The effect of humor on anxiety in patients receiving hemodialysis: An open-label, randomized trial

IF 0.8 Q4 NURSING Nursing and Midwifery Studies Pub Date : 2022-04-01 DOI:10.4103/nms.nms_130_21
F. Borzoee, M. Rad, Arezoo Motlagh Quchan, Z. Tabrizi, N. Heshmatifar, Sedighe Rastaghi, M. Sahebkar
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Abstract

Background: Patients receiving hemodialysis experience high levels of anxiety and stress. Objectives: This study aimed to examine the effect of humor on anxiety in patients receiving hemodialysis. Methods: This open-label, randomized, controlled trial was conducted in 2018, on 63 patients receiving hemodialysis in Sabzevar, Iran. The participants were randomly assigned to an intervention and a control group using a permuted block randomization method. The intervention group participated in humor therapy sessions twice a week for 3 weeks. The control group received no intervention. Data were collected using Spielberger's State-Trait Anxiety Inventory (STAI) before and 3 weeks after the intervention. Data were analyzed using the independent samples and the paired t tests. Results: The mean age of the participants was 61.85 ± 7.93 and 54.61 ± 5.89 in the intervention and control groups, respectively (P = 0.217). The mean baseline and posttest trait anxiety (TA) scores were not significantly different between the two groups (P = 0.152 and 0.170, respectively). Also, the mean baseline scores of state anxiety (SA) in the intervention and the control groups were 48.45 ± 14.21 and 47.28 ± 15.12, respectively (P = 0.133). However, after the intervention, the mean score of SA decreased to 27.45 ± 16.65 in the intervention group (P < 0.001), but this score increased to 49.43 ± 15.42 in the control group (P = 0.227). Conclusion: Humor therapy was effective in reducing SA. Hence, nurses working in hemodialysis departments are advised to use humor therapy as an easy, low-cost, and effective complementary therapy to reduce patients' anxiety during a hemodialysis session.
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幽默对血液透析患者焦虑的影响:一项开放标签随机试验
背景:接受血液透析的患者会经历高度的焦虑和压力。目的:本研究旨在探讨幽默对血液透析患者焦虑的影响。方法:这项开放标签、随机对照试验于2018年在伊朗萨布热瓦尔对63名接受血液透析的患者进行。参与者被随机分配到干预组和对照组,使用排列块随机化方法。干预组每周参加两次幽默治疗,为期3周。对照组未接受干预。使用Spielberger状态特质焦虑量表(STAI)在干预前和干预后3周收集数据。使用独立样本和配对t检验对数据进行分析。结果:干预组和对照组参与者的平均年龄分别为61.85±7.93和54.61±5.89(P=0.0217)。两组的平均基线和测试后特质焦虑(TA)得分无显著差异(分别为0.152和0.170)。干预组和对照组的状态焦虑(SA)平均基线得分分别为48.45±14.21和47.28±15.12(P=0.0133)。但干预后,干预组的SA平均得分降至27.45±16.65(P<0.001),结论:幽默治疗能有效降低SA,建议血液透析科护士采用幽默治疗,作为一种简单、低成本、有效的辅助治疗方法,减少患者在血液透析过程中的焦虑。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
0
审稿时长
29 weeks
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