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- MakaleAçık Erişim2025Scopus SJRQ1The effect of laughter yoga on disease acceptance, treatment adherence and comfort in hemodialysis patients: A randomized controlled study
BAL, Betül; KÖROĞLU-KABA, Nagihan; ÖZTÜRK, Havva; KURT, Yeter; ÖZSABAN, Aysel
The aim of this study was to determine the effect of laughter yoga on hemodialysis patients' disease acceptance, treatment adherence and comfort levels. This randomized controlled study was conducted with 42 patients (experimental group=21, control group=21) who were treated in the hemodialysis unit. Hemodialysis patients in the experimental group received 12 sessions of laughter yoga for four weeks, three days a week. Data were collected using Patient Information Form, Disease Acceptance Scale, End-Stage Renal Disease Adherence Questionnaire, and Hemodialysis Comfort Scale. A significant difference was found between the disease acceptance scale (t(41) = 4.39, p < 0.001, d = 1.364), end-stage renal failure adaptation scale (t(41) = 2.69, p = 0.010, d = 0.830) and hemodialysis comfort scale (t(41) = 5.58, p = 0.010, d = 1.710) of hemodialysis patients who underwent laughter yoga. In addition for the Disease Acceptance Scale, the SD of the pre-test scores was 7.51. Accordingly, the MCID thresholds were calculated as 3.75 (0.5 SD), 3.11 (1 SEM), and 6.09 (1.96 SEM). For the End-Stage Renal Disease Adherence Questionnaire, the SD was 178.79, and the MCID was calculated as 89.40 (0.5 SD), 63.47 (1 SEM), and 124.39 (1.96 SEM). For the Hemodialysis Comfort Scale, the SD was 6.43, resulting in MCID estimates of 3.21 (0.5 SD), 2.01 (1 SEM), and 3.94 (1.96 SEM). Laughter yoga practiced during hemodialysis increased acceptance of the disease, adherence to treatment, and comfort (p < 0.05). In contrast, no statistically significant difference was found in the control group (p > 0.05). Increasing hemodialysis patients' acceptance of the disease, adherence to treatment, and comfort levels ensure the successful continuation of the disease management process. The practice of laughter yoga in clinics during hemodialysis sessions is recommended to increase disease acceptance, adherence to treatment and comfort levels.
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- MakaleYalnız künye2025Scopus SJRQ3The Effects of Laughter Yoga and Mindfulness on Nurses' Fatigue, Work Performance and Attention Levels: A Randomized Controlled Study
Koroglu Kaba, Nagihan; Ozturk, Havva
PURPOSE: This study aimed to determine the effects of laughter yoga and mindfulness on nurses' fatigue, attention levels, and work performance. METHODS: This was a 3-arm, parallel-group, randomized controlled study. Data were collected using the Information Form containing questions about nurses' demographic and professional characteristics, the Chalder Fatigue Scale, the Computerized Sustained Attention Test, and the Individual Work Performance Questionnaire. Nurses completed the tools preintervention, midtest, and postintervention. RESULTS: The study included 101 nurses. At the end of the eight-week interventions, fatigue levels among nurses in the laughter yoga and mindfulness groups were lower compared with the control group (F = 8.805, P < .001). In terms of attention levels, there was no overall difference between the groups; however, in the fourth week only, the hard-level attention scores of the laughter yoga group were higher than those of the control group (F = 5.431, P < .05). Additionally, job performance scores were higher in both intervention groups compared with the control group (F = 9.879, P < .01). Moreover, laughter yoga was more effective than the mindfulness practice in reducing nurses' fatigue and improving their attention levels (P < .05). CONCLUSIONS: Laughter yoga and mindfulness were effective in reducing nurses' fatigue and improving their attention levels and work performance.
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