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Effects of a laughter therapy on depression, anxiety, fatigue and quality of sleep in gastrointestinal cancer patients post-treatment: a randomized controlled trial

Journal of Korean Biological Nursing Science 2019년 21권 3호 p.188 ~ 198
박세연 ( Park Se-Yeon ) - 서울대학교병원 간호부문

이임선 ( Lee Yim-Sun ) - 명지대학교 사회교육대학원
정현훈 ( Chung Hyun-Hoon ) - 서울대학교 의과대학 산부인과학교실
최스미 ( Choi-Kwon Smi ) - 서울대학교 간호대학


Purpose: The purpose of this study was to examine the effect of laughter therapy on depression, anxiety, fatigue, and quality of sleep in gastrointestinal cancer survivors.

Methods: This study was a randomized controlled trial. We compared the effect of laughter therapy with usual care only in post chemotherapy gastrointestinal patients. Outcomes included changes in depression and anxiety (according to the Hospital Anxiety and Depression Scale), fatigue (according to the Fatigue Severity Scale), and quality of sleep (according to the Verran & Synder-Halpern Sleep Scale). Data was collected July 2015 through January 2016. Seventy nine participants who agreed to participate in this study were randomized to either the experimental group (n=40) or the control group (n=39). Therapy included eight sessions (60 minutes each, once weekly). Data were analyzed using the Windows SPSS 22.0 program.

Results: Laughter therapy was effective in reducing fatigue (p=.019) and increasing satisfaction of sleep (p=.030). There were no differences between the groups after therapy for depression (p=.129) and anxiety (p=.200).

Conclusion: Results of this study indicate that laughter therapy may be an effective nursing intervention for improving the health status of gastrointestinal cancer survivors after chemotherapy.


웃음치료; 피로; 수면; 우울; 불안
Laughter therapy; Fatigue; Sleep; Depression; Anxiety
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