小丑照护对患儿焦虑疼痛干预效果的Meta分析

doi:10.16460/j.issn1008-9969.2022.04.021

摘要/Abstract

摘要： 目的通过Meta分析评价小丑照护缓解患儿焦虑、疼痛程度的影响。方法计算机检索PubMed、Cochrane Library、EMbase、CINAHL、Web of Science、知网、维普和万方数据库,获取小丑照护对患儿焦虑、疼痛程度效果的随机对照研究和类实验性研究,检索时限为建库至2021年2月。2名研究者依据纳排标准分别进行文献筛选及质量评价,采用RevMan 5.3软件进行Meta分析。结果共纳入15项研究。Meta分析结果显示,与对照组比较,小丑照护能有效地缓解患儿的焦虑情绪[SMD=-0.91,95%CI（-1.13,-0.68）,P<0.01],减轻患儿的疼痛程度[SMD=-0.30,95%CI（-0.47,-0.13）,P<0.01],以及改善父母的状态焦虑情绪[MD=-3.61,95%CI（-5.78,-1.43）,P<0.01],但对缓解父母的特质焦虑情绪效果不明显（P=0.45）。结论小丑照护可以有效地缓解患儿在手术或其他治疗操作过程中的焦虑、疼痛程度,对缓解父母焦虑情绪效果尚缺乏证据支持,需要高质量的研究进行探讨。

关键词: 小丑照护, 患儿, 焦虑, 疼痛, Meta分析

Abstract: Objective To To systematically evaluate the effects of clown care on children's anxiety and pain. Methods We searched databases including PubMed, Cochrane Library, EMbase, CINAHL, Web of Science, CNKI, VIP and Wanfang data to collect RCTs and clinical control studies about the effect of clown care on children's anxiety and pain from the inception to February 2021. According to the inclusion and exclusion criteria, two researchers conducted independent quality evaluation, evidence extraction and summary of the literature. Meta-analysis was performed by RevMan5.3 software. Results Fifteen studies were included. Meta-analysis showed that clown care could reduce children's anxiety [SMD=-0.91,95%CI(-1.13,-0.68), P<0.01], and pain [SMD=-0.30, 95%CI(-0.47,-0.13), P<0.01]. There was statistical significance in reducing parental state anxiety [MD=-3.61,95%CI(-5.78,-1.43), P<0.01], but no in parental trait anxiety (P=0.45). Conclusion Clown care can reduce children's anxiety and pain, but there is no adequate evidence of a reduction on parental anxiety during operation or other medical procedure. Further quality studies are needed to verify the efficacy of clown care.

Key words: clown care, children, anxiety, pain, Meta analysis

中图分类号:

R473.72

余小燕, 刘于, 黄毅. 小丑照护对患儿焦虑疼痛干预效果的Meta分析[J]. 护理学报, 2022, 29(4): 21-26.

YU Xiao-yan, LIU Yu, HUANG Yi. Effects of Clown Care on Children's Anxiety and Pain: A Meta-analysis[J]. Journal of Nursing, 2022, 29(4): 21-26.

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