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The Effect of Laughter Therapy on the Quality of Life and Psychological Well-being of Nursing Students

5. november 2026 opdateret af: Fahriye Şeyma Kara, Çankırı Karatekin University

The nursing profession is a healthcare discipline that combines theoretical knowledge with clinical practice skills. The primary aim of nursing education is to train healthcare professionals who are prepared for the profession, aware of their duties and responsibilities, and capable of providing effective care to individuals and the community. During their education, nursing students face various challenges both in the academic sphere and in clinical settings. Students are confronted with numerous stressors, such as a heavy course load, preparing for examinations, undertaking clinical placements, a lack of self-confidence, and the changes brought about by the university environment. When this process is not managed effectively, it is thought that students' quality of life and psychological well-being may be adversely affected. Accordingly, there is a need for complementary health approaches to enhance nursing students' quality of life and to safeguard and promote their psychological well-being. Included among these complementary health approaches, laughter therapy has physiological and psychological effects on individuals. There are numerous positive effects associated with laughter, such as improving cognitive functions, enhancing respiration, increasing pain tolerance, improving sleep quality, reducing exam anxiety and lowering stress hormone levels.

Accordingly, the aim of this thesis is to investigate the effect of laughter therapy administered to nursing students on their quality of life and psychological well-being. A review of the literature revealed no existing studies on this topic. Consequently, it is anticipated that this planned thesis will make a significant contribution to filling this gap in the literature.

The study is planned as a randomised controlled experimental study using a pre-test-post-test-follow-up design. The research will be conducted with second-year nursing students at the Faculty of Health Sciences, Çankırı Karatekin University. A total of 112 students who meet the inclusion criteria and are allocated to the experimental (n=56) and control (n=56) groups via randomisation will form the study sample. Experimental group students will undergo a laughter therapy programme comprising a total of eight sessions, at a rate of two sessions per week; the control group will receive no intervention during the study period. Session times will be planned together with the students in the experimental group who will receive laughter therapy. Research data will be collected using the Demographic Information Form, the SF-12 Quality of Life Scale and the Psychological Well-being Scale. IBM SPSS Statistics for Windows, Version 24.0, will be used to analyse the data obtained from this study.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

56

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Be a second-year nursing student in the Department of Nursing at Çankırı Karatekin University
  • Be able to speak and understand Turkish
  • Have no diagnosed psychiatric disorders
  • Have no communication difficulties
  • Agree to participate in laughter therapy sessions
  • Have no history of using psychotropic medications, either currently or in the past

Exclusion Criteria:

  • Failure to attend all laughter therapy sessions
  • Having a physical condition that would prevent participation in laughter therapy sessions
  • Having previously participated in laughter therapy
  • Using medication or another nonpharmacological method to reduce stress
  • Having difficulty performing breathing exercises
  • Not volunteering to participate in the study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Ingen-intervention Kontrolgruppe
Eksperimentel: Laughter Therapy Group

Experimental group students will undergo a laughter therapy programme comprising a total of eight sessions, at a rate of two sessions per week; the control group will receive no intervention during the study period. The days and times for the laughter therapy sessions to be conducted with the experimental group will be planned in consultation with the students. The sessions will be held in a suitable classroom or conference room with the participants seated in a U-shaped arrangement. During the first session, students will receive a brief introduction and information about the activities to be conducted throughout the session. Each session aims to encourage spontaneous laughter by incorporating breathing exercises, rhythmic clapping and vocal exercises, playful and energetic games, "icebreaker laughter," and guided meditation. Each session is scheduled to last approximately 40 minutes.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in quality of life measured by the 12-item Quality of Life Scale
Tidsramme: Baseline (before the intervention) and immediately after completion of the intervention

The scale was developed by Ware et al. in 1995. A validity and reliability study conducted by Soylu and Kütük in 2002 demonstrated that it is a measurement tool with adequate psychometric properties for assessing general health status and health-related quality of life in clinical practice and scientific research. The scale comprises 12 items across eight sub-dimensions: physical functioning (2 items), physical role (2 items), bodily pain (1 item), general health (1 item), energy (1 item), social functioning (1 item), emotional role (2 items) and mental health (2 items). Items relating to physical and emotional roles are answered on a dichotomous basis (yes or no), whilst the other items are measured on a Likert scale ranging from 3 to 6. A score of 100 on the scale indicates the best state of health, whilst a score of 0 indicates the worst state of health. In the Turkish validity and reliability study, the Cronbach's alpha coefficient was determined to be between 0.92 and 0.88.

Baseline (before the intervention) and immediately after completion of the intervention

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in psychological well-being measued by the 8-item Psychological Well-being Scale
Tidsramme: Baseline (before the intervention) and immediately after completion of the intervention

The scale identifies key elements of human functioning, ranging from positive relationships to feelings of competence and leading a meaningful and purposeful life. It was developed by Diener and colleagues in 2009. The adaptation into Turkish was carried out by Telef in 2011. In the reliability study of the scale, the Cronbach's alpha internal consistency coefficient was calculated as .80 The items on the Psychological Well-being Scale are rated on a scale of 1 to 7, ranging from 'I strongly disagree' (1) to 'I strongly agree' (7). All items are phrased in positive terms. Scores range from 8 to 56. A high score indicates that the individual possesses a wide range of psychological resources and strengths. Although the scale does not provide separate measurements of the various dimensions of well-being, it offers a general overview of positive functioning across different areas that we believe to be important.

Baseline (before the intervention) and immediately after completion of the intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: fahriye s kara, Çankırı Karatekin University
  • Studieleder: mevlut karatas, professor, Çankırı Karatekin University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. november 2026

Primær færdiggørelse (Anslået)

1. december 2026

Studieafslutning (Anslået)

1. februar 2027

Datoer for studieregistrering

Først indsendt

28. oktober 2026

Først indsendt, der opfyldte QC-kriterier

5. november 2026

Først opslået (Faktiske)

9. november 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • ÇAKÜ-SB-2026-0051

Plan for individuelle deltagerdata (IPD)

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