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一项关于群组欢笑处方对土耳其地震幸存者幸福感的可行性、触达范围、可接受性、保真度和疗效的初步研究。

A Pilot Study Investigating the Feasibility, Reach-Out, Acceptability, Fidelity, and Efficacy of a Group Laughie Prescription on the Well-Being of Earthquake Survivors in Türkiye.

机构信息

Department of Public Health Nursing, Hacettepe University, Ankara, Türkiye.

School of Psychology, Faculty of Health & Wellbeing, University of Bolton, Bolton, UK.

出版信息

Issues Ment Health Nurs. 2024 Nov;45(11):1210-1217. doi: 10.1080/01612840.2024.2389138. Epub 2024 Aug 29.

DOI:10.1080/01612840.2024.2389138
PMID:39208387
Abstract

Mental health and quality of life may be negatively impacted among earthquake survivors. This pilot study evaluates the use of and reports on the preliminary effects of participating in a 1-minute Laughie (Laugh Intentionally Everyday) Laughter Prescription on well-being in earthquake survivors in Türkiye. A Group Laughie intervention was delivered using a within-subject ( = 20; M age = 34.78 ± 6.65; 14 female) pretest-posttest design. Group Laughies were delivered once a day over 2 weeks with participants prescribed to further laugh with the Group Laughie recording twice a day, resulting in 3 minutes of intentional laughter daily. Data were collected using a range of questionnaires to track feasibility, reach-out, acceptability, fidelity, and efficacy, including Laughie Checklists, a Post-Intervention Perceived Impact Measure (PIPIM) in the form of the Positive Psychology One-off Post-intervention measure (PPOP), and the World Health Organization (WHO-5) well-being index. Results indicated high intervention fidelity using Laughie Checklists and positive post-intervention perceived impact using the 11-point Likert-scaled PPOP ( = 7.62 ± 1.44). After the intervention, a statistically significant difference ( < 0.001) was found between WHO-5 well-being index pretest scores ( = 2.16 ± 1.00) and post-test ( = 4.08 ± 0.24). This study demonstrated beneficial effects of the Laughie prescription on earthquake survivors. This is the first intervention to explore an online Group Laughie intervention. Health professionals and especially nurses can use the 1-minute Laughie prescription in the form of a Group Laughie intervention to increase the well-being of individuals and improve perceived mental health.

摘要

心理健康和生活质量可能会受到地震幸存者的负面影响。这项初步研究评估了在土耳其地震幸存者中使用并报告参与 1 分钟大笑处方(每天有意大笑)对幸福感的初步影响。采用 within-subject( = 20;M 年龄 = 34.78 ± 6.65;14 名女性)预测试后测试设计进行团体大笑干预。在 2 周内每天进行一次团体大笑,参与者被规定每天再与团体大笑记录一起大笑两次,每天进行 3 分钟的有意大笑。使用一系列问卷收集数据,以跟踪可行性、可及性、可接受性、保真度和疗效,包括大笑检查表、干预后感知影响量表(以积极心理学一次性干预后量表的形式)和世界卫生组织(WHO-5)幸福感指数。结果表明,使用大笑检查表和 11 点 Likert 量表的积极干预后感知影响量表(PPOP)( = 7.62 ± 1.44)显示出高干预保真度。干预后,WHO-5 幸福感指数预测试评分( = 2.16 ± 1.00)和后测试( = 4.08 ± 0.24)之间存在统计学显著差异( < 0.001)。这项研究表明,大笑处方对地震幸存者有有益的影响。这是首次探索在线团体大笑干预的研究。健康专业人员,尤其是护士,可以使用 1 分钟大笑处方作为团体大笑干预的形式,来提高个体的幸福感并改善心理健康的感知。

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