医疗小丑有助于儿科患者的症状管理与心理健康(2)

BMJ-British Medical Journal:《英国医学杂志》，创刊于1840年。隶属于BMJ出版集团，最新IF：27.604

共有24项研究（n=1612）符合数据提取和分析的纳入标准，其中13项为随机对照试验。最常分析的症状是焦虑（13项），其次是疼痛（9项）、心理和情感反应以及幸福感（4项）、压力（4项）、癌症相关疲劳（3项）和哭泣（2项）。有五项研究使用了生物标志物，主要是皮质醇，来评估医疗小丑表演后患儿的压力或疲劳结局。

Author: Luís Carlos Lopes-Júnior, Emiliana Bomfim, Karin Olson, Eliane Tatsch Neves, Denise Sayuri Calheiros Silveira, Michelle Darezzo Rodrigues Nunes, Lucila Castanheira Nascimento, Gabriela Pereira-da-Silva, Regina Aparecida Garcia Lima

附：英文原文

本期文章：《英国医学杂志》：Online/在线发表

研究结果表明，在医疗程序、术前手术室麻醉诱导以及作为慢性疾病常规治疗的一部分，医疗小丑的存在可能有益于管理某些症状群。与那些只接受标准治疗的儿童和青少年相比，医疗小丑可能有助于改善患有急慢性疾病的住院儿童和青少年的心理健康。

Study selection Randomised and non-randomised controlled trials were peer reviewed using the following eligibility criteria: children and adolescents who were admitted to hospital for acute conditions or chronic disorders, studies comparing use of hospital clowns with standard care, and studies evaluating the effect of hospital clowns on symptom management of inpatient children and adolescents as a primary outcome.

Source: https://www.bmj.com/content/371/bmj.m4290

DOI: 10.1136/bmj.m4290

Issue&Volume: 2020/12/16

巴西圣埃斯皮里图联邦大学Luís Carlos Lopes-Júnior团队研究了医疗小丑对儿科症状管理的有效性。2020年12月16日，该研究发表在《英国医学杂志》上。

Abstract:

Data sources Medline, ISI of Knowledge, Cochrane Central Register of Controlled Trials, Science Direct, Scopus, American Psychological Association PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences Literature.

Data extraction and synthesis Two investigators independently screened studies, extracted data, and appraised the risk of bias. Methodological appraisal was assessed by two investigators independently using the Jadad scale, the revised Cochrane risk-of-bias tool for randomised controlled trials (RoB 2), and the risk of bias in non-randomised studies (ROBINS-I) tool for non-randomised controlled trials.

Objective To evaluate evidence from randomised controlled trials and non-randomised controlled trials on the effectiveness of hospital clowns for a range of symptom clusters in children and adolescents admitted to hospital with acute and chronic conditions.

为了评估医疗小丑对因急慢性疾病住院的儿童和青少年的一系列症状群的有效性，研究组在Medline、Science Direct、Scopus等大型数据库中检索随机和非随机对照试验，包括对急慢性疾病入院的儿童和青少年使用医疗小丑与标准治疗的比较研究，以及评估医疗小丑对住院儿童和青少年症状管理的影响，并将其作为主要结果的研究。

Conclusions These findings suggest that the presence of hospital clowns during medical procedures, induction of anaesthesia in the preoperative room, and as part of routine care for chronic conditions might be a beneficial strategy to manage some symptom clusters. Furthermore, hospital clowns might help improve psychological wellbeing in admitted children and adolescents with acute and chronic disorders, compared with those who received only standard care.

Title: Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials