Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.

<h4>Objective</h4>To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children.<h4>Methods</h4>We recruited 104 children aged 3 to 6 years for a non-randomized controlled trial from March to December 2022. All participants requir...

Full description

Saved in:
Bibliographic Details
Main Authors: Tianyu Chen, Qiying Chen, Zhenhua Lin, Jingfang Ye
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0305101
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832586180975132672
author Tianyu Chen
Qiying Chen
Zhenhua Lin
Jingfang Ye
author_facet Tianyu Chen
Qiying Chen
Zhenhua Lin
Jingfang Ye
author_sort Tianyu Chen
collection DOAJ
description <h4>Objective</h4>To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.
format Article
id doaj-art-2376f857146a4f9eaa83bd1d3cb29365
institution Kabale University
issn 1932-6203
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-2376f857146a4f9eaa83bd1d3cb293652025-01-26T05:31:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01197e030510110.1371/journal.pone.0305101Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.Tianyu ChenQiying ChenZhenhua LinJingfang Ye<h4>Objective</h4>To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.https://doi.org/10.1371/journal.pone.0305101
spellingShingle Tianyu Chen
Qiying Chen
Zhenhua Lin
Jingfang Ye
Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
PLoS ONE
title Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
title_full Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
title_fullStr Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
title_full_unstemmed Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
title_short Family participatory clown therapy in venipuncture in hospitalized children: A non-randomized controlled trial.
title_sort family participatory clown therapy in venipuncture in hospitalized children a non randomized controlled trial
url https://doi.org/10.1371/journal.pone.0305101
work_keys_str_mv AT tianyuchen familyparticipatoryclowntherapyinvenipunctureinhospitalizedchildrenanonrandomizedcontrolledtrial
AT qiyingchen familyparticipatoryclowntherapyinvenipunctureinhospitalizedchildrenanonrandomizedcontrolledtrial
AT zhenhualin familyparticipatoryclowntherapyinvenipunctureinhospitalizedchildrenanonrandomizedcontrolledtrial
AT jingfangye familyparticipatoryclowntherapyinvenipunctureinhospitalizedchildrenanonrandomizedcontrolledtrial