.: ORİJİNAL ARAŞTIRMA
Effect of Laughter Yoga on Anxiety, Depression and Physiological Parameters in Nursing Students During the COVID-19 Pandemic: A Randomized Controlled Study
COVID-19 Pandemisi Sırasında Kahkaha Yogasının Hemşirelik Öğrencilerinde Anksiyete, Depresyon ve Fizyolojik Parametreler Üzerine Etkisi: Randomize Kontrollü Bir Çalışma
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1104-13
doi: 10.5336/nurses.2023-98713
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: This study was conducted to determine the effects of laughter yoga (LY) on anxiety, depression and physiological parameters (heart rate, blood pressure and oxygen saturation measurements) in first-grade nursing students during the coronavirus disease-2019 (COVID-19) pandemic. Material and Methods: This randomized controlled study was conducted with 79 first-year nursing students studying at a state university in Türkiye who agreed to participate in the study. Students were randomly assigned to the intervention (n=39) and control (n=40) groups, and LY was applied to the intervention group. Data were collected by measuring Beck Depression Inventory, State-Trait Anxiety Inventory I-II and physiological parameters (blood pressure, pulse and oxygen saturation measurements). Data analysis was done with Mann-Whitney U and Wilcoxon sign tests. Results: State-Trait Anxiety Inventory I (z=-3.05, p=0.002) and II (z=-0.293, p=0.049) score averages were found to be lower in the intervention group after LY compared to the pre-intervention group (p<0.05). It was found that the mean pulse rate (z=-2.7, p=0.006) and oxygen saturation (z=-3.9, p=0.0001) scores after LY in the intervention group were higher than before the intervention (p<0.05). Conclusion: In this study, LY was found to be effective in reducing anxiety, increasing heart rate and oxygen saturation, but not in depression and blood pressure. It is recommended that LY be integrated into the nursing education process in order to reduce the anxiety levels of university students and improve their physical health, even if there is no COVID19 epidemic.
Keywords: Laughter yoga; nursing student; anxiety; depression; physiological parameters
Objective: This study was conducted to determine the effects of laughter yoga (LY) on anxiety, depression and physiological parameters (heart rate, blood pressure and oxygen saturation measurements) in first-grade nursing students during the coronavirus disease-2019 (COVID-19) pandemic. Material and Methods: This randomized controlled study was conducted with 79 first-year nursing students studying at a state university in Türkiye who agreed to participate in the study. Students were randomly assigned to the intervention (n=39) and control (n=40) groups, and LY was applied to the intervention group. Data were collected by measuring Beck Depression Inventory, State-Trait Anxiety Inventory I-II and physiological parameters (blood pressure, pulse and oxygen saturation measurements). Data analysis was done with Mann-Whitney U and Wilcoxon sign tests. Results: State-Trait Anxiety Inventory I (z=-3.05, p=0.002) and II (z=-0.293, p=0.049) score averages were found to be lower in the intervention group after LY compared to the pre-intervention group (p<0.05). It was found that the mean pulse rate (z=-2.7, p=0.006) and oxygen saturation (z=-3.9, p=0.0001) scores after LY in the intervention group were higher than before the intervention (p<0.05). Conclusion: In this study, LY was found to be effective in reducing anxiety, increasing heart rate and oxygen saturation, but not in depression and blood pressure. It is recommended that LY be integrated into the nursing education process in order to reduce the anxiety levels of university students and improve their physical health, even if there is no COVID19 epidemic.
