IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i16p10191-d890328.html
   My bibliography  Save this article

Effects of Simulated Laughter Therapy Using a Breathing Exercise: A Study on Hospitalized Pulmonary Tuberculosis Patients

Author

Listed:
  • Kwang-Sim Jang

    (Jeon-Nam-Seobu Workers Health Center, Youngam-gun 58454, Korea)

  • Jeong-Eun Oh

    (Mokpo National Hospital, Mokpo 58605, Korea)

  • Gyeong-Suk Jeon

    (Department of Nursing, Division of Natural Science, Mokpo National University, Muan-gun 58534, Korea)

Abstract

This study evaluated the effects of simulated laughter therapy on physical symptoms, pulmonary function, depression, and health-related quality of life (HRQOL) among pulmonary tuberculosis patients. This quasi-experimental study assigned tuberculosis patients of hospital A to a laughter group ( n = 26) and those of hospital B to a control group ( n = 26). The eight-week laughter therapy, held twice a week in a 60-min group session, included laughter, entertainment, music-related chorusing, breathing exercises, and meditation. The values of physical symptoms, pulmonary function, depression, and HRQOL from before and after the therapy were analyzed using the paired t -test and the Mann–Whitney U-test. To verify group differences between the experiment and control group, the Wilcoxon signed-rank test and the analysis of covariance (ANCOVA) were employed. Unlike the control group, laughter therapy decreased physical symptoms (t = 7.30, p < 0.01) and increased pulmonary function (t = −3.77, p < 0.01). Psychological health also improved, including depression (t = 10.46, p < 0.01) and HRQOL (t = −9.31, p < 0.01) in the experimental group but not in the control group. Group differences of changes in physical symptoms, pulmonary function, depression, and HRQOL were also significant. Simulated laughter therapy can help moderate depression and physical symptoms and enhance pulmonary function among tuberculosis patients.

