Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)
{"title":"幽默疗法对老年人负面情绪、生活质量和认知功能的影响:系统回顾与荟萃分析。","authors":"Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)","doi":"10.1016/j.gerinurse.2024.10.054","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To systematically review the intervention effects of humor therapy on older adults.</div></div><div><h3>Methods</h3><div>We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.</div></div><div><h3>Results</h3><div>A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (<em>SMD</em> = -0.66, 95 %<em>CI</em>:-0.95 to -0.36, <em>p</em> < 0.001), loneliness (<em>SMD</em> = -1.52, 95 % <em>CI</em>:2.66 to -0.39, <em>p</em> = 0.008), quality of life (<em>SMD</em> = 0.42, 95 %<em>CI</em>: 0.23 to 0.62, <em>p</em> < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.</div></div><div><h3>Conclusions</h3><div>Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 20-26"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of humor therapy on negative emotions, quality of life and cognitive function in older adults: A systematic review and meta-analysis\",\"authors\":\"Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)\",\"doi\":\"10.1016/j.gerinurse.2024.10.054\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To systematically review the intervention effects of humor therapy on older adults.</div></div><div><h3>Methods</h3><div>We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.</div></div><div><h3>Results</h3><div>A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (<em>SMD</em> = -0.66, 95 %<em>CI</em>:-0.95 to -0.36, <em>p</em> < 0.001), loneliness (<em>SMD</em> = -1.52, 95 % <em>CI</em>:2.66 to -0.39, <em>p</em> = 0.008), quality of life (<em>SMD</em> = 0.42, 95 %<em>CI</em>: 0.23 to 0.62, <em>p</em> < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.</div></div><div><h3>Conclusions</h3><div>Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.</div></div>\",\"PeriodicalId\":56258,\"journal\":{\"name\":\"Geriatric Nursing\",\"volume\":\"61 \",\"pages\":\"Pages 20-26\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Geriatric Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0197457224003811\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0197457224003811","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Effects of humor therapy on negative emotions, quality of life and cognitive function in older adults: A systematic review and meta-analysis
Objective
To systematically review the intervention effects of humor therapy on older adults.
Methods
We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.
Results
A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (SMD = -0.66, 95 %CI:-0.95 to -0.36, p < 0.001), loneliness (SMD = -1.52, 95 % CI:2.66 to -0.39, p = 0.008), quality of life (SMD = 0.42, 95 %CI: 0.23 to 0.62, p < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.
Conclusions
Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.
期刊介绍:
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.