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Medical clowns versus sedation for paediatric urinary catheter insertion-A randomised pilot study
Galiya Raisin1, Rachel Cohen1, Orit Galant1
1Department of Pediatric Urology, Shaare Zedek Medical Center, Jerusalem, Israel.
Acta Paediatrica (Oslo, Norway : 1992)
|February 28, 2023
Summary
Medical clowns (MCs) effectively reduce anxiety and pain during pediatric urinary catheterization, matching sedation
Area of Science:
- Pediatric medicine
- Child psychology
- Medical intervention effectiveness
Background:
- Urinary catheter insertion in children can cause significant anxiety and pain.
- Sedation is a common method to manage distress during pediatric procedures.
- Alternative, non-pharmacological interventions are sought to improve patient experience.
Purpose of the Study:
- To evaluate the efficacy of medical clowns (MCs) in mitigating anxiety and pain during pediatric urinary catheter insertion.
- To compare the impact of MCs versus sedation on children undergoing this procedure.
Main Methods:
- A prospective pilot study involving 51 children requiring urinary catheterization.
- Children were randomized into two groups: one with MCs (n=29) and a control group receiving sedation (n=22).
- Pain, anxiety, procedure duration, and satisfaction were assessed; procedures were video-recorded for expert anxiety evaluation.
Main Results:
- No significant differences in pain or anxiety levels were observed between the MC and sedation groups.
- The medical clown group demonstrated significantly shorter procedure durations (p < 0.001).
- 100% of parents and medical staff favored the inclusion of MCs in urinary catheterization procedures.
Conclusions:
- Medical clowns are as effective as sedation in reducing pain and anxiety for pediatric urinary catheter insertion.
- MCs offer the added benefits of reducing procedure time and enhancing overall satisfaction.
- The integration of medical clowns presents a valuable, well-accepted adjunct to pediatric procedural care.
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