The Effect of Laughter Therapy on Self-Esteem and Quality of Life in Patients With Stoma

NCT05601024 | Completed

• 1 other identifier: E-74555795-050.01.04-97020
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Stoma is a surgical intervention to ensure that body wastes are removed differently from the normal physiological opening. The stoma patient has to cope with complex emotional, social and physical problems associated with this change. Physical health problems (such as stoma), change in body image and negative emotions affect self-esteem and quality of life. Laughing provides mental and physical relaxation with the release of endorphins. Therefore, laughter therapy has an important contribution to increase the well-being of patients.This study was planned as a randomized controlled experimental study to evaluate the effect of laughter therapy on self-esteem and quality of life in patients with stoma.

Conditions

Stoma Colostomy; Stoma Ileostomy

Keywords

Laughter Therapy; Quality of Life; Self Esteem; Stoma

Outcome Measures

Primary Outcomes (2)

• City of Hope Quality of Life Ostomy

  This scale, which evaluates the quality of life, consists of 43 items. In this scale, quality of life items are grouped into four sub-dimensions: physical well-being (1-11 items), psychological well-being (12-24 items), social anxiety (25-36 items) and spiritual well-being (37-43 items).

  Change from baseline to 1 months

• Rosenberg Self-Esteem Scale

  This scale consists of 10 questions that measure self-esteem. If the total score from 10 questions is 0-1, it indicates high self-esteem, 2-4 indicates medium, and 5-6 indicates low self-esteem. The highest score that can be obtained from the scale is 6

  Change from baseline to 1 months

Secondary Outcomes (2)

• City of Hope Quality of Life Ostomy

  Change from baseline to 3 months

• Rosenberg Self-Esteem Scale

  Change from baseline to 3 months

Study Arms (2)

Experimental Group

EXPERIMENTAL

1. After obtaining permission from the participants, patients will be called by phone and questions will be asked about Rosenberg Self-Esteem Scale, sociodemographic characteristics, City of Hope Quality of Life Ostomy. 2. Participants in this group will receive a 4 week of laughter therapy. Laughter therapy will be conducted on whatsapp. 3. After laughter therapy (after 1 month): Patients will be called again by phone to ask questions about the Rosenberg Self-Esteem Scale and City of Hope Quality of Life Ostomy. 4. After 3 month: Patients will be called again by phone to ask questions about the Rosenberg Self-Esteem Scale and City of Hope Quality of Life Ostomy.

Behavioral: Laughter Therapy

Control Group

NO INTERVENTION

1. After obtaining permission from the participants, patients will be called by phone and questions will be asked about Rosenberg Self-Esteem Scale, sociodemographic characteristics, City of Hope Quality of Life Ostomy. 2. After 2 weeks: Patients will be called by phone and asked if they have any complaints about their disease. 3. After 1 month: Patients will be called again by phone to ask questions about the Rosenberg Self-Esteem Scale and City of Hope Quality of Life Ostomy. 4. After 3 month: Patients will be called again by phone to ask questions about the Rosenberg Self-Esteem Scale and City of Hope Quality of Life Ostomy.

Interventions

Laughter Therapy BEHAVIORAL

The first component of intervention is the laughter therapy that is a combination of warm up exercise, deep breathing exercises, childlike playfulness and laughter exercises. Participants will do laughter therapy with whatsapp group call. Each group will consist of at least 5 people. Each session of laughter therapy will be offered one a weekly and 30-40 minutes each time.

Experimental Group

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being over 18 years old,
• Being able to understand and speak Turkish,
• Stoma has been opened at least 6 months ago,
• To have completed oncological treatments,
• Having a smart phone or computer,
• Being able to use a smart phone or computer,
• Having internet,
• Being able to use Whatsapp video calling program,
• Agreeing to participate in the research.

You may not qualify if:

• Hernia, prolapse of stoma complications or glaucoma disease,
• Presence of hypertension and heart disease,
• Abdominal surgery in the last 3 months.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Hatice Merve Alptekin

Istanbul, Sisli, 34360, Turkey (Türkiye)

Location

Related Publications (10)

• Karadag A, Ozturk D, Celik B. Adaptation of the ostomy adjustment inventory into Turkish Language. Turk J Colorectal Dis. 2011;21:173-181.

  BACKGROUND

• Ayaz S. Body image and self-esteem in patients with stoma: Review. Turkiye Klinikleri J Med Sci. 2008; 28(2):154-159.

  BACKGROUND

• Satish PD. Laughter therapy. Journal of Pharmaceutical and Scientific Innovation. 2012;1(3):23-4.

  BACKGROUND

• Farifteh S, Mohammadi-Aria A, Kiamanesh A, Mofid B. The Impact of Laughter Yoga on the Stress of Cancer Patients before Chemotherapy. Iran J Cancer Prev. 2014 Fall;7(4):179-83.

  PMID: 25628838 BACKGROUND

• Ripoll RM, Casado IQ. Laughter and positive therapies: modern approach and practical use in medicine. Rev Psiquiatr Salud Ment. 2010 Jan;3(1):27-34. doi: 10.1016/S1888-9891(10)70006-9. Epub 2010 Apr 14. English, Spanish.

  PMID: 23017490 BACKGROUND

• Cha MY, Na YK, Hong HS. An Effect of Optimism, Self-esteem and Depression on Laughter Therapy of Menopausal Women. Korean J Women Health Nurs. 2012 Dec;18(4):248-256. doi: 10.4069/kjwhn.2012.18.4.248. Epub 2012 Dec 31.

  PMID: 37697500 BACKGROUND

• Cho EA, Oh HE. [Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors]. J Korean Acad Nurs. 2011 Jun;41(3):285-93. doi: 10.4040/jkan.2011.41.3.285. Korean.

  PMID: 21804337 BACKGROUND

• Yoshikawa Y, Ohmaki E, Kawahata H, Maekawa Y, Ogihara T, Morishita R, Aoki M. Beneficial effect of laughter therapy on physiological and psychological function in elders. Nurs Open. 2018 Jul 18;6(1):93-99. doi: 10.1002/nop2.190. eCollection 2019 Jan.

  PMID: 30534398 BACKGROUND

• Çuhadaroğlu F. (1986).Adolesanlarda Benlik Saygısı, Hacettepe Üniversitesi Tıp Fakültesi, Psikiyatri Anabilim Dalı, Uzmanlık Tezi, Ankara

  BACKGROUND

• Erol F, Vural F. Validity and reliability of the city of hope quality of life ostomy -scale forthe Turkish patients with ostomy. Hemşirelikte Araştırma Geliştirme Dergisi. 2012;3.

  BACKGROUND

Related Links

• Living with an Ostomy: FAQS

MeSH Terms

Interventions

Laughter Therapy

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics

Study Officials

• Nuray Akyüz, Associate Professor

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Randomized controlled experimental design

Study Record Dates

• First Submitted: October 26, 2022
• First Posted: November 1, 2022
• Study Start: November 6, 2021
• Primary Completion: November 6, 2021
• Study Completion: April 30, 2023
• Last Updated: October 2, 2023

Record last verified: 2023-09

Locations

TU (1)