تأثیر خنده‌درمانی بر میزان خستگی و افسردگی بیماران تحت همودیالیز شهرستان صومعه‌سرا و فومن در سال 1396

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه آموزشی پرستاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

2 استاد، گروه آموزشی پرستاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

3 مربی، گروه آموزشی پرستاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

4 استادیار، گروه آمار زیستی، عضو هیأت علمی سازمان سنجش آموزش کشور، تهران، ایران.

چکیده

مقدمه: نارسایی کلیه، تخریب برگشت‌ناپذیر عملکرد کلیوی است که درمان رایج آن همودیالیز می‌باشد. همودیالیز موجب بروز تنش‌های روانی، خستگی و افسردگی در بیماران می‌شود. پژوهش حاضر با هدف تعیین تأثیر خنده‌درمانی بر میزان خستگی و افسردگی بیماران همودیالیزی انجام شد.
مواد و روش‌ها: این کارآزمایی بالینی، به شیوه تمام شماری بر روی 70 بیمار تحت همودیالیز در شهرستان صومعه‌سرا و فومن، در سال 1396 انجام شد. پرسشنامه جمعیت شناختی، پرسشنامه چندبعدی خستگی و افسردگی بک 2، توسط هر دو گروه قبل از مداخله تکمیل شد، سپس جلسات خنده‌درمانی به مدت 4 هفته و 8 جلسه با زمان 45-30 دقیقه، برای گروه مداخله اجرا شد و در پایان آخرین جلسه پرسشنامه‌ها مجدداً توسط هر دو گروه تکمیل گردید. در طول مداخله گروه کنترل، تنها درمان‌های معمول بخش را دریافت کرد. داده‌ها، با استفاده از  آزمون­های t مستقل، لون، من ویتنی یو و ویلکاکسون، تجزیه و تحلیل گردید.
یافته‌ها: میانگین نمرات افسردگی و خستگی، پیش از شروع مداخله معنی­دار نبود. پس از مداخله، نمره افسردگی و خستگی در دو گروه با هم تفاوت معنی­داری پیدا کرد (001/0=p). نمره افسردگی در گروه مداخله از 56/11 ± 73/24 به 00/5 ± 88/10 و نمره خستگی از 07/16 ± 95/74 به 70/14 ± 53/52 رسید.
نتیجه‌گیری: مداخله خنده‌درمانی سبب کاهش افسردگی و خستگی در بیماران تحت همودیالیز  شد. بنابراین، فراهم نمودن تمهیدات لازم از سوی مدیران ارشد پرستاری، در به‌کارگیری خنده‌درمانی به منظور ارتقای کیفیت زندگی بیماران همودیالیزی توصیه می‌گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Impact of laughter therapy on fatigue and depression in patients undergoing hemodialysis in Sowmehsara and Fouman in 2017

نویسندگان [English]

  • L Sharifi 1
  • M Fallahi Khoshknab 2
  • A Rahgoi 3
  • B Kavehie 4
1 MSc, Dept of Nursing, University of social welfare and Rehabilitation Sciences, Tehran, Iran.
2 Prof, Dept of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3 Lecturer, Dept of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4 Assistant Prof, Dept of Biological Statistics, Faculty Member of National Organization of Educational Testing, Tehran, Iran.
چکیده [English]

Introduction: Renal failure is the irreversible degeneration of renal function, which is typically treated by hemodialysis. Hemodialysis causes mental stresses, fatigue, and depression in affected patients. The purpose of this study was to determine the effect of laughter therapy on fatigue and depression in hemodialysis patients.
Materials and Methods: This clinical trial study was carried out based on total count sampling on 70 hemodialysis patients in the cities of Sowmehsara and Fouman in 2017. The Demographic Questionnaire, Multidimensional Fatigue Questionnaire, and Beck Depression Inventory-II (BDI-II) were completed by both groups before the intervention. Afterward, 8 laughter therapy sessions each lasting 30-45 minutes were held for four weeks for the participants in the intervention group. At the end of the last session, the questionnaires were again completed by the participants in both groups. During the intervention, the control group received only usual treatments. The collected data were analyzed using independent samples t-test, Loon test, non-parametric Mann-Whitney U test, and Wilcoxon rank-sum test.
Results: The mean scores of depression and fatigue in the two groups were not significant before the intervention (p>0.5). However, after the intervention, depression and fatigue scores showed significant differences between the two groups (p=0.001). The depression score in the treatment group decreased from 24.73±11.56 to 10.88±5.00 and the fatigue score decreased from 74.95±16.07 to 52.53±14.70.
Conclusion: According to the findings, laughter therapy reduced depression and fatigue in patients undergoing hemodialysis. Therefore, senior nursing managers are recommended to take required actions to apply laughter therapy to improve the quality of life of hemodialysis patients.

