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首页> 外文期刊>Clinical Pediatrics >The effect of a medical clown on pain during intravenous access in the pediatric emergency department: A randomized prospective pilot study
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The effect of a medical clown on pain during intravenous access in the pediatric emergency department: A randomized prospective pilot study

机译：儿科急诊室中医疗小丑对静脉通路疼痛的影响：一项随机前瞻性先导研究

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摘要

Background. We report the effect of the presence of a medical clown during insertion of an intravenous catheter during their emergency department visit. Methods. Prospectively randomized to either the presence or absence of a male medical clown during the procedure. Pain was assessed using the Faces Pain Scale-Revised in children 4 to 7 years old, and visual analog scales in children 8 years and older. Parental situational anxiety was recorded using the State-Trait Anxiety Inventory after the procedure. Results. The presence of a medical clown during a painful procedure in the pediatric emergency department tended to improve pain scores in children younger than 7 years. Parental situational anxiety was significantly reduced in parents of children older than 8 years (P =.02). Conclusion. Therapeutic clowns are useful for diminishing pain and anxiety during painful procedures being performed on children in the emergency department.
机译：背景。我们报告了在急诊就诊期间插入静脉导管期间医疗小丑的影响。方法。在手术过程中前瞻性地随机分为男性医学小丑的存在与否。使用4至7岁儿童的“面部疼痛量表”和8岁以上儿童的视觉模拟量表对疼痛进行评估。手术后，使用状态-特质焦虑量表记录父母的情境焦虑。结果。小儿急诊科在痛苦的过程中出现医疗小丑往往会改善7岁以下儿童的疼痛评分。 8岁以上儿童父母的父母情境焦虑明显降低（P = .02）。结论。治疗性小丑对于减轻急诊科儿童的痛苦过程中的疼痛和焦虑感非常有用。

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