Department of Child Health and Diseases Nursing, Ataturk University Faculty of Nursing, Erzurum, Turkey.
Department of Child Health and Diseases Nursing, Ataturk University Faculty of Nursing, Erzurum, Turkey.
J Pediatr Nurs. 2020 Jul-Aug;53:e6-e13. doi: 10.1016/j.pedn.2020.01.015. Epub 2020 Feb 10.
The aim of the present study was to explore the effect of therapeutic clowning on pain and anxiety during intrathecal chemotherapy.
DESIGN & METHODS: The study was conducted using a quasi-experimental method with a pretest-posttest control group design. The study sample was composed of children between 7 and 12 years old (N = 78) who had been diagnosed with acute myeloid leukaemia and acute lymphoblastic leukaemia and were undergoing intrathecal chemotherapy in a hospital in Turkey. The study was conducted with children who received services at this hospital. The results were obtained from 74 children (i.e. 36 in the control group, 38 in the clown group). The data were collected with a questionnaire developed by the researchers, the Visual Analogue Scale (VAS) and the Faces Pain Rating Scale (FACES). VAS and FACES were used to measure pain and anxiety levels. Therapeutic clowning was applied to children in the intervention group. Analyses included percentage distributions, mean, chi-square, t-test, variance, and correlation analysis.
Results showed that children in the clown group had significantly lower pain and anxiety than children in the control group (p < .001).
According to the results, therapeutic clowning was effective in relieving the pain and anxiety of children between the ages of 7 and 12 years who undergone intrathecal chemotherapy.
Due to its positive effects, therapeutic clowning could be explore for use in other areas of paediatric nursing for the children between the ages of 7 and 12 years as a complementary treatment.
本研究旨在探讨治疗小丑对鞘内化疗期间疼痛和焦虑的影响。
本研究采用准实验方法，采用前后测对照组设计。研究样本由 7 至 12 岁（N=78）被诊断为急性髓性白血病和急性淋巴细胞白血病并在土耳其一家医院接受鞘内化疗的儿童组成。该研究在该医院接受服务的儿童中进行。结果来自 74 名儿童（即对照组 36 名，小丑组 38 名）。数据由研究人员开发的问卷、视觉模拟量表（VAS）和面部疼痛评定量表（FACES）收集。VAS 和 FACES 用于测量疼痛和焦虑水平。治疗小丑应用于干预组的儿童。分析包括百分比分布、均值、卡方检验、t 检验、方差和相关分析。
结果表明，小丑组儿童的疼痛和焦虑明显低于对照组儿童（p<0.001）。
根据结果，治疗小丑在缓解 7 至 12 岁接受鞘内化疗的儿童的疼痛和焦虑方面是有效的。
由于其积极影响，治疗小丑可以作为补充治疗，在 7 至 12 岁儿童的儿科护理其他领域中进行探索。