کلیدواژه‌ها [English]

  • Fatigue
  • Depression
  • Laughter therapy
  • Hemodialysis

مراجع

  1. Dalrymple LS, Katz R, Kestenbaum B, Shlipak MG, Sarnak MJ, Stehman-Breen C, et al. Chronic kidney disease and the risk of end-stage renal disease versus death. Journal of general internal medicine 2011;26(4):379-85.
  2. Omrani HR. Quality of Life and It’s Determinant in hemodialysis patients in Kermanshah in 2010. J KUMS  2013;16(8):657-64.[Persian]
  3. Kamely A, Abbaspour H. Prevalence of depression and its associated factors in hemodialysis patients. JNKHUMS 2014;5(5):1023-9 .[Persian]
  4. Tayyebi A, Babahaji M, Sadeghi Sherme M, Ebadi A, Eynollahi B. Study of the effect of Hatha Yoga exercises on dialysis adequacy. Iran J Crit Care Nurs 2012;4:183-90 .[Persian]
  5. Ahmadzadeh GH, Mehdi M. The Prevalence of Depression, Anxiety and Psychosis among Hemodialysis patients in Nour and Ali Asghar Hospitals in Isfahan. Journal of Isfahan medical school 2012;29(162):1-9.
  6. Mirzaei M, Akbari Z. Prevalence of Depression in Dialysis Patients in Iran (1998-2013): A Systematic Review and Meta-analysis. Journal of Mazandaran University of Medical Sciences 2015;24(121):317-25. [Persian]
  7. Rejeh N, Hearavi KM, Bahrami T, Raeesi R, Tadrisi D. The assessment of factors affecting fatigue in older people with hemodialysis. Iranian Journal of Nursing Research 2015,10(3): 108-17. [Persian]
  8. Sajjadi A, Farmahini Farahani B, Esmailpoor Zanjani S, Dormanesh B, Zare M. Effective factors on fatigue in patients with chronic renal failure undergoing hemodialysis. J Crit Care Nurs 2010;3(1):13-4. [Persian]
  9. Heidarzadeh M, Atashpeikar S, Jalilazar T. Relationship between quality of life and self-care ability in patients receiving hemodialysis. Iranian journal of nursing and midwifery research 2010;15(2):71-6. [Persian]
  10. Bathaei S, Asayesh H, Razavian F, Vafaei K, Raisi M. Relationship between resorting to pray and depression in Muslim hemodialysis patients. Complementary Medicine Journal of faculty of Nursing & Midwifery 2015;5(2):1167-78. [Persian]
  11. Shirazi M,Koohkan AH, Khosravani E. Effectiveness of psychological rehabilitation, using Dohsa-Hou, on hemodialysis patients’ depression,anxiety, and stress in Zahdan city. JBUMS 2016;23(2):130-40.[Persian]
  12. Basiri Moghadam M, Madadkar Dehkordi S, Mohammadpour A, Vaezi AA. Effect of progressive muscle relaxation technique on fatigue in patients undergoing hemodialysis. Preventive Care in Nursing & Midwifery Journal. 2013;3(2):24-32. [Persian]
  13. Hadadian F, Ghorbani A, Falah H, Latifi M.Cutaneous electrical stimulation of acupuncture points on fatigue in IN hemodialysis patients. JKUMS 2011;15(3):165-72[Percian].
  14. Agarwal SK. Therapeutic benefits of laughter. Medical Science 2014;12(45-53):19-23.
  15. Kong M, Shin SH, Lee E, Yun EK. The effect of laughter therapy on radiation dermatitis in patients with breast cancer: a single-blind prospective pilot study. OncoTargets and therapy 2014;7:2053-9.
  16. Jalali S, Kheirkhah F, Ahmadi H, Seifi Zarei B. Effect of laughter therapy on blood pressure patients with essential hypertension. JBUMS 2008;10(5):35-40. [Persian]
