Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.

Autor: Chen T; Department of Nursing, Quanzhou Medical College, Quanzhou, Fujian, China., Chen Q; Department of Pharmacy, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China., Lin Z; Department of Pharmacy, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China., Ye J; Department of Nursing, Quanzhou Medical College, Quanzhou, Fujian, China.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Jul 25; Vol. 19 (7), pp. e0305101. Date of Electronic Publication: 2024 Jul 25 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0305101
Abstrakt: Objective: To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children.
Methods: We recruited 104 children aged 3 to 6 years for a non-randomized controlled trial from March to December 2022. All participants required peripheral venepuncture infusions for treatment. The children were assigned to either the control group (n = 52) or the experimental group (n = 52).Standard care was utilized in the control group. In the experimental group, two clown nurses and a parent provided family participatory clown therapy for 35-45 minutes per child before, during, and after venipuncture. We assessed children's pain (FLACC and W-B FPS), anxiety (VAS-A), medical fear (CFS), crying incidence, compliance, parental anxiety (S-AI), and parental satisfaction.
Results: At venipuncture, the FLACC score was lower in the experimental group (4.46±2.053) compared to the control group (5.96±2.441), the W-B FPS score was also lower in the experimental group (4.96±2.392) than in the control group (6.35±2.266), with a statistically significant difference (P<0.05).The children in the experimental group had lower levels of anxiety, medical fear, crying, and parental anxiety than the control group. In addition, child compliance and parent satisfaction were higher in the experimental group than in the control group, with statistically significant differences (P<0.05).
Conclusion: Family participatory clown therapy can reduce pain, anxiety, medical fear, and crying during venipuncture in children. It can also improve venipuncture compliance, reduce parental anxiety, and increase parental satisfaction.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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