Friedler Shevach, Glasser Saralee, Levitan Gila, Hadar Dana, Sasi Bat-El, Lerner-Geva Liat
Barzilai Medical Center, Ashkelon, Israel.
The Gertner Institute for Epidemiology and Health Policy Research Ltd, Tel Hashomer, Israel
J Evid Based Complementary Altern Med. 2017 Jan;22(1):47-53. doi: 10.1177/2156587216629041. Epub 2016 Feb 10.
This study compared responses to an in-person clown visit and a humorous film following in vitro fertilization and embryo transfer. Intervention was a 10-minute clown visit (n = 101) or 10-minute humorous video clip (n = 99). Demographic and fertility-related data and preintervention anxiety scores were collected. Participants completed an Evaluation of Intervention form postintervention. There were no group differences on demographic or fertility-related data or anxiety scores. Findings indicate while participants viewed the intervention positively, the clown visit offered a higher degree of satisfaction in more patients than did the film. Median evaluation scores were significantly higher for the clown visit, specifically reducing anxiety level and being more distracting. Both groups reported that the exposure made the clinic experience more pleasant and did not bother them, and most would recommend incorporating the intervention in routine treatment. However, free-text comments clearly expressed greater enthusiasm to the in-person clown intervention than to the film.
本研究比较了体外受精和胚胎移植后，患者对现场小丑探访和幽默影片的反应。干预措施为10分钟的小丑探访（n = 101）或10分钟的幽默视频片段（n = 99）。收集了人口统计学和生育相关数据以及干预前的焦虑评分。参与者在干预后完成了一份干预评估表。在人口统计学、生育相关数据或焦虑评分方面，两组没有差异。研究结果表明，虽然参与者对干预措施评价积极，但与影片相比，小丑探访让更多患者获得了更高程度的满意度。小丑探访的评估分数中位数显著更高，特别是在降低焦虑水平和更具分散注意力方面。两组均报告称，这种接触让临床体验更愉快，且没有给他们带来困扰，大多数人会建议在常规治疗中采用该干预措施。然而，自由文本评论明确表达了对现场小丑干预的热情高于影片。
