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Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial
Tianyu Chen1, Qiying Chen2, Zhenhua Lin2
1Department of Nursing, Quanzhou Medical College, Quanzhou, Fujian, China.
Insights
Family participatory clown therapy significantly reduced pain, anxiety, and fear in hospitalized children during venipuncture. This intervention also improved child compliance and parental satisfaction, offering a promising approach for pediatric care.
Area of Science:
- Pediatric Nursing
- Child Psychology
- Pain Management
Background:
- Venipuncture is a common and often distressing procedure for hospitalized children.
- Effective strategies are needed to mitigate procedural pain, anxiety, and fear in pediatric patients.
Purpose of the Study:
- To evaluate the efficacy of family participatory clown therapy in managing children's experience during venipuncture.
- To assess the impact of this therapy on pain, anxiety, medical fear, crying, compliance, and parental outcomes.
Main Methods:
- A non-randomized controlled trial involving 104 children aged 3-6 years undergoing venipuncture.
- The experimental group received family participatory clown therapy alongside standard care, while the control group received standard care only.
- Outcomes measured included pain (FLACC, W-B FPS), anxiety (VAS-A), medical fear (CFS), crying, compliance, parental anxiety (S-AI), and satisfaction.
Main Results:
- The experimental group showed statistically significant reductions in pain scores (FLACC, W-B FPS) compared to the control group (P<0.05).
- Children in the experimental group exhibited lower levels of anxiety, medical fear, and crying.
- Improved child compliance and higher parental satisfaction were observed in the experimental group.
Conclusions:
- Family participatory clown therapy is effective in reducing pain, anxiety, medical fear, and crying during pediatric venipuncture.
- The therapy enhances procedural compliance in children and decreases parental anxiety while increasing satisfaction.
- This intervention offers a valuable, non-pharmacological approach to improve the venipuncture experience for children and their families.
Objective:
To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children.
Methods:
We recruited 104 children aged 3 to 6 years for a non-randomized controlled trial from March to December 2022. All participants required peripheral venepuncture infusions for treatment. The children were assigned to either the control group (n = 52) or the experimental group (n = 52).Standard care was utilized in the control group. In the experimental group, two clown nurses and a parent provided family participatory clown therapy for 35-45 minutes per child before, during, and after venipuncture. We assessed children's pain (FLACC and W-B FPS), anxiety (VAS-A), medical fear (CFS), crying incidence, compliance, parental anxiety (S-AI), and parental satisfaction.
Results:
At venipuncture, the FLACC score was lower in the experimental group (4.46±2.053) compared to the control group (5.96±2.441), the W-B FPS score was also lower in the experimental group (4.96±2.392) than in the control group (6.35±2.266), with a statistically significant difference (P<0.05).The children in the experimental group had lower levels of anxiety, medical fear, crying, and parental anxiety than the control group. In addition, child compliance and parent satisfaction were higher in the experimental group than in the control group, with statistically significant differences (P<0.05).
Conclusion:
Family participatory clown therapy can reduce pain, anxiety, medical fear, and crying during venipuncture in children. It can also improve venipuncture compliance, reduce parental anxiety, and increase parental satisfaction.
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