Cantó M A Gutiérrez, Quiles J M Ortigosa, Vallejo O Girón, Pruneda R Ruiz, Morote J Sánchez, Piñera M J Guirao, Carmona G Zambudio, Fuentes M J Astillero, Collado I Castaño, Barón Cárceles
Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia.
Cir Pediatr. 2008 Oct;21(4):195-8.
To be hospitalized is a highly distressing event for children. At present, a resort used in Spain and other countries to reduce children's anxiety in the health context are hospital's clown. We studied the effect of the hospital's clowns about the anxiety in children that going to be operated.
We recruited 60 children aged 6 to 10 years scheduled to undergo elective surgery. 30 children would have clowns before the surgery (case group) and 30 would not have them (control group). In the case group, two clowns performed for children. We measured the anxiety with several scales (STAIC, CCPH, faces scale), after the performance and until 7 days after the surgery.
The outcomes show both groups a tendency to increase anxiety but the children of the case group showed less increase at the anxiety's score. In the control group is showed that the children are more alterated at seven days from the discharge.
Children that receive the clown's care, have tendency to be less distressing and with less fear that another ones, measurement by STAIC and faces scale, and these results are maintained seven days after the discharge.
住院对儿童来说是一件极其痛苦的事情。目前，西班牙和其他国家采用的一种减轻儿童在医疗环境中焦虑的方法是医院小丑。我们研究了医院小丑对即将接受手术的儿童焦虑情绪的影响。
我们招募了60名6至10岁计划接受择期手术的儿童。30名儿童在手术前会接触小丑（病例组），30名儿童则不会接触（对照组）。在病例组中，两名小丑为儿童表演。我们在表演后以及术后7天内用多种量表（STAIC、CCPH、面部量表）测量焦虑程度。
结果显示两组都有焦虑增加的趋势，但病例组儿童的焦虑得分增加较少。在对照组中，显示儿童在出院7天后更加烦躁不安。
接受小丑护理的儿童，通过STAIC和面部量表测量，往往比其他儿童更少痛苦和恐惧，并且这些结果在出院后7天仍然存在。
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