A Magic Therapy Program to Alleviate Anxiety in Pediatric Inpatients
| Autor: | David J. Elkin, Andrew I. Brash, Harrison D. Pravder, Brooke Rose, Maribeth Chitkara, Michael Attard, Amanda Leng-Smith, Catherine R. Messina |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent MEDLINE Anxiety Affect (psychology) Pediatrics 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intervention (counseling) Adaptation Psychological Health care Humans Medicine 030212 general & internal medicine Child Inpatients Inpatient care business.industry Magic (programming) General Medicine Test (assessment) Hospitalization Caregivers Patient Satisfaction Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female medicine.symptom Magic business |
| Zdroj: | Hospital Pediatrics. 9:942-948 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2019-0212 |
| Popis: | OBJECTIVES: Hospitalization generates increased psychological discomfort for children and their caregivers. This anxiety can affect the patient-caretaker response to the health care team and the course of treatment. We aim to evaluate the impacts of a magic therapy program, organized and facilitated by medical students, on alleviating pediatric inpatient and caregiver anxiety. METHODS: Patients aged 5 to 16 years admitted to an inpatient pediatric unit and their caregivers were eligible for inclusion. Patient-caregiver pairs were randomly assigned to a magic therapy intervention group or a control group. Anxiety was measured before and after the intervention by using validated self-report tools. The Facial Image Scale and Venham Picture Test were used to measure anxiety for young patients, the short State-Trait Anxiety Inventory and Facial Image Scale were used for older patients, and the short State-Trait Inventory was used for caregivers. A subset of the intervention group was reevaluated at 1 hour posttherapy. Health professionals were also surveyed regarding their opinions of the program. RESULTS: One hundred patients and 90 caregivers were enrolled. The patient magic group’s standardized anxiety was reduced by 25% (n = 47; P < .001) posttherapy. The caregiver magic group’s anxiety was reduced by 24% (n = 34; P < .001). Data suggest that anxiety reductions lasted through at least 1 hour posttherapy. Physicians (n = 9), nurses (n = 8), and pediatric residents (n = 20) supported program continuance, reported favorable impressions, and suggested patient, caregiver, and staff benefits. CONCLUSIONS: Integration of a magic therapy program into pediatric inpatient care was feasible and successful in decreasing patient and caretaker anxiety. Health care professionals support the program’s continuance. |
| Databáze: | OpenAIRE |
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