Pediatric Hematology-Oncology, Hadassah Ein Kerem, Jerusalem, Israel.
Hebrew University- Hadassah Medical School, Jerusalem, Israel.
Eur J Pediatr. 2018 Feb;177(2):247-249. doi: 10.1007/s00431-017-3018-5. Epub 2017 Sep 22.
Medical clowns have an important role in helping patients cope with their pain and distress. This is especially true in the pediatric population. However, their activity in a disaster area is unheard of. Following the Nepal earthquake in 2015, the Israeli field hospital set up in Kathmandu, Nepal was joined by five volunteer medical clowns. They were active in all parts of the field hospital. Following the hospital's activity, an online questionnaire was sent to the field hospital members to assess the impact of medical clowning on the hospital in general and its members' individual performance. Physicians and nurses found that medical clowning had a positive impact both generally and personally. (65.4 and 78.3% respectively on general impact.) Personnel that were not previously exposed to medical clowning also found them to have a positive impact; however, they were less likely to view it as impacting their personal performance.
Medical teams in disaster areas may benefit from the presence of medical clowns. What is known about this topic: • Medical clowns are used for alleviation and distraction in painful and distressful medical procedures and treatments. Its positive effect on patients, and their families are well established.
• This is the first description of medical clowning in a disaster area. In addition, the impact of medical clowning on the medical staff working in a disaster area is evaluated. No previous studies have explored the impact of medical clowns on the medical staff.
医疗小丑在帮助患者应对疼痛和痛苦方面发挥着重要作用。这在儿科人群中尤其如此。然而，他们在灾区的活动却闻所未闻。2015 年尼泊尔地震后，在尼泊尔加德满都设立的以色列野战医院迎来了 5 名志愿医疗小丑。他们活跃在野战医院的各个角落。在医院开展活动后，向野战医院的成员发送了一份在线问卷，以评估医疗小丑对医院整体及其成员个人表现的影响。医生和护士发现，医疗小丑的影响无论是整体还是个人都产生了积极影响。（总体影响分别为 65.4%和 78.3%。）以前没有接触过医疗小丑的人员也发现它们产生了积极影响；然而，他们认为这对他们的个人表现没有影响的可能性较小。
灾区的医疗团队可能会受益于医疗小丑的存在。关于这个话题已知的是：
• 医疗小丑用于缓解和分散痛苦和痛苦的医疗程序和治疗中的疼痛。其对患者及其家人的积极影响已得到充分证实。
• 这是首次在灾区描述医疗小丑。此外，还评估了医疗小丑对在灾区工作的医务人员的影响。以前没有研究探讨过医疗小丑对医务人员的影响。
