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

• Published in: PloS one Vol. 19; no. 7; p. e0305101
• Main Authors: Chen, Tianyu, Chen, Qiying, Lin, Zhenhua, Ye, Jingfang
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 25.07.2024; Public Library of Science (PLoS)
• Subjects: Anxiety; Anxiety - psychology; Anxiety - therapy; Biology and Life Sciences; Care and treatment; Child; Child, Hospitalized - psychology; Child, Preschool; Children; Children & youth; Clinical outcomes; Clinical trials; Cognitive ability; Communication; Compliance; Cooperation; Crying - psychology; Disease; Emotions; Families & family life; Fear; Fear - psychology; Female; Hospital patients; Hospitalization; Hospitals; Humans; Intervention; Laughter Therapy - methods; Male; Medicine and Health Sciences; Nurses; Pain; Pain - psychology; Parenting; Parents; Parents & parenting; Parents - psychology; Participation; Pediatrics; People and Places; Phlebotomy; Phlebotomy - psychology; Role playing; Social Sciences; Statistical analysis; Therapy; China
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0305101

To explore the effectiveness of family participatory clown therapy in venipuncture in hospitalized children. 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. 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). 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.