Suggested Citation

  • Kwang-Sim Jang & Jeong-Eun Oh & Gyeong-Suk Jeon, 2022. "Effects of Simulated Laughter Therapy Using a Breathing Exercise: A Study on Hospitalized Pulmonary Tuberculosis Patients," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10191-:d:890328
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/16/10191/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/16/10191/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Narges Alipanah & Leah Jarlsberg & Cecily Miller & Nguyen Nhat Linh & Dennis Falzon & Ernesto Jaramillo & Payam Nahid, 2018. "Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies," PLOS Medicine, Public Library of Science, vol. 15(7), pages 1-44, July.
    2. van der Wal, C. Natalie & Kok, Robin N., 2019. "Laughter-inducing therapies: Systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 232(C), pages 473-488.
    3. Rajeswari, R. & Muniyandi, M. & Balasubramanian, R. & Narayanan, P.R., 2005. "Perceptions of tuberculosis patients about their physical, mental and social well-being: a field report from south India," Social Science & Medicine, Elsevier, vol. 60(8), pages 1845-1853, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jonathan Salcedo & Monica Rosales & Jeniffer S Kim & Daisy Nuno & Sze-chuan Suen & Alicia H Chang, 2021. "Cost-effectiveness of artificial intelligence monitoring for active tuberculosis treatment: A modeling study," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-15, July.
    2. Jose M. León-Pérez & Francisco J. Cantero-Sánchez & Ángela Fernández-Canseco & José M. León-Rubio, 2021. "Effectiveness of a Humor-Based Training for Reducing Employees’ Distress," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    3. K. A. T. M. Ehsanul Huq & Michiko Moriyama & David Krause & Habiba Shirin & John Koku Awoonor-Willaims & Mahfuzur Rahman & Md Moshiur Rahman, 2022. "Perceptions, Attitudes, Experiences and Opinions of Tuberculosis Associated Stigma: A Qualitative Study of the Perspectives among the Bolgatanga Municipality People of Ghana," IJERPH, MDPI, vol. 19(22), pages 1-19, November.
    4. Ninfa Marlen Chaves Torres & Jecxy Julieth Quijano Rodríguez & Pablo Sebastián Porras Andrade & María Belen Arriaga & Eduardo Martins Netto, 2019. "Factors predictive of the success of tuberculosis treatment: A systematic review with meta-analysis," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-24, December.
    5. Ryuichi Ohta & Megumi Nishida & Nobuyasu Okuda & Chiaki Sano, 2021. "The Smiles of Older People through Recreational Activities: Relationship between Smiles and Joy," IJERPH, MDPI, vol. 18(4), pages 1-8, February.
    6. Kim, Min Kyong & Bhattacharya, Jayanta & Bhattacharya, Joydeep, 2024. "Is income inequality linked to infectious disease prevalence? A hypothesis-generating study using tuberculosis," Social Science & Medicine, Elsevier, vol. 345(C).
    7. Alan Collins, 2024. "Joke economics: the low profile of comedy in the economics of arts and culture," Journal of Cultural Economics, Springer;The Association for Cultural Economics International, vol. 48(3), pages 339-346, September.
    8. Mahalingam Vasantha & Malaisamy Muniyandi & Chinnaiyan Ponnuraja & Ramalingam Srinivasan & Perumal Venkatesan, 2021. "Bayesian structural equation modeling for post treatment health related quality of life among tuberculosis patients," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-10, May.
    9. Brian McKay & Maria Castellanos & Mark Ebell & Christopher C Whalen & Andreas Handel, 2019. "An attempt to reproduce a previous meta-analysis and a new analysis regarding the impact of directly observed therapy on tuberculosis treatment outcomes," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    10. Natasha C H Ting & Nicole El-Turk & Michael S H Chou & Claudia C Dobler, 2020. "Patient-perceived treatment burden of tuberculosis treatment," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-13, October.
    11. Seup Park & Narae Moon & Byungkwon Oh & Miyeon Park & Kilho Kang & Ilham Sentissi & Sung-Heui Bae, 2021. "Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    12. Paulo Ruiz-Grosso & Rodrigo Cachay & Adriana de la Flor & Alvaro Schwalb & Cesar Ugarte-Gil, 2020. "Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-13, January.
    13. Abdullah A. Saati & Muhammad Khurram & Hani Faidah & Abdul Haseeb & Marcello Iriti, 2021. "A Saudi Arabian Public Health Perspective of Tuberculosis," IJERPH, MDPI, vol. 18(19), pages 1-37, September.
    14. Sewele Makgopa & Lindiwe P. Cele & Mathildah M. Mokgatle, 2022. "Pre-Diagnosis Health Seeking Behaviors and Experiences Post-Diagnosis, among Men Diagnosed with Tuberculosis in a District of Gauteng Metropolitan City, South Africa: In-Depth Interviews," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    15. Seyla De Francisco & Cristina Torres & Sandra De Andrés & Ana Millet & M. Teresa Ricart & Elvira Hernández-Martínez-Esparza & Mercedes Abades & Joan Trujols, 2019. "Effectiveness of Integrative Laughter Therapy to Reduce Anxiety, Improve Self-Esteem and Increase Happiness: A Naturalistic Study at a Day Hospital for Addictive Disorders," IJERPH, MDPI, vol. 16(21), pages 1-10, October.
    16. Kirubel Manyazewal Mussie & Solomon Abebe Yimer & Tsegahun Manyazewal & Christoph Gradmann, 2019. "Exploring local realities: Perceptions and experiences of healthcare workers on the management and control of drug-resistant tuberculosis in Addis Ababa, Ethiopia," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-16, November.
    17. Sebsibe Tadesse, 2016. "Stigma against Tuberculosis Patients in Addis Ababa, Ethiopia," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-11, April.
    18. Seup Park & Ilham Sentissi & Seung Jae Gil & Won-Seok Park & ByungKwon Oh & Ah Reum Son & Young Ju Kong & Sol Park & Eunseong Paek & Yong Joon Park & Seung Heon Lee, 2019. "Medication Event Monitoring System for Infectious Tuberculosis Treatment in Morocco: A Retrospective Cohort Study," IJERPH, MDPI, vol. 16(3), pages 1-9, January.
    19. Julia S Louw & Musawenkosi Mabaso & Karl Peltzer, 2016. "Change in Health-Related Quality of Life among Pulmonary Tuberculosis Patients at Primary Health Care Settings in South Africa: A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-13, May.
    20. Melese Yeshambaw Teferi & Ziad El-Khatib & Minyahil Tadesse Boltena & Azeb Tarekegn Andualem & Benedict Oppong Asamoah & Mulatu Biru & Hawult Taye Adane, 2021. "Tuberculosis Treatment Outcome and Predictors in Africa: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(20), pages 1-15, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10191-:d:890328. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.