AI Article Synopsis
- The study explored the use of medical clowns (MCs) during urinary catheter insertion in children, comparing their effects to traditional sedation methods.
- Results showed no significant differences in pain and anxiety levels, but the procedure took less time and families were very satisfied with the inclusion of MCs.
- The conclusion suggests that MCs can effectively reduce anxiety and pain comparable to sedation, while also streamlining the procedure and enhancing satisfaction among parents and medical staff.
Article Abstract
Aim: To investigate the potential benefits of medical clowns (MCs) in reducing anxiety and pain during paediatric urinary catheter insertion.
Methods: In this prospective pilot study, 51 children who required urinary catheter insertion were randomised into two groups; the first group (n = 29) underwent the procedure in the presence of a MCs, and the second control group (n = 22) underwent the procedure using sedation. Pain and anxiety levels as well as procedural duration were recorded. All procedures were filmed and evaluated for anxiety level by a paediatric psychiatrist. General satisfaction questionnaires were filled by the medical team and parents in the clown group.
Results: There were no differences in pain scores or anxiety levels between the two groups. Procedure duration and total hospital stay were significantly shorter in the MC group (p < 0.001). One hundred percent of the parents and the medical team were in favour of incorporating MCs during urinary catheter insertion.
Conclusion: MCs are as good as sedation in lowering anxiety and pain levels in children undergoing urinary catheter insertion. In addition, MCs reduce the duration of the procedure and elicit a high degree of overall satisfaction from the parents and medical team.
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| http://dx.doi.org/10.1111/apa.16733 | DOI Listing |
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