Advanced International Journal for Research

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Effectiveness of Hasya Yoga in Reducing Examination Anxiety among Second-year B.sc. Nursing Students

Author(s) Ms. Blessin Anushiya Ravichandran, Ms. Chandra kala Rajapandian, Ms. Jeeva dharshika Sathyaseelan, Ms. Kani mozhi Jeyakannan, Ms. Jeeva nanalhini Lakahmanan, Ms. Kadal azhagan Ramesh, Prof. Mahes wari Boss, Ms. Maha Devi M
Country India
Abstract Background: Examination anxiety is a common concern among nursing students who face intensive theoretical learning, clinical responsibilities, practical examinations, assignments, and continuous evaluation. Hasya Yoga, a non-pharmacological practice combining voluntary laughter, rhythmic clapping, breathing exercises, playful interaction, and relaxation, may provide a simple approach to managing examination-related anxiety. Aim: To assess the effectiveness of Hasya Yoga in reducing examination anxiety among second-year B.Sc. Nursing students. Methods: A quantitative, quasi-experimental pre-test–post-test control-group design was used. Seventy-eight second-year B.Sc. Nursing students at Meenakshi College of Nursing, Madurai, were selected using simple random sampling and equally allocated to an experimental group (n=39) and a control group (n=39). Examination anxiety was assessed using the Test Anxiety Inventory (TAI)-based scale described in the study. The experimental group received Hasya Yoga sessions for four consecutive days; each session lasted approximately 20–25 minutes. The control group continued routine activities. Pre-test and post-test scores were compared using paired and independent t-tests; associations with selected variables were examined using chi-square tests. Results: In the experimental group, the mean examination anxiety score decreased from 34.53 ± 8.20 at pre-test to 19.12 ± 6.72 at post-test, a mean reduction of 15.41 points (paired t=9.08, p<0.05). In the control group, the mean score changed from 37.73 ± 10.70 to 35.95 ± 11.38 (paired t=0.71, not significant). The post-test mean was 19.12 ± 6.72 in the experimental group and 33.35 ± 10.72 in the control group; the independent t-value was 7.02 (p<0.05). Family support, study habits, and previous-term examination scores were significantly associated with examination anxiety, whereas age, gender, type of family, place of residence, parental education, medium of study, and interest in joining nursing were not significant. These findings suggest that Hasya Yoga as a simple, economical, and potentially useful complementary intervention for reducing examination anxiety among second-year B.Sc. Nursing students. Larger, multi-centre studies with longer follow-up and comparisons with other interventions are recommended.
Keywords : Hasya Yoga; laughter yoga; examination anxiety; nursing students; Test Anxiety Inventory; non-pharmacological intervention; student wellness
Field Medical / Pharmacy
Published In Volume 7, Issue 5, September-October 2026
Published On 2026-09-14
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