DOI QR코드

DOI QR Code

웃음요법이 입원 노인 환자의 통증, 우울 및 수면에 미치는 영향

Effect of Laugher Therapy on Pain, Depression and Sleep with Elderly Patients in Long Term Care Facility

  • 이경임 (경상대학교 대학원) ;
  • 은영 (경상대학교 간호대학, 건강과학연구원 노인건강연구센터)
  • Lee, Kyeong-Im (Graduate School, Gyeong-Sang National University) ;
  • Eun, Young (College of Nursing, Gyeong-Sang National University, Gyeongsang Institue of Health Sciences, Gerontological Health Research Center)
  • 투고 : 2011.03.02
  • 심사 : 2011.05.03
  • 발행 : 2011.05.31

초록

Purpose: This paper was aimed to investigate the effect of laugher therapy on the pain, depression and sleep disturbance in elderly patients who admitted in long term care facility. Method: This study used a nonequivalent control group pretest-posttest design. A sample of 40 elderly patients (20: experimental group, 20: control group, 65 or older) were recruited. Visual analogue scale was used to measure level of pain level, Geriatric Depression Scale Short Form Korea Version (GDSSF-K) for depression. Sleep Scale for sleep. The laugher therapy was given twice a week for four weeks (8 times). Each therapy consists of preparatory, action and finishing stage. Data were analyzed by PASW 18.0. Results: The pain score in experimental group was significantly different from that in control group (t=4.17, p<.001). The level of depression in experimental group was significantly different from that in control group (Z=4.12, p<.000). The level of sleep in experimental group was not significantly different from that in control group (Z=-1.43, p<.152). Conclusion: A laugher therapy is expected to be practical used an efficient method of a nursing intervention to elderly patients in long term care facility.

키워드

참고문헌

  1. Almeida, O. P., & Pfaff, J. J. (2005). Sleep complaints among older general practice patients: association with depression. Birtish Journal of General Practice, 55, 864-866.
  2. Baik, Y. A., & Song, M. S. (2000). Sleep disturbing factors and the relative significance in sleep of hospitalized elderly patients, Journal of Korean Gerontological Nursing, 2(1), 35-47.
  3. Cho, E. H., Chun, J. H., & Lee, S. W. (2000), A Model for the factors affecting depression in the elerly with chronic disease, Journal of the Korean Geriatric Society, 4(3), 148-163.
  4. Cho, M. J., Ha, Y. S., Han, K. J., Park, S. A., Song, M. S., Kim, Y. I., et al. (1999). Depressive symptoms in korean rural sample, Journal of the Korean Neuropsychiatric Association, 38(2), 266- 277.
  5. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  6. Fry, W. (1979). Mirth and the human cardiovascular system, In H. Mindess & J. Turek (Eds.), The study of Humor. Santa Barbara, CA: Antioch University Press.
  7. Garner, M., Collins. A., Dunphy. S., Bullock, P., & Wright, D. (2004). Study confirms belief that laughter is the best medicine. Association of Operating Room Nures Journal, 80(2), 241.
  8. Health Insurance Review & Assessment Service, (2010), Health Insurance Review Record, http://www.hira.or.kr/cms/rd/rdi_statistics/morgue/1204376_9014.html
  9. Heo, E. H. (2007). Effect of laughter on mood, stress response and health-related quality of life among hemodialysis patients, Unpublished master's thesis, CHA University, Pochon.
  10. Hogstel, M .O. (1995). Geropsychiatric Nursing, St.Louis: The C.V. Mosby Com.
  11. Hong, M. S. (2004). A study of nursing research on music therapy for elderly in korea, Journal of Gerontological Nursing, 6(2), 243-256.
  12. Hong, S. H., & Kim, S. Y. (2009). Effects of sleep promoting program on sleep and immune response in elderly, Journal of Korean Academic of Adult Nursing, 21(2), 167-178.
  13. International Association for the Study of Pain (2003), IASP pain terminology: Retrieved March 15, 2004, from International Association of the Study of the Pain website, http://www.iasp-pain.org/terms-p.html
  14. Jo, O. S. (2010). A study on sleep quality and geriatric depression in the elderly between hospital and senior welfare center, Unpublished master's thesis, Soonchunhyang University, Asan.
  15. Jung, H. W. Youn, C. H., Cho, N. R., Lee, M. K., & Lee, J. B. (2009). The effect of laughter therapy on sleep in the community-dwelling elderly, Journal of the Korean Academy of Family Medicine, 30(7), 511-518. https://doi.org/10.4082/kjfm.2009.30.7.511
  16. Jung, Y. (2009). Effects of music based group reminiscence program on interperesonal relationships, self-esteem, and depression, Clinical Nursing Research, 15(3), 75-84.
  17. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-korea version. Journal of Korean Neuropsychiatry Association 35(2), 298-307.
  18. Kim, J. H. (2008). Chronic pain assessment and treatment in the elderly, Korean Journal of Clinical Geriatrics, 9(2), 225-232.
  19. Kim, J. I., Lee, K. J., Kim, S. I., & Min, S. H. (2007). Effects of BeHaS exercise program on pain, balance and fall efficacy in elderly with osteoarthritis. Journal of Korean Academy of Fundamental Nursing, 14(2), 181-188.
  20. Kim, S. H., Kim, Y. H., Kim, H. J., Lee, S. H., & Yu, S. O. (2009). The effect of laughter therapy on depression, anxiety, and stress in patients with breast cancer undergoing radiotherapy. Journal of Korean Oncology Nursing, 9(2), 155-162.
  21. Kim, S. M. (2002). Factors affecting life satisfaction of elerly, Unpublished master's thesis, Yonsei University, Seoul.
  22. Kim, S. Y. (1999). The effect of group reminiscence therapy on pain, depression, and self-esteem, of the elderly, Journal of Korean Academic of Adult Nursing, 11(1), 50-62.
  23. Kim, Y. R., & Kim, Y. J. (2009). The effect of group art therapy on relieving depression of the elderly stroke patients. Journal of Korean Association of Family Relations, 14(3), 213-237.
  24. Ko, H. J. (2009), The effects of laughter therapy on depression and cognition in a community for the aged, Unpublished master's thesis, Kyungbook National University, Daegu.
  25. Lee, K. J., Kwon, M. S., & Kim, S. H. (2004). Health status evaluation of residents of a speciallized hospital for elders, Journal of Korean Gerontological Nursing, 6(2), 147-155.
  26. Lee, S. Y. (2005). The effect of lavender aromatherapy on cognitive function, emotions, & aggressive behavior of elderly with dementia, Journal of Korean Academy of Nursing, 35(2), 303-312. https://doi.org/10.4040/jkan.2005.35.2.303
  27. Ministry of Health and Welfare, (2009). 2008 Actual Condition Survey of Elderly (11-1351000-000316-12), Seoul: Ministry of Health and Welfare.
  28. Oh, J. J., Song, M. S., & Kim, S. M. (1998). Development and validation of korean sleep scale, Journal of Korean Academy of Nursing, 28(3), 563-572. https://doi.org/10.4040/jkan.1998.28.3.563
  29. Rhy, J G., (2006). A study on factors in selecting recuperation hospital of aging society. Journal of Marketing Management, 11(2), 101-130.
  30. Sung, M. S., Jang, H. J., Nam, H. R., & Shin, D. S. (2009), Intervention review for women with knee pain, Korean Academic Society of Women Healthh Nursing, 10(2), 37-57.
  31. Sunwoo, D., (2008). A study research trends and development process of health policy for the elderly, Journal of Korea Gerontological Society, 28(4), 773-784.
  32. Takeda, M., Hashimoto, M., Kudo, T., Okochi, T., Tagami, S., Morihara, T., Sadick, G., & Tanaka, T., (2010). Laughter and humor as complementary and alternative medicines for dementia patients, BMC Complementary and Alternative Medicine, 10:28 http://www.biomedcentral.com/1472-6882/10/28 https://doi.org/10.1186/1472-6882-10-28
  33. Yang, M. S. (2008). The effects of laughter therapy on pain and state anxiety of spinal surgery patients, Unpublished master's thesis, Chonbuk National University, JunJu.
  34. Yu, J. A. & Kim, K. S. (2009). Effects of laughter therapy on stress response and pain of military personnel with low back pain in hospital, Journal of Muscle and Joint Health, 16(1), 36-45.

