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1 "Ji-Soo Lee"
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Original Article
The Effects of Laughter Therapy for the Relief of Employment-Stress in Korean Student Nurses by Assessing Psychological Stress Salivary Cortisol and Subjective Happiness
Ji-Soo Lee, Soo-Kyoung Lee
Osong Public Health Res Perspect. 2020;11(1):44-52.   Published online February 28, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.1.07
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  • 13 Web of Science
  • 17 Crossref
AbstractAbstract PDF
Objectives

Korean student nurses may be exposed to stress caused by their future employment (employment stress). The aim of this study was to investigate the effects of a Laughter Program on psychological stress, by assessing salivary cortisol and the subjective happiness of student nurses in order to relieve employment stress.

Methods

A quasi-experimental, non-equivalent, control-group, and pre-test/post-test was conducted in 4th year student nurses (n = 48) from 2 universities in Korea at a time when participants’ final exams and job searches were simultaneously occurring. Physiological stress (salivary cortisol), and psychological stress measured using modified Cornell Medical Index questionnaire and the Subjective Happiness Scale were used to determine the effects of the program.

Results

The results of the study showed that the Laughter Program was effective in relieving employment stress and increasing the subjective well-being of student nurses. Psychological stress (p < 0.001), salivary cortisol levels (p < 0.001), and subjective happiness (p < 0.001) were statistically significantly improved after the intervention compared with before the Laughter Program.

Conclusion

This study is an effective evidence-based intervention to reduce student nurses employment stress and improve subjective happiness.

Citations

Citations to this article as recorded by  
  • The effect of laughter yoga on stress and anxiety of nursing students: A systematic review
    Amir Mohamad Nazari, Mohammad Javad Ghazanfari, Amir Emami Zeydi, Akbar Zare-Kaseb
    Teaching and Learning in Nursing.2024;[Epub]     CrossRef
  • The Effects of Laughter Yoga on Happiness and Stress in Nursing Students Going into Clinical Practice for the First Time
    Betul Bal, Canan Demirci, Gamze Gulsum Kilicli
    Journal of Holistic Nursing.2024;[Epub]     CrossRef
  • Effectiveness of stress management interventions for nursing students: A systematic review and meta‐analysis
    Xuan Ji, Xiaoyan Guo, Kim Lam Soh, Salimah Japar, Liping He
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: A randomized controlled study
    Safiye Ağapınar Şahin, Mine Bekar
    Health Care for Women International.2023; 44(6): 782.     CrossRef
  • Why Laughing Heals? A Review on the Use of Humor in Therapy
    Selda KANBUR, Şule BAŞTEMUR
    Psikiyatride Güncel Yaklaşımlar.2023; 15(3): 477.     CrossRef
  • The effect of laughter yoga applied before simulation training on state anxiety, perceived stress levels, self-confidence and satisfaction in undergraduate nursing students: A pragmatic randomized controlled trial
    Ayşe Arıkan Dönmez, Nilgün Kuru Alıcı, Sevgisun Kapucu, Melih Elçin
    Nurse Education in Practice.2023; 70: 103636.     CrossRef
  • Laughter as medicine: A systematic review and meta-analysis of interventional studies evaluating the impact of spontaneous laughter on cortisol levels
    Caroline Kaercher Kramer, Cristiane Bauermann Leitao, Fares Alahdab
    PLOS ONE.2023; 18(5): e0286260.     CrossRef
  • The Effect of Laughter Therapy on Perceived Stress and Quality of Life in Persons with Schizophrenia: A Mixed Method Pilot Study
    Ayşe Gül Yavaş Ayhan, Fatma Özlem Öztürk
    Issues in Mental Health Nursing.2023; 44(11): 1150.     CrossRef
  • Effects of laughter therapy on the stress response of married immigrant women in South Korea: A randomized controlled trial
    Yejung Ko, Eun-suk Lee, Sihyun Park
    Health Care for Women International.2022; 43(5): 518.     CrossRef
  • Ebelik Uygulamalarına Tamamlayıcı Bir Yaklaşım: Duygu Dilinin Evrensel İfadesi, Kahkaha Yogası
    Safiye AĞAPINAR ŞAHİN, Mine BEKAR
    Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp.2022; 12(1): 49.     CrossRef
  • The effect of laughter therapy on nursing students' anxiety, satisfaction with life, and psychological well-being during the COVID-19 pandemic: Randomized controlled study
    Canan Eraydin, Sule Ecevit Alpar
    Advances in Integrative Medicine.2022; 9(3): 173.     CrossRef
  • The impact of national music activities on improving long-term care for happiness of elderly people
    Xiaona Zhao, Na Qi, Huizhen Long, Sen Yang
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • The Effect of Laughter Therapy on Physical and Mental Health: Systematic Review
    Elif ÜNER, Ayşe SEZER BALCI, Hasibe KADIOĞLU
    Halk Sağlığı Hemşireliği Dergisi.2022; 4(3): 251.     CrossRef
  • Psychological stress factors and salivary cortisol in nursing students throughout their training
    Sandra Soares Mendes, Milva Maria Figueiredo De Martino, Filipy Borghi, Camila Maiara Rocha-Teles, Aglecio Luiz de Souza, Dora Maria Grassi-Kassisse
    Revista da Escola de Enfermagem da USP.2022;[Epub]     CrossRef
  • Fatores de estresse psicológico e cortisol salivar em alunos de enfermagem ao longo da formação
    Sandra Soares Mendes, Milva Maria Figueiredo De Martino, Filipy Borghi, Camila Maiara Rocha-Teles, Aglecio Luiz de Souza, Dora Maria Grassi-Kassisse
    Revista da Escola de Enfermagem da USP.2022;[Epub]     CrossRef
  • Effect of laughter yoga on mental symptoms and salivary cortisol levels in first‐year nursing students: A randomized controlled trial
    Fatma Ozlem Ozturk, Ayfer Tezel
    International Journal of Nursing Practice.2021;[Epub]     CrossRef
  • Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials
    Michael Zhang, Brittany Murphy, Abegail Cabanilla, Christina Yidi
    Journal of Occupational Health.2021;[Epub]     CrossRef

PHRP : Osong Public Health and Research Perspectives