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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (4): 21-26.doi: 10.16460/j.issn1008-9969.2022.04.021

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Effects of Clown Care on Children's Anxiety and Pain: A Meta-analysis

YU Xiao-yan, LIU Yu, HUANG Yi   

  1. Dept. of Nursing Administration, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2021-07-15 Online:2022-02-25 Published:2022-03-04

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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

CLC Number: 

  • R473.72
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