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儿科实践中的治疗性小丑服务。

Therapeutic clowning in paediatric practice.

作者信息

Finlay Fiona, Baverstock Anna, Lenton Simon

机构信息

Child Health Department, Sirona Care and Health, UK

Paediatric Department, Taunton and Somerset Hospital, UK.

出版信息

Clin Child Psychol Psychiatry. 2014 Oct;19(4):596-605. doi: 10.1177/1359104513492746. Epub 2013 Jul 12.

DOI:10.1177/1359104513492746
PMID:23855014
Abstract

Over the past 30 years, there has been much research into the health benefits of humour and laughter. Although often viewed very positively, rigorous evaluation of the therapeutic effect of clowning is complex. Clowning is a multi-modal intervention, which may have an impact on medical conditions, procedures, family functioning and health care teams. Clowns help children to adapt to their hospital surroundings and can distract from, and demystify, painful or frightening procedures through 'doses of fun' to complement traditional clinical interventions. This paper provides a review of the paediatric literature and reveals studies looking at the effect of clown interventions on various practical procedures and individual medical conditions, and the effects of clowning within clinical teams.

摘要

在过去30年里,人们对幽默和笑对健康的益处进行了大量研究。尽管通常被视为非常积极的因素,但对小丑疗法效果的严格评估却很复杂。小丑疗法是一种多模式干预,可能会对医疗状况、治疗程序、家庭功能和医疗团队产生影响。小丑帮助儿童适应医院环境,并通过“给予乐趣”来分散对痛苦或可怕治疗程序的注意力并揭开其神秘面纱,以补充传统的临床干预措施。本文对儿科文献进行了综述,揭示了一些研究,这些研究探讨了小丑干预对各种实际治疗程序和个体医疗状况的影响,以及小丑疗法在临床团队中的作用。

相似文献

1
Therapeutic clowning in paediatric practice.儿科实践中的治疗性小丑服务。
Clin Child Psychol Psychiatry. 2014 Oct;19(4):596-605. doi: 10.1177/1359104513492746. Epub 2013 Jul 12.
2
The Therapy Beneath the Fun: Medical Clowning During Invasive Examinations on Children.乐趣背后的疗法:儿童侵入性检查期间的医疗小丑服务
Clin Pediatr (Phila). 2016 Jan;55(1):56-65. doi: 10.1177/0009922815598143. Epub 2015 Aug 2.
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Seriously clowning: Medical clowning interaction with children undergoing invasive examinations in hospitals.严肃的扮小丑:医院中医疗小丑与接受侵入性检查的儿童的互动
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4
Hospital clowning: a paediatrician's view.医院小丑疗法:一位儿科医生的观点。
Eur J Pediatr. 2017 Feb;176(2):191-197. doi: 10.1007/s00431-016-2821-8. Epub 2016 Dec 24.
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Therapeutic Clowning in Pediatric Practice: A Novel Concept to Think About in India.儿科实践中的治疗性小丑表演:印度一个值得思考的新概念。
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Clowning as a Complementary Approach for Reducing Iatrogenic Effects in Pediatrics.小丑疗法作为减轻儿科医源性影响的辅助方法。
AMA J Ethics. 2017 Aug 1;19(8):775-782. doi: 10.1001/journalofethics.2017.19.8.stas1-1708.
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Disaster zones-should we be clowning around?灾区——我们应该开玩笑吗?
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Clowning as a supportive measure in paediatrics - a survey of clowns, parents and nursing staff.小丑在儿科中的支持性措施 - 对小丑、家长和护理人员的调查。
BMC Pediatr. 2013 Oct 10;13:166. doi: 10.1186/1471-2431-13-166.
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Parental perceptions of clown care in paediatric intensive care units.家长对儿科重症监护病房小丑护理的看法。
J Paediatr Child Health. 2017 May;53(5):485-487. doi: 10.1111/jpc.13448. Epub 2017 Jan 10.
10
Is there a role for clowns in paediatric intensive care units?小丑在儿科重症监护病房能发挥作用吗?
Arch Dis Child. 2017 Jul;102(7):672-675. doi: 10.1136/archdischild-2016-311583. Epub 2017 Feb 8.

引用本文的文献

1
Short-term effects of clown visits in child and adolescent psychiatric care: a pilot study on patient stress and mood outcomes and staff evaluations.小丑探访对儿童和青少年精神科护理的短期影响:一项关于患者压力、情绪结果及工作人员评价的试点研究
Front Psychiatry. 2025 May 13;16:1556932. doi: 10.3389/fpsyt.2025.1556932. eCollection 2025.
2
Jesters of Well-Being: Examining the Relationship between Clown Doctors and Patients.幸福的小丑:探究小丑医生与患者之间的关系。
Behav Sci (Basel). 2024 May 10;14(5):398. doi: 10.3390/bs14050398.
3
Do Clowns Really Taste Funny? An Investigation of the Relationship between Humor and Playfulness in Clown Doctors.
小丑真的尝起来很有趣吗?对小丑医生中幽默与活泼之间关系的一项调查。
Behav Sci (Basel). 2023 Apr 12;13(4):328. doi: 10.3390/bs13040328.
4
Medical clowning in hospitalized children: a meta-analysis.住院儿童的医疗小丑疗法:一项荟萃分析。
World J Pediatr. 2023 Nov;19(11):1055-1061. doi: 10.1007/s12519-023-00720-y. Epub 2023 Apr 14.
5
Medical clowns in Coronavirus wards: A milestone in further integration into Israeli hospitals.新冠病房里的医疗小丑:进一步融入以色列医院的里程碑。
Complement Ther Clin Pract. 2023 May;51:101742. doi: 10.1016/j.ctcp.2023.101742. Epub 2023 Feb 22.
6
More Than Just an Entertainment Show: Identification of Medical Clowns' Communication Skills and Therapeutic Goals.不仅仅是娱乐节目:医学小丑的沟通技巧和治疗目标的识别。
Qual Health Res. 2023 Jan;33(1-2):25-38. doi: 10.1177/10497323221139781. Epub 2022 Nov 17.
7
Motivations and Personal Traits Can Predict Self-Efficacy of the Clown Therapist: A Descriptive Study.动机和个人特质可以预测小丑治疗师的自我效能感:一项描述性研究。
Int J Environ Res Public Health. 2022 Jun 9;19(12):7058. doi: 10.3390/ijerph19127058.
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An ongoing WE: A focused ethnographic study of the relationship between child and hospital clown during recurrent pain-related procedures and conditions.一项正在进行的研究:一项关于儿童与医院小丑在反复进行的与疼痛相关的程序和病症期间关系的聚焦人种志研究。
Paediatr Neonatal Pain. 2019 Aug 22;1(1):5-14. doi: 10.1002/pne2.12005. eCollection 2019 Sep.
9
Medical Clowning: A Cost-Effective Way to Reduce Stress Among Children Undergoing Invasive Procedures.医疗小丑疗法:一种减轻接受侵入性治疗儿童压力的经济有效方法。
Cureus. 2021 Oct 19;13(10):e18886. doi: 10.7759/cureus.18886. eCollection 2021 Oct.
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To the Operating Room! Positive Effects of a Healthcare Clown Intervention on Children Undergoing Surgery.进入手术室!医疗小丑干预对接受手术的儿童的积极影响。
Front Public Health. 2021 Apr 20;9:653884. doi: 10.3389/fpubh.2021.653884. eCollection 2021.