医疗小丑有助于儿科患者的症状管理与心理健康

Results 24 studies (n=1612) met the inclusion criteria for data extraction and analysis. Most studies were randomised controlled trials (n=13). Anxiety was the most frequently analysed symptom (n=13), followed by pain (n=9), psychological and emotional responses and perceived wellbeing (n=4), stress (n=4), cancer related fatigue (n=3), and crying (n=2). Five studies used biomarkers, mainly cortisol, to assess stress or fatigue outcome following hospital clowns. Most of the randomised controlled trials (n=11; 85%) were rated as showing some concerns, and two trials were rated with a high risk of bias. Most non-randomised controlled trials (n=6; 55%) were rated with a moderate risk of bias according to ROBINS-I tool. Studies showed that children and adolescents who were in the presence of hospital clowns, either with or without a parent present, reported significantly less anxiety during a range of medical procedures, as well as improved psychological adjustment (P<0.05). Three studies that evaluated chronic conditions showed favourable results for the intervention of hospital clowns with significant reduction in stress, fatigue, pain, and distress (P<0.05).

Design Systematic review of randomised and non-randomised controlled trials.

期刊信息

医疗小丑有助于儿科患者的症状管理与心理健康

大多数随机对照试验（11项：85％）被评为有一定关联，而两项试验被认为具有较高的偏倚风险。大多数非随机对照试验（6项，55%）被评为中等偏倚风险。研究表明，无论是否有家长在场，当医疗小丑出现时，儿童和青少年在一系列医疗过程中表现出的焦虑程度显著降低，心理适应能力也有所改善。三项评估慢性疾病的研究显示，医疗小丑的干预效果良好，能显著减轻儿童和青少年患者的压力、疲劳、疼痛和痛苦。

作者：小柯机器人 发布时间：2020/12/19 16:15:11