Lee Ji-Soo, Lee Soo-Kyoung
College of Nursing, Keimyung University, Daegu, Korea.
Osong Public Health Res Perspect. 2020 Feb;11(1):44-52. doi: 10.24171/j.phrp.2020.11.1.07.
Korean student nurses may be exposed to stress caused by their future employment (employment stress). The aim of this study was to investigate the effects of a Laughter Program on psychological stress, by assessing salivary cortisol and the subjective happiness of student nurses in order to relieve employment stress.
A quasi-experimental, non-equivalent, control-group, and pre-test/post-test was conducted in 4 year student nurses ( = 48) from 2 universities in Korea at a time when participants' final exams and job searches were simultaneously occurring. Physiological stress (salivary cortisol), and psychological stress measured using modified Cornell Medical Index questionnaire and the Subjective Happiness Scale were used to determine the effects of the program.
The results of the study showed that the Laughter Program was effective in relieving employment stress and increasing the subjective well-being of student nurses. Psychological stress ( < 0.001), salivary cortisol levels ( < 0.001), and subjective happiness ( < 0.001) were statistically significantly improved after the intervention compared with before the Laughter Program.
This study is an effective evidence-based intervention to reduce student nurses employment stress and improve subjective happiness.
韩国学生护士可能会面临因未来就业而产生的压力（就业压力）。本研究的目的是通过评估唾液皮质醇和学生护士的主观幸福感来调查笑声计划对心理压力的影响，以缓解就业压力。
在韩国两所大学的4年制学生护士（n = 48）中进行了一项准实验性、非等效、对照组和前测/后测研究，此时参与者正在同时进行期末考试和求职。使用改良的康奈尔医学指数问卷和主观幸福感量表测量生理压力（唾液皮质醇）和心理压力，以确定该计划的效果。
研究结果表明，笑声计划在缓解就业压力和提高学生护士的主观幸福感方面是有效的。与笑声计划实施前相比，干预后心理压力（P < 0.001）、唾液皮质醇水平（P < 0.001）和主观幸福感（P < 0.001）在统计学上有显著改善。
本研究是一项有效的循证干预措施，可减轻学生护士的就业压力并提高主观幸福感。
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