中华护理杂志 ›› 2023, Vol. 58 ›› Issue (8): 1012-1016.DOI: 10.3761/j.issn.0254-1769.2023.08.018
收稿日期:
2022-07-21
出版日期:
2023-04-20
发布日期:
2023-04-19
通讯作者:
张银玲,E-mail:zyl-ylz@163.com作者简介:
王佩:女,本科(硕士在读),护师,E-mail:745652559@qq.com
WANG Pei(), ZHANG Lanfang, CUI Yi, ZHANG Yinling()
Received:
2022-07-21
Online:
2023-04-20
Published:
2023-04-19
摘要:
小丑照护是一种基于治疗性幽默的非药物干预方法,对缓解儿科患者的压力、改善其不良行为、提高其治疗依从性具有重要作用。该文从小丑照护的发展进程、实施方法、对儿科患者的影响、实施小丑照护存在的困难及挑战等方面进行综述,并提出实践建议,旨在为规范并推广小丑照护提供参考。
王佩, 张蓝方, 崔怡, 张银玲. 小丑照护在儿科患者中应用的研究进展[J]. 中华护理杂志, 2023, 58(8): 1012-1016.
WANG Pei, ZHANG Lanfang, CUI Yi, ZHANG Yinling. Research progress on the application of clown care in pediatric patients[J]. Chinese Journal of Nursing, 2023, 58(8): 1012-1016.
[1] |
Bray L, Appleton V, Sharpe A. The information needs of children having clinical procedures in hospital:will it hurt? Will I feel scared? What can I do to stay calm?[J]. Child Care Health Dev, 2019, 45(5):737-743.
DOI URL |
[2] | Warren B. Healing laughter:the role and benefits of clown-doctors working in hospitals and healthcare[M]. London and New York: Routledge, 2008:213-228. |
[3] | Lopes-Júnior LC, Bomfim E, Olson K, et al. Effectiveness of hospital clowns for symptom management in paediatrics:systematic review of randomised and non-randomised controlled trials[J]. BMJ, 2020, 371:m4290. |
[4] |
Markova G, Houdek L, Kocabova Z. To the operating room! Positive effects of a healthcare clown intervention on children undergoing surgery[J]. Front Public Health, 2021, 9:653884.
DOI URL |
[5] |
Spitzer P. Essay:hospital clowns:modern-day court jesters at work[J]. Lancet, 2006, 368:S34-S35.
DOI URL |
[6] | Williamson L. Treating the funny bone[J]. Time, 1990, 136(20):17. |
[7] |
Silva MRD, Marques MCDC, Penha AVX, et al. Constructed and disseminated behaviors of the hospital clown[J]. Cien Saude Colet, 2022, 27(6):2449-2458.
DOI URL |
[8] | 罗辑. 香港医院的特色服务[J]. 现代临床护理, 2002, 1(3):61-62. |
Luo J. Special services of hospitals in Hong Kong[J]. Mod Clin Nurs, 2002, 1(3):61-62. | |
[9] | 赵艳花, 李诗韵, 江宇, 等. 广东省妇幼保健院探索“小丑医生”志愿服务实践[J]. 中华医院管理杂志, 2016, 32(6):476-477. |
Zhao YH, Li SY, Jiang Y, et al. Guangdong Maternal and Child Health Hospital explores the volunteer service practice of “clown doctor”[J]. Chin J Hosp Adm, 2016, 32(6):476-477. | |
[10] | 李荣, 陈伟博, 王冉冉, 等. 家庭参与式小丑照护在肿瘤患儿PICC置管及维护中的应用[J]. 中华护理教育, 2022, 19(1):75-80. |
Li R, Chen WB, Wang RR, et al. The effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance[J]. Chin J Nurs Educ, 2022, 19(1):75-80. | |
[11] | 李军莉, 张培莉, 丁永霞, 等. 小丑照护在学龄前儿童预防接种中的应用[J]. 护理研究, 2020, 34(10):1811-1815. |
Li JL, Zhang PL, Ding YX, et al. Application of clown care in vaccination of preschool children[J]. Chin Nurs Res, 2020, 34(10):1811-1815. | |
[12] | 程宗燕, 曹勍, 张玲, 等. 医疗小丑干预对围麻醉期患儿哭泣与疼痛的影响[J]. 西部医学, 2019, 31(4):629-632. |
Cheng ZY, Cao Q, Zhang L, et al. Clinical clownish intervention for crying and pain in children with perianaesthesia[J]. Med J West China, 2019, 31(4):629-632. | |
[13] |
Wu WW, Lu FL, Shiu CS, et al. The effectiveness of a medical clowning program on improving emotional status among hospitalized children undergoing cancer treatment:a quasi-experimental study[J]. J Nurs Scholarsh, 2022, 54(2):161-168.
