目的:探讨家庭参与式小丑疗法在住院患儿静脉穿刺中的应用效果。
方法:我们招募了104名3至6岁的儿童,于2022年3月至12月进行了一项非随机对照试验。所有参与者都需要外周静脉穿刺输液进行治疗。将儿童分为对照组(n=52)或实验组(n=52)。对照组采用标准护理。在实验组中,两名小丑护士和一名家长为每个孩子提供了35-45分钟的家庭参与式小丑治疗,during,静脉穿刺后。我们评估了儿童的疼痛(FLACC和W-BFPS),焦虑(VAS-A),医疗恐惧(CFS),哭泣的发生率,合规,父母焦虑(S-AI),父母的满意度。
结果:静脉穿刺时,实验组FLACC评分(4.46±2.053)低于对照组(5.96±2.441),实验组的W-BFPS评分(4.96±2.392)也低于对照组(6.35±2.266),差异具有统计学意义(P<0.05)。实验组儿童的焦虑水平较低,医疗恐惧,哭泣,和父母焦虑比对照组。此外,实验组患儿依从性和家长满意度高于对照组,差异具有统计学意义(P<0.05)。
结论:家庭参与式小丑治疗可以减轻疼痛,焦虑,医疗恐惧,在儿童静脉穿刺时哭泣。它还可以提高静脉穿刺的依从性,减少父母的焦虑,增加父母的满意度。
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).
CONCLUSIONS: 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.