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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
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    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.
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