DOI URL |
[14] | 郭潇雅. “小丑医生”植根中国[J]. 中国医院院长, 2016(17):28-29. |
Guo XY. “Clown doctor” is rooted in China[J]. China Hosp CEO, 2016(17):28-29. | |
[15] | 杨芳, 蒋丽, 毕丹, 等. 小丑照护在儿科的组织与管理[J]. 护理学杂志, 2020, 35(9):59-60. |
Yang F, Jiang L, Bi D, et al. Providing clown care in pediatric department[J]. J Nurs Sci, 2020, 35(9):59-60. | |
[16] |
Shefer S, Leon Attia O, Rosenan R, et al. Benefits of medical clowning in the treatment of young children with autism spectrum disorder[J]. Eur J Pediatr, 2019, 178(8):1283-1289.
DOI PMID |
[17] |
Bruins Slot J, Hendriks M, Batenburg R. Feeling happy and carefree:a qualitative study on the experiences of parents,medical clowns and healthcare professionals with medical clowns[J]. Int J Qual Stud Health Well-being, 2018, 13(1):1503909.
DOI URL |
[18] |
Valdebenito MFV. Integration of healthcare clowns into pediatric palliative care:a bridge between life and death[J]. Int J Integr Care, 2022, 22(4):10.
DOI PMID |
[19] |
Kristensen HN, Elgaard Sørensen E, Stinson J, et al. “We do it together!” an ethnographic study of the alliance between child and hospital clown during venipunctures[J]. J Pediatr Nurs, 2019, 46:e77-e85.
DOI |
[20] |
Gilboa-Negari Z, Abu-Kaf S, Huss E, et al. A cross-cultural perspective of medical clowning:comparison of its effectiveness in reducing pain and anxiety among hospitalized Bedouin and Jewish Israeli children[J]. J Pain Res, 2017, 10:1545-1552.
DOI PMID |
[21] |
Yildirim M, Koroglu E, Yucel C, et al. The effect of hospital clown nurse on children’s compliance to burn dressing change[J]. Burns, 2019, 45(1):190-198.
DOI PMID |
[22] |
Efrat-Triester D, Altman D, Friedmann E, et al. Exploring the usefulness of medical clowns in elevating satisfaction and reducing aggressive tendencies in pediatric and adult hospital wards[J]. BMC Health Serv Res, 2021, 21(1):15.
DOI PMID |
[23] |
Dionigi A. Clowning as a complementary approach for reducing iatrogenic effects in pediatrics[J]. AMA J Ethics, 2017, 19(8):775-782.
DOI PMID |
[24] |
Meiri N, Schnapp Z, Ankri A, et al. Fear of clowns in hospitalized children:prospective experience[J]. Eur J Pediatr, 2017, 176(2):269-272.
DOI PMID |
[25] | Planting T, Koopowitz SM, Stein DJ. Coulrophobia:an investigation of clinical features[J]. S Afr J Psychiatr, 2022, 28:1653. |
[26] | 丁永霞, 李军莉, 郭文俊, 等. 小丑照护在我国本土化的可行路径思考[J]. 护理学杂志, 2019, 34(21):99-103. |
Ding YX, Li JL, Guo WJ, et al. On feasibility of introducing clown care to China[J]. J Nurs Sci, 2019, 34(21):99-103. | |
[27] | Vagnoli L, Brauer K, Addarii F, et al. Fear of being laughed at in Italian healthcare workers:testing associations with humor styles and coping humor[J]. Curr Psychol, 2022:1-11. |
[28] |
Karnieli-Miller O, Divon-Ophir O, Sagi D, et al. More than just an entertainment show:identification of medical clowns’ communication skills and therapeutic goals[J]. Qual Health Res, 2023, 33(1/2):25-38.
