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首页> 外文期刊>Journal of Pain Research >A cross-cultural perspective of medical clowning: comparison of its effectiveness in reducing pain and anxiety among hospitalized Bedouin and Jewish Israeli children
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A cross-cultural perspective of medical clowning: comparison of its effectiveness in reducing pain and anxiety among hospitalized Bedouin and Jewish Israeli children

机译：医疗小丑的跨文化视角：比较其在减轻住院的贝都因人和以色列犹太儿童的痛苦和焦虑中的有效性

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Purpose: Medical clowning has proven effective for reducing pain, anxiety, and stress, however, its differential effects on children from different cultures have not yet been researched. This study evaluated the effects of medical-clowning intervention on anxiety and pain among Jewish and Bedouin children, and anxiety among their parents, in southern Israel. Patients and methods: The study was conducted in hospital pediatric departments and employed a pre–post design involving quantitative and qualitative methods. The study included 89 children whose ages ranged from 7.5 to 12 years (39 Jewish and 50 Bedouin) and 69 parents (19 Jewish and 50 Bedouin). Questionnaires assessing pain, anxiety, and demographics were used at the pre-intervention stage and pain, anxiety, and enjoyment of different aspects of the intervention were evaluated following the intervention. The intervention stage lasted for 8–10 minutes and included the use of word play, body language, and making faces, as well as the use of props brought by the clown. Semi-structured interviews were also conducted at the post-intervention stage. Results: The intervention reduced pain and anxiety among both groups of children and reduced anxiety among both groups of parents. However, anxiety levels were reduced more significantly among Bedouin children. The nonverbal components of the clowns’ humor were most central, but it was the verbal components that mediated the reduction in anxiety among the Bedouin children. Conclusion: This study underscored the effectiveness and importance of medical clowning in reducing pain and anxiety among children in different cultural contexts. Moreover, the issue of culturally appropriate humor was underscored and implications for intercultural clown training are discussed.
机译：目的：医疗小丑已被证明可有效减轻疼痛，焦虑和压力，但是，其对不同文化背景的儿童的不同作用尚未得到研究。这项研究评估了以色列南部犹太人和贝都因人的焦虑症和痛苦以及父母的焦虑症对药物干预的影响。患者和方法：该研究在医院儿科部门进行，并采用了涉及定量和定性方法的事前设计。该研究纳入了89名年龄在7.5至12岁之间的儿童（39名犹太人和50名贝都因人）和69名父母（19名犹太人和50名贝都因人）。在干预前阶段使用评估疼痛，​​焦虑和人口统计学的问卷调查，并在干预后评估疼痛，​​焦虑和干预不同方面的乐趣。干预阶段持续了8-10分钟，包括使用文字游戏，肢体语言和做鬼脸，以及使用小丑带来的道具。在干预后阶段还进行了半结构化访谈。结果：干预措施减轻了两组儿童的痛苦和焦虑，并减轻了两组父母的焦虑。但是，贝都因族儿童的焦虑水平明显降低。小丑幽默的非言语成分最为重要，但口头成分却导致贝都因儿童的焦虑减轻。结论：这项研究强调了在不同文化背景下，医学小丑在减轻儿童痛苦和焦虑方面的有效性和重要性。此外，强调了适合文化的幽默问题，并讨论了对跨文化小丑培训的影响。

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