피인용 문헌

  1. Effect of Perceived Health Status, Sleep and Depression on Quality of Life of Elderly School Participants vol.19, pp.3, 2012, https://doi.org/10.5953/JMJH.2012.19.3.329
  2. Effects of the Laughter Therapy on Blood Pressure, Depression and Quality of life in Rural Elderly Women vol.14, pp.4, 2013, https://doi.org/10.5762/KAIS.2013.14.4.1810
  3. Effects of Laughter Therapy on Depression in elderly vol.12, pp.6, 2014, https://doi.org/10.14400/JDC.2014.12.6.501
  4. The Effect of Laughter Therapy on Arthralgia, Ankylosis, Depression, and Sleep of Elderly Housebound Women with Osteoarthritis vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.123
  5. Effects of Laughter Therapy on Immune Responses in Postpartum Women vol.21, pp.12, 2015, https://doi.org/10.1089/acm.2015.0053
  6. Effects of Hand Massage on Depression, Self-esteem and Vitality of the Elderly Patients in Convalescent Hospital vol.22, pp.2, 2016, https://doi.org/10.5977/jkasne.2016.22.2.202
  7. The relationship between sense of humor, stress and depression in the nursing students vol.27, pp.4, 2016, https://doi.org/10.7465/jkdi.2016.27.4.1035
  8. The effect of laughter therapy on the quality of life of nursing home residents vol.26, pp.21-22, 2017, https://doi.org/10.1111/jocn.13687
  9. Effects of Visiting Laughter Therapy on Depression and Insomnia among the Vulnerable Elderly vol.24, pp.2, 2013, https://doi.org/10.12799/jkachn.2013.24.2.205
  10. The Effects of Laughter Therapy on Mood State and Self-Esteem in Cancer Patients Undergoing Radiation Therapy: A Randomized Controlled Trial vol.21, pp.4, 2015, https://doi.org/10.1089/acm.2014.0152
  11. Effects of Laughter Therapy on Depression and Sleep among Patients at Long-term Care Hospitals vol.29, pp.5, 2017, https://doi.org/10.7475/kjan.2017.29.5.560