DOI URL |
[29] |
姚莉珮, 张培莉, 丁永霞, 等. 小丑照护对养老院老年人情绪的影响[J]. 中华护理杂志, 2020, 55(11):1685-1689.
DOI |
Yao LP, Zhang PL, Ding YX, et al. Study on the effect of clown care on mood in the elderly in nursing homes[J]. Chin J Nurs, 2020, 55(11):1685-1689.
DOI |
|
[30] | 倪春晓, 孙一勤, 李晖, 等. 远程居家照护的研究现状和发展策略[J]. 中华护理杂志, 2016, 51(11):1344-1348. |
Ni CX, Sun YQ, Li H, et al. Research status and development strategy of tele-home care[J]. Chin J Nurs, 2016, 51(11):1344-1348. |
[1] | 欧梦仙, 王军, 纪媛媛, 赵朋朋. 安全-支持-合作过渡期护理模式在ICU中的应用进展[J]. 中华护理杂志, 2023, 58(8): 1001-1004. |
[2] | 田丹丹, 刘梦琪, 刘雅婷, 文晓慧, 崔旭, 张英群, 何平平. 阿尔茨海默病患者挑战性行为评估工具研究进展[J]. 中华护理杂志, 2023, 58(8): 1005-1011. |
[3] | 崔璀, 郑显兰, 陈文劲, 李双子. 癫痫青少年至成人过渡期准备评估问卷的汉化和信效度检验[J]. 中华护理杂志, 2023, 58(8): 1017-1024. |
[4] | 刘群慧, 方敏, 黄洁, 刘筝筝, 孙丽, 韦琦, 单媛媛, 黄家丽. 家长参与的绘画疗法在白血病患儿中的应用研究[J]. 中华护理杂志, 2023, 58(8): 907-914. |
[5] | 周美景, 王洪, 于健, 朱敏, 罗丹, 施云, 张梅, 徐晶晶, 杨涛. 青少年1型糖尿病患者饮食行为紊乱的调查研究[J]. 中华护理杂志, 2023, 58(8): 956-962. |
[6] | 周彦君, 李秋月, 胡宇乐, 杨浩杰, 赵芳, 梁涛. 乳腺癌蒽环类化疗相关心脏毒性早期识别及预防的研究进展[J]. 中华护理杂志, 2023, 58(7): 816-821. |
[7] | 严露培, 刘丽, 胡秀英. 派生策略在护理领域中的研究进展[J]. 中华护理杂志, 2023, 58(7): 871-874. |
[8] | 李志茹, 王华芬, 卢芳燕, 吕璐洋, 鲍瑞洁, 董丽. 肝移植受者从青少年到成人过渡期准备的研究进展[J]. 中华护理杂志, 2023, 58(7): 875-880. |
[9] | 赵伟, 王玉玲, 刘志华, 张俊峰. 认知适应训练在严重精神障碍患者中的应用进展[J]. 中华护理杂志, 2023, 58(7): 885-890. |
[10] | 陈东亮, 王媛飞, 陆晓敏, 曾泽, 陈祖敏, 林琛莅, 梁荫基. 症状科学模型在慢性病护理中的应用进展及启示[J]. 中华护理杂志, 2023, 58(6): 751-757. |
[11] | 张静, 梁士楚, 陈忠兰. 护理领域中临床实践指南依从性的研究进展[J]. 中华护理杂志, 2023, 58(6): 758-762. |
[12] | 潘小容, 张世群, 郭小利, 莫霖, 张小琴, 李沁霞. 造血干细胞移植患儿口腔黏膜炎风险预测模型的构建及验证[J]. 中华护理杂志, 2023, 58(5): 587-594. |
[13] | 孙瑜, 顾莺, 王慧美. 1例川崎病合并巨大冠状动脉瘤患儿的围手术期护理[J]. 中华护理杂志, 2023, 58(5): 595-599. |
[14] | 卢露, 卢芳燕, 姚彩萍, 陶玉侠, 张婉莹, 戴燕红. 1例活体小肠移植术后并发血管吻合口血栓患儿的护理[J]. 中华护理杂志, 2023, 58(5): 605-608. |
[15] | 赵燕利, 赵伟, 刘志华, 徐晖, 刘东玲. 安全病房干预在精神科应用的范围综述[J]. 中华护理杂志, 2023, 58(5): 624-630. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||