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Parental anxiety and stress before pediatric anesthesia: a pilot study on the effectiveness of preoperative clown

Francesca Agostini1, Fiorella Monti, Erica Neri

  • 1University of Bologna, Italy.

Insights

Clown intervention significantly reduced maternal anxiety and stress before pediatric anesthesia induction. This approach is recommended for clinical settings to support parents during stressful preoperative periods.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Healthcare Intervention

Background:

  • Pediatric anesthesia induction can cause significant anxiety in both children and their parents.
  • Maternal anxiety and stress are common during the preoperative phase of pediatric procedures.
  • The need for effective interventions to mitigate parental distress in pediatric settings is well-established.

Purpose of the Study:

  • To evaluate the effectiveness of a clown intervention in reducing maternal anxiety and stress.
  • To assess the impact of clown intervention on maternal state anxiety and somatization tendencies.
  • To determine if clown intervention influences perceived stress levels in mothers of children undergoing anesthesia.

Main Methods:

  • A randomized controlled trial was conducted with 50 children undergoing anesthesia induction.
  • Children were assigned to either a clown intervention group (n=25) or a control group (n=25) with routine procedures.
  • Maternal anxiety and stress were measured in the waiting room and after child separation, with specific focus on the clown intervention's effect.

Main Results:

  • Maternal state anxiety significantly decreased post-separation in the clown intervention group compared to the control group.
  • The tendency for somatization did not increase in mothers receiving the clown intervention.
  • Mothers of older children showed a significant reduction in perceived stress levels following the clown intervention.

Conclusions:

  • Clown intervention demonstrates a positive effect on reducing maternal anxiety and stress in the preoperative period.
  • The findings support the integration of clown interventions into clinical-hospital environments to enhance parental well-being.
  • This non-pharmacological approach offers a promising strategy for managing preoperative parental distress in pediatric care.