Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China; Xiangya Nursing School of Central South University, Changsha 410013, Hunan Province, China.
Xiangya Nursing School of Central South University, Changsha 410013, Hunan Province, China; Department of Urology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China.
Patient Educ Couns. 2023 Sep;114:107837. doi: 10.1016/j.pec.2023.107837. Epub 2023 Jun 5.
There is evidence that humor interventions can impact chronic kidney disease (CKD) patients. Synthesize relevant literature to understand the elements and mechanisms of implementation of humor interventions.
Relevant peer-reviewed articles were searched. Data were extracted according to the Template for Intervention Description and Replication (TIDieR) checklist.
The initial search yielded 261 articles. Nine were included in the scoping review. The studies included laughter (n = 5) and humorous video interventions (n = 4) in a face-to-face group format. The tailoring and fidelity process needs to be more detailed in most studies. None of the studies mentioned the theoretical basis. The humor videos were provided by nurses and required various types of equipment. The video interventions were conducted during dialysis. The laughter intervention consisted of 3-4 themes guided by qualified therapists. The timing of the laughter intervention is chosen based on the patient's dialysis schedule and is maintained for 30 min.
The characteristics of the current study somewhat limit the understanding, replication, and implementation of evidence-based humor interventions. Future studies need to clarify the theoretical basis, tailoring, fidelity, and control groups.
Ongoing reporting and evaluation of the implementation of humor interventions may help better understand their underlying mechanisms.
有证据表明，幽默干预可以影响慢性肾脏病（CKD）患者。综合相关文献，了解幽默干预的实施要素和机制。
检索相关同行评议文章。根据干预描述和复制模板（TIDieR）检查表提取数据。
初步搜索产生了 261 篇文章。9 篇被纳入范围综述。这些研究包括面对面小组形式的笑声（n=5）和幽默视频干预（n=4）。大多数研究需要更详细地说明定制和保真过程。没有研究提到理论基础。幽默视频由护士提供，需要各种类型的设备。视频干预在透析期间进行。笑声干预由合格治疗师指导的 3-4 个主题组成。笑声干预的时间选择基于患者的透析时间表，并持续 30 分钟。
目前研究的特点在一定程度上限制了对基于证据的幽默干预措施的理解、复制和实施。未来的研究需要阐明理论基础、定制、保真度和对照组。
持续报告和评估幽默干预的实施情况，可能有助于更好地了解其潜在机制。
