Heidari Mohammad, Ghodusi Borujeni Mansureh, Rezaei Parvin, Kabirian Abyaneh Shokouh, Heidari Korosh
Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Young Researchers and Elite Club, Abadeh Branch, Islamic Azad University, Abadeh, Iran.
Malays J Med Sci. 2020 Jul;27(4):119-129. doi: 10.21315/mjms2020.27.4.11. Epub 2020 Aug 19.
Mental disorders are common among the elderly with serious symptoms of depression and social isolation. This study was conducted to investigate the effect of laughter therapy (LT) on depression and quality of life (QOL) of the elderly living in Abadeh nursing homes.
This is a controlled semi-experimental study with a pre-test, post-test design. Ninety eligible ones of the elderly living in the Abadeh nursing homes and from July to September 2017, entered the study. Some of the criteria for entering the study include being over 60 years old, orientation, not having blindness and deafness, lack of physical and mental problems. After determining the intervention and control groups, the scale of depression and QOL was administered to the subjects and their scores were collected in the pre-test.
Most of the study samples were in the intervention (35.55%) and control (37.77%) group in the age range of 60-69 years. In both intervention and control groups, respectively, 31.11% and 68.88% elderly were males and females. The mean scores of depression in the intervention group after LT (M = 2.57) were lower than those before the intervention (M = 6.87) [CI = -5.58-(-3.02)] and also the results of independent -test showed a statistically significant difference before and after the intervention between the two groups ( < 0.001). The mean score of dimensions of QOL after LT was higher than that before in the intervention and there was a statistically significant difference in all dimensions with paired -test ( < 0.001).
Since the implementation of this programme could improve the mental status and QOL of the elderly, this method of therapy can be used as an alternative or complementary model to enhance the health of the elderly.
精神障碍在老年人中很常见，伴有严重的抑郁症状和社会隔离。本研究旨在调查欢笑疗法（LT）对居住在阿巴德养老院的老年人的抑郁和生活质量（QOL）的影响。
这是一项采用前测、后测设计的对照半实验研究。2017年7月至9月，90名符合条件的居住在阿巴德养老院的老年人进入研究。进入研究的一些标准包括年龄超过60岁、定向力正常、无失明和失聪、无身心问题。确定干预组和对照组后，对受试者进行抑郁和生活质量量表测试，并在前测中收集他们的分数。
大多数研究样本在干预组（35.55%）和对照组（37.77%），年龄范围为60 - 69岁。在干预组和对照组中，男性老年人分别占31.11%和68.88%。LT后干预组的抑郁平均得分（M = 2.57）低于干预前（M = 6.87）[CI = -5.58 - (-3.）]，独立检验结果显示两组干预前后存在统计学显著差异（< 0.001）。LT后干预组的生活质量维度平均得分高于干预前，配对检验显示所有维度均有统计学显著差异（< 0.001）。
由于实施该方案可改善老年人的心理状态和生活质量，这种治疗方法可作为增强老年人健康的替代或补充模式。
