi.org/10.1155/2022/5820707
Lee, Y. J., Kim, M. A., & Park, H. J. (2020). Effects of A Laughter Programme with Entrainment Music on Stress, Depression, and Health-Related Quality of Life Among Gynaecological Cancer Patients. Complementary Therapies in Clinical Practice, 39. https://doi.org/10.1016/j.ctcp.2020.101118
Morais, E. M., Moreira, P. R., & Winkelmann, E. R. (2020). Movie Watching During Dialysis Sessions Reduces Depression and Anxiety and Improves Quality of Life: A Randomized Clinical Trial. Complementary Therapies in Medicine, 52(October 2019). https://doi.org/10.1016/j.ctim.2020.102488
Mosleh, H., Alenezi, M., Al, S., Alsani, A., & Fairaq, G. (2020). Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis : A Cross- sectional Single-Center Study in Saudi Arabia. Cureus 12(1), 1–11. https://doi.org/10.7759/cureus.6668
Özer, Z., & Ateş, S. (2021). Effects of Laughter Yoga on Hemodialysis Patients’ Plasma-Beta Endorphin Levels, Pain levels and Sleep quality: A Randomized Controlled Trial. Complementary Therapies in Clinical Practice, 43, 1–7. https://doi.org/10.1016/j.ctcp.2021.101382
Ozturk, F. O. (2021). Effect of Laughter Yoga on Mental Symptoms and Salivary Cortisol Levels in First-Year Nursing Students : A Randomized Controlled Trial. January, 1–10. https://doi.org/10.1111/ijn.12924
Sahebkar, M., Ansari, M., Attarzadeh, F., & Borzoee, F. (2024). Evaluating The Effects of Humor Therapy on Fatigue Levels of Hemodialysis Patients : A Single Blind , Randomized Clinical Trial Study. https://doi.org/10.4103/jrms.jrms
Shi, H., Wu, Y., Wang, L., Zhou, X., & Li, F. (2023). Effects of Laughter Therapy on Improving Negative Emotions Associated with Cancer: A Systematic Review and Meta-Analysis. In ONCOLOGY (United States), 102. 343–353. UBM Medica Healthcare Publications. https://doi.org/10.1159/000533690
Sun, X., Zhang, J., Wang, Y., Zhang, X., Li, S., Qu, Z., & Zhang, H. (2023). the Impact of Humor Therapy on People Suffering from Depression or Anxiety: An Integrative Literature Review. In Brain and Behavior, 13(9), 1–24. John Wiley and Sons Ltd. https://doi.org/10.1002/brb3.3108
Trkulja, V., & Barić, H. (2020). Current research on complementary and alternative medicine (CAM) in the treatment of anxiety disorders: an evidence-based review. Anxiety Disorders: rethinking and understanding recent discoveries, 415-449.https://link.springer.com/chapter/10.1007/978-981-32-9705-0_22
Ye, W., Wang, L., Wang, Y., Wang, C., & Zeng, J. (2022). Depression and Anxiety Symptoms Among Patients Receiving Maintenance Hemodialysis: A Single Center Cross-Sectional Study. BMC Nephrology, 23(1), 417. https://doi.org/10.1186/s12882-022-03051-8
Published
2024-11-30
Section
Articles
Copyright (c) 2024 Dewiyanti Toding, Isnah Ariyanti, Nirmala Bakri, Reflin Mahmud, Husnul Khotimah
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
