Effectiveness of Laughter Therapy on Stress among Senior Citizens in Selected Community Setting at Kanchipuram District

Vijaya Saraswathy, T (2012) Effectiveness of Laughter Therapy on Stress among Senior Citizens in Selected Community Setting at Kanchipuram District. Masters thesis, Adhiparasakthi College of Nursing, Melmaruvathur.

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Abstract

Effectiveness of Laughter Therapy on Stress among Senior Citizens in Selected Community Setting at Kanchipuram District. OBJECTIVES: 1. To assess the level of stress among senior citizens. 2. To assess the effectiveness of laughter therapy on stress among senior citizens. 3. To find out the association between the effectiveness of laughter therapy on stress among senior citizens with selected demographic variables. HYPOTHESIS: There will be a significant difference between the pre test and post test level of stress among the senior citizens. There will be a significant association between the effectiveness of laughter therapy with selected demographic variables. LIMITATIONS: The study was limited to 30 senior citizens with stress. The duration of the study was 6 weeks. The languages known to the population is Tamil or English. The findings of the study cannot be generalized. The study was limited to Keezhmaruvathur Village, Kanchipuram District. FINDINGS OF THE STUDY: The study findings showed the following result. Table 4.5 reveals the mean and standard deviation of effectiveness of laughter therapy on stress among 30 senior citizens. The overall mean of pre test score is 87.87 with the standard deviation of 7.09. The overall mean of post test score is 48.67 with the standard deviation of 6.33. Table 4.6 reveals the mean and standard deviation of effectiveness of laughter therapy on stress among 30 senior citizens. The overall mean improvement score was 36.43 with the standard deviation of 10.16. Hence there is a significant difference between the pre test and post test level of stress among the senior citizens. Table 4.7 reveals that there is a significant association between the effectiveness of laughter therapy in reducing stress among senior citizens with religion and all other demographic variables were non - significant. Hence the effectiveness of laughter therapy was independent of the demographic variables such as age, sex, educational status, occupation, income of the family, marital status, source of income, number of children, presence of any medical illness, history of smoking and alcoholism, presence of any sensory problems. NURSING IMPLICATIONS: ❖ Stress may affect the individual both physically and emotionally. Prevention and reduction of the level of stress in the prompt way will help to overcome the various ill effects. ❖ The community health nurse needs to explore the prevalence of stress using more studies to find out the multifactorial causes of stress. ❖ The study implies that the community health nurse helps the clients to regain the health status by relieving the stress using laughter therapy. A psychological aspect of care is more important and it implies the need to practice and follow various relaxation methods in community settings. NURSING SERVICE: ❖ Nurses working in psychiatric unit should have special training in psychiatric nursing and should know how to assess the risk of stress. ❖ Nurses working in psychiatric unit should have widen knowledge about care of clients with various disorders with stress. ❖ All the health care providers, such as auxiliary nurses, village health nurses, community health workers should be given in-service education related to psychiatric nursing care and assessment of risk for the redirection of stress. ❖ Concepts of psycho-biology and neurobiology should be used while working in the psychiatric unit. ❖ For stress reduction complementary therapies like yoga, meditation, progressive muscle relaxation therapies, can be used in community setting and in clinical setting. NURSING EDUCATION: ❖ Interpretation of theory and practice is a vital need and it is important to nursing education. ❖ A cooperative study can be done on different age group of people with stress. ❖ Students can be trained to work in psychiatric unit under proper guidance and recommended for short term courses about psychiatric emergency nursing. ❖ Nursing educators should plan to instruct the students and the students should be provided with adequate opportunity to develop skills in handling the clients with stress among various clinical conditions. ❖ Various workshops and conferences can be put forth on the concept of psychiatric nursing. NURSING ADMINISTRATION: ❖ People at the administration position can make necessary policies to implement the concept of psycho-biology in psychiatric nursing. ❖ The ideal setup of the psychiatric unit should be beneficial for better care. ❖ In-service education should be organized in all health service level including community regarding assessment and management of stress. ❖ The nursing administrator should manage the client care and the delivery of specific nursing services within the health care agency. ❖ The nursing administrators should give attention on the proper selection, placement and effective utilization of the nurse in all areas within the available resources and should plan for budget. ❖ The nursing leaders should work with collaboration and coordination with other health team members. NURSING RESEARCH: ❖ Psychiatric nursing today is involved with every issues due to changes in health care delivery system, advancement in the emerge of psychobiology, and development of new discipline in the medicine, Nursing needs to be developed to study the specific areas of problem, encountered by the senior citizens with stress. This study directs the nursing personnel to broaden their knowledge and skill to elicit problems and to conduct more research to raise their power to implement prompt care activities. ❖ This study will imply the nurse education to conduct and motivate learner to select relevant study with all dissemination like physical, emotional, mental, social and spiritual changes encountered by senior citizens, utilization of findings and deviation of knowledge, which help to detect ongoing assessment care and technology that to be made in health care delivery system. By conducting more research, disseminating knowledge will be given a vision for growing in nursing discipline. RECOMMENDATIONS: Based on the findings of the study, the investigator has proposed the following recommendations. ❖ The study can be done in large sample. ❖ The replication of present study can be conducted with more effective and with constant intervention. ❖ Comparative study may be conducted in urban and rural settings to find out the similarities and difference between knowledge, attitude and practice. ❖ Comparative study may be conducted in residential home and old age home settings to find out the similarities and difference between knowledge, attitude and practice. ❖ Qualitative study can be conducted to find out the multifactorial causes for stress. ❖ True experimental studies can be recommended to find out the multifactorial causes for stress.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness, Laughter Therapy, Stress, Senior Citizens, Selected Community Setting, Kanchipuram District.
Subjects: NURSING > Psychiatric Nursing
Depositing User: Ramakrishnan J
Date Deposited: 14 Dec 2017 09:56
Last Modified: 30 Aug 2020 06:36
URI: http://repository-tnmgrmu.ac.in/id/eprint/4358

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