| ObjectiveTo explore the effects of Laughter Yoga on blood pressure,muscle strength,vital capacity,mood and quality of life in maintenance hemodialysis patients,and to develop a set of laughter yoga practice methods for hemodialysis patients,Provide a theoretical basis for emotional and quality of life interventions in hemodialysis patients.Provide reference for emotional and quality of life intervention in patients with chronic diseases.MethodsUsing the method of convenient sampling to select from October 2017 to May 2018,80 MHD patients in a central hospital were recruited from hemopurification centers.They were randomly divided into the the control group and the intervention group,with 40 cases in each group.Due to the loss of sample size,the final intervention group was enrolled 36 and the control group was 37.MHD patients in the intervention group underwent 12 weeks of laughter yoga intervention on the basis of routine care.Group laughter yoga practiced 2 times every week.Home laughter yoga practiced 3 times every week.Each intervention time is 30 minutes.The control group were treated with routine care in the hemodialysis room.Changes in blood pressure,muscle strength,and vital capacity were measured to evaluate the blood pressure,muscle strength,and vital capacity of the subjects.Positive And Negative Affect scale was used to measure the emotional changes of the subjects.The quality of life of the subjects was observed using the Kidney Disease Quality of Life Scale(SF-36 scale and KDTA scale).The effects of the intervention were evaluated before the intervention,at the end of the 4th and 12 th weeks.Data entry and analysis using SPSS22.0.Analytical methods include descriptive analysis,t-test,chi-square test,Wilcoxon signed-rank test,and repeated measures analysis of variance.Results(1)Before the intervention,the general demographic data,Positive And Negative Affect scale,Kidney Disease Quality of Life Short Forms,physiological index were compared between the two groups.The difference was not statistically significant(P>0.05).(2)At the end of the 4th week of intervention,there was no significant difference in blood pressure between the intervention group and the control group.At the end of the 12 th week of intervention,the systolic blood pressure(147.94±10.08)in the intervention group was lower than the control group(157.54±12.83),and the vital capacity(2341.78±569.86)was higher than the control group(1778.19±574.13).The difference was statistically significant(P<0.05).There was no significant difference in diastolic blood pressure compared with the control group;Repeated measures ANOVA reavealed significant group main effect,time effect and interaction effect on the blood pressure and vital capacity(P<0.05).(3)At the end of the 4th week of intervention,the positive emotion dimension score of the intervention group was higher than the control group,and the difference was statistically significant.At the end of the 12 th week of intervention,the intervention group was positive.The emotional dimension score was higher than the control group,and the negative emotion dimension score of the intervention group was lower than the control group.The difference was statistically significant(P<0.05).(4)At the end of the 4th week of intervention,the total score of SF-36 in the intervention group(65.81±11.62)was higher than the control group(58.08±14.68)and the total score of KDTA(61.23±7.80)was higher than the control group(56.44±7.66).The difference was statistically significant(P<0.05).At the end of the 12 th week of intervention,the total score of SF-36 in the intervention group(67.87±13.01)was higher than the control group(57.47±13.27)and the total score of KDTA(61.96±9.35)was higher than the control group(56.40±8.92),the difference was statistically significant(P<0.05).Repeated measures ANOVA reavealed significant group main effect,time effect and interaction effect on the score of the SF-36 and KDTA(P<0.05).Conclusions(1)Laughter Yoga can stabilize the blood pressure and increases vital capacity in MHD patients.(2)Laughter Yoga can improve mood in MHD patients.(3)Laughter Yoga can improve the quality of life in MHD patients. |
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