  17. Takeda M, Hashimoto R, Kudo T, Okochi M, Tagami S, Morihara T, et al. Laughter and humor as complementary and alternative medicines for dementia patients. BMC complementary and alternative medicine 2010;10(1):28-32.
  18. Liptak A, Tate J, Flatt J, Oakley MA, Lingler J. Humor and laughter in persons with cognitive impairment and their caregivers. Journal of holistic nursing 2014;32(1):25-34.
  19. Bennett PN, Parsons T, Ben-Moshe R, Neal M, Weinberg MK, Gilbert K, et al. Intradialytic Laughter Yoga therapy for haemodialysis patients: a pre-post intervention feasibility study. BMC complementary and alternative medicine 2015;15(1):176.
  20. Moshtagh EZ, Naghavi B, Rashvand F, Alavi MH,Bana DH. Effects of humor therapy on fatigue and depression of multiple sclerosis (MS) patients.Faculty of Nursing of Midwifery Quarterly 2010;20(70):7-11. [Persian]
  21. Keykhahoseinpoor A, Rahnama N,Chitsaz A. Effects of eight weeks laughter yoga training on motor function, balance, and flexibility in subjects with parkinson's disease. Journal  of research in rehabilitation sciences 2013;9(1):39-47.[Persian]
  22. Karimi F, Jamali S, khorani KT. The Efficacy of Laughter Therapy and solution focused therapy. J Res Behave Sci 2015; 13(3): 465-72. [Percian]
  23. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical psychology review 1988;8(1):77-100.
  24. Rahimi C. Application of the Beck Depression Inventory - 2Iranian students.Clinical Psychology & Personality  2014;21(10):173-88.[Persian]
  25. Hamidi R, Fekrizadeh Z, Azadbakht M, Garmaroudi GH, Taheri TP, Fathizadeh SH, et al. Validity and reliability Beck Depression Inventory-II among the Iranian elderly Population. JSUMS 2015;22(1):189-98.[Percian]
  26. Fillion L, Gélinas C, Simard S, Savard J, Gagnon P. Validation evidence for the French Canadian adaptation of the Multidimensional Fatigue Inventory as a measure of cancer-related fatigue. Cancer nursing 2003;26(2):143-54.
  27. Smets E, Garssen B, Cull A, De Haes J. Application of the multidimensional fatigue inventory (MFI-20) in cancer patients receiving radiotherapy. British journal of cancer 1996;73(2):241-5.
  28. Najafi Mehri S, Pashandi S, Mahmoodi H, Ebadi A, Ghanei M. Assessment of fatigue and spirometery parameters in chemical war victims with respiratory disease. Iranian Journal of War and Public Health 2010;2(4):29-35 .[Persian]
  29. Rad M, Borzoee F, Mohebbi M. The effect of humor therapy on fatigue severity and quality of life in breast cancer patients undergoing external radiation therapy. J Adv Med Biomed Res 2016;24(103):102-14. [Persian]
  30. Chang MY. Effects of Laughter Therapy on Depression in elderly. Journal of Digital Convergence 2014;12(6):501-8.
  31. Ko Y-J, Hyun M-Y. Effects of laughter therapy on pain, depression, and quality of life of elderly people with osteoarthritis. Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013;22(4):359-67.
  32. Ghodsbin F, Ahmadi ZS, Jahanbin I, Sharif F. The effects of laughter therapy on general health of elderly people referring to jahandidegan community center in Shiraz, Iran, 2014: a randomized controlled trial. International journal of community based nursing and midwifery 2015;3(1):31-8.

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