Effect of Humor on Pain and Anxiety in Patients with Rheumatoid Arthritis: A Prospective, Randomized Controlled Study


Babadağ Savaş B., Orlu N., Balcı Alparslan G., Çolak E., Korkmaz C.

Holistic Nursing Practice, cilt.38, sa.3, ss.130-137, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 3
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1097/hnp.0000000000000645
  • Dergi Adı: Holistic Nursing Practice
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.130-137
  • Anahtar Kelimeler: anxiety, care, humor, nursing, pain, rheumatoid arthritis
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Humor can contribute to nursing practices for relieving pain and anxiety in patients with rheumatoid arthritis (RA) during intravenous (IV) biologic treatment. This study used a prospective, randomized controlled study design to investigate the effect of humor on pain and state anxiety in patients with RA receiving IV infusion therapy. Two sample groups were formed: the intervention group (watching a comedy movie) (n = 18) and the control group (usual care) (n = 18). Both groups received IV biologic therapy. A significant difference was found between the groups' pain mean scores, but the effect size was small (P <.001, η² = 0.032). The mean visual analog scale scores decreased in both groups after the treatment; however, it decreased more in the intervention group (P <.001, Md = 2.44) than in the control group (P =.017, Md = 0.83). No significant difference was found between the groups' mean state anxiety scores, and the effect size was irrelevant (P >.05, η² = 0.001). There was a significant decrease in the anxiety levels of both groups (P <.001). During IV biologic infusion therapy, watching comedy movies is recommended as a nursing care intervention for reducing pain in patients with RA in cooperation with other health professionals.