Keywords: Laughter yoga; nursing student; anxiety; depression; physiological parameters
ÖZET
Amaç: Bu çalışma, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19] pandemisi sürecinde kahkaha yogasının birinci sınıf hemşirelik öğrencilerinde anksiyete, depresyon ve fizyolojik parametreler (kan basıncı, nabız hızı ve oksijen saturasyon ölçümleri) üzerindeki etkilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu randomize kontrollü çalışma, Türkiye'de bir kamu üniversitesinde öğrenim gören ve araştırmaya katılmayı kabul eden 79 birinci sınıf hemşirelik öğrencisi ile yürütülmüştür. Öğrenciler, müdahale (n=39) ve kontrol (n=40) gruplarına rastgele atanmış olup, müdahale grubuna kahkaha yogası uygulanmıştır. Araştırma verileri, Beck Depresyon Ölçeği, Durumluk-Sürekli Kaygı Ölçeği I-II ve fizyolojik parametrelerin (kan basıncı, nabız ve oksijen saturasyon ölçümleri) ölçümü ile toplanmıştır. Verilerin analizi, Mann-Whitney U ve Wilcoxon işaretli sıra testi ile yapılmıştır. Bulgular: Kahkaha yogası sonrası müdahale grubunda Durumluk-Sürekli Kaygı Ölçeği I (z=-3,05, p=0,002) ve II (z=-0,293, p=0,049) puan ortalamalarının müdahale öncesine göre daha düşük olduğu belirlendi (p<0,05). Müdahale grubunda kahkaha yogası sonrası nabız hızı (z=-2,7, p=0,006) ve oksijen saturasyon (z=- 3,9, p=0,0001) puan ortalamalarının müdahale öncesine göre daha yüksek olduğu bulundu (p<0,05). Sonuç: Bu çalışmada, kahkaha yogasının kaygıyı azaltma, kalp atış hızını ve oksijen saturasyonunu artırmada etkili olduğu ancak depresyon ve tansiyon için etkili olmadığı bulunmuştur. Kahkaha yogasının COVID-19 salgını olmasa bile üniversite öğrencilerinin kaygı düzeylerini azaltmak ve fiziksel sağlıklarını iyileştirmek için hemşirelik eğitim sürecine entegre edilmesi önerilmektedir.
Anahtar Kelimeler: Kahkaha yogası; hemşirelik öğrencisi; endişe; depresyon; fizyolojik parametreler
Amaç: Bu çalışma, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19] pandemisi sürecinde kahkaha yogasının birinci sınıf hemşirelik öğrencilerinde anksiyete, depresyon ve fizyolojik parametreler (kan basıncı, nabız hızı ve oksijen saturasyon ölçümleri) üzerindeki etkilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu randomize kontrollü çalışma, Türkiye'de bir kamu üniversitesinde öğrenim gören ve araştırmaya katılmayı kabul eden 79 birinci sınıf hemşirelik öğrencisi ile yürütülmüştür. Öğrenciler, müdahale (n=39) ve kontrol (n=40) gruplarına rastgele atanmış olup, müdahale grubuna kahkaha yogası uygulanmıştır. Araştırma verileri, Beck Depresyon Ölçeği, Durumluk-Sürekli Kaygı Ölçeği I-II ve fizyolojik parametrelerin (kan basıncı, nabız ve oksijen saturasyon ölçümleri) ölçümü ile toplanmıştır. Verilerin analizi, Mann-Whitney U ve Wilcoxon işaretli sıra testi ile yapılmıştır. Bulgular: Kahkaha yogası sonrası müdahale grubunda Durumluk-Sürekli Kaygı Ölçeği I (z=-3,05, p=0,002) ve II (z=-0,293, p=0,049) puan ortalamalarının müdahale öncesine göre daha düşük olduğu belirlendi (p<0,05). Müdahale grubunda kahkaha yogası sonrası nabız hızı (z=-2,7, p=0,006) ve oksijen saturasyon (z=- 3,9, p=0,0001) puan ortalamalarının müdahale öncesine göre daha yüksek olduğu bulundu (p<0,05). Sonuç: Bu çalışmada, kahkaha yogasının kaygıyı azaltma, kalp atış hızını ve oksijen saturasyonunu artırmada etkili olduğu ancak depresyon ve tansiyon için etkili olmadığı bulunmuştur. Kahkaha yogasının COVID-19 salgını olmasa bile üniversite öğrencilerinin kaygı düzeylerini azaltmak ve fiziksel sağlıklarını iyileştirmek için hemşirelik eğitim sürecine entegre edilmesi önerilmektedir.
Anahtar Kelimeler: Kahkaha yogası; hemşirelik öğrencisi; endişe; depresyon; fizyolojik parametreler
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