The Effect of Hospital Clown Intervention on Children on Anxiety in the Preoperative Period: A Systematic Review

Year 2023, Volume: 6 Issue: 3, 759 - 769, 15.10.2023

Fatma Bozdağ , Duygu Gözen

https://doi.org/10.38108/ouhcd.1143032

Abstract

Objective: In the preoperative period, children experience anxiety. Anxiety in the preoperative period should be reduced in order to increase the compatibility of children with the applied procedures. This review was carried out to examine randomized controlled studies to determine the effect of the hospital clown intervention on children level of anxiety in the preoperative period.
Method: This research is a systematic review. In this respect, "preoperative, non-pharmacological methods, child, anxiety and clown" keywords were matched and five databases, including PubMed, MEDLINE, Google Scholar, Science Direct and Cochrane, were searched for the years 2005-2021.
Results: A total of 1207 publications were reached as a result of the search of databases in this research. A total of 10 (N=1506) publications that met the inclusion criteria were included in the research and evaluated in terms of results. Within the scope of the study, interventions were made with children aged between 2 and 16 years in the pediatric service, during the transfer to the operating room, during the anesthesia induction and in the post-operative period, with medical clown, art therapy, midazolam, hydroxyzine and parental presence. Children's anxiety levels were evaluated with the "State-Trait Anxiety Inventory" or "Modified Yale Preoperative Anxiety Scale".
Conclusion: It was concluded that the hospital clown intervention applied to children was effective in reducing anxiety in the preoperative period.

Keywords

Child, Medical Clown, Preoperative Period, Anxiety.

Çocuklara Uygulanan Tıbbi Palyaço Girişiminin Preoperatif Dönemdeki Anksiyeteye Etkisi: Sistematik Derleme

Abstract

Amaç: Preoperatif dönemde çocuklar kaygı yaşarlar. Çocukların uygulanan prosedürlere uyumunun artırılabilmesi için preoperatif dönemdeki kaygının azaltılması gerekmektedir. Bu sistematik derleme, çocuklara uygulanan tıbbi palyaço girişiminin preoperatif dönemdeki kaygı düzeyine etkisini belirlemek amacıyla gerçekleştirilmiştir.
Yöntem: Bu araştırma sistematik derleme niteliğindedir. Bu amaçla “preoperative, non-pharmacological methods, child, anxiety ve clown” anahtar kelimeleri eşleştirilerek PubMed, MEDLINE, Google Scholar, Science Direct ve Cochrane olmak üzere beş veri tabanı 2005-2021 yıllarını kapsayacak şekilde taranmıştır.
Bulgular: Bu araştırmada veri tabanlarının taraması sonucunda toplam 1207 yayına ulaşılmıştır. Araştırmaya dâhil edilme kriterlerine uygun olan toplam 10 (N=1506) yayın araştırma kapsamına alınmış ve sonuçlar açısından değerlendirilmiştir. Araştırma kapsamında 2-16 yaş arasında olan çocuklara pediatri servisi, ameliyathaneye transfer süreci, anestezi indüksiyonu sırasında ve ameliyattan sonraki dönemde tıbbi palyaço, sanat terapi, midazolam, hidroksizin ve ebeveyn varlığı ile müdahaleler yapılmıştır. Çocukların kaygı düzeyleri “Durumluk-Süreklik Kaygı Envanteri” veya “Modifiye Yale Preoperatif Kaygı Skalası” ile değerlendirilmiştir.
Sonuç: Çocuklara uygulanan tıbbi palyaço müdahalesinin preoperatif dönemdeki kaygıyı azaltmada etkili olduğu sonucuna ulaşılmıştır.

Keywords

Çocuk, Tıbbi Palyaço, Preoperatif Dönem, Kaygı

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