“小丑”疗法在输液患儿中的应用效果及对家属焦虑情绪、患儿输液依从性的影响  

Application effect of"clown"therapy in children with infusion and its influences on anxiety of family members and infusion compliance of children

作　　者：王艳艳 黄静 张俊 杜艳 仝海霞 谢小敏 WANG Yanyan;HUANG Jing;ZHANG Jun;DU Yan;TONG Haixia;XIE Xiaomin(Pediatrics Department,the Second Affiliated Hospital of Air Force Military Medical University,Xi'an 710038,China)

机构地区：[1]空军军医大学第二附属医院儿科,陕西西安710038

出　　处：《临床医学研究与实践》2025年第5期142-145,186,共5页Clinical Research and Practice

摘　　要：目的分析“小丑”疗法对输液患儿家属焦虑情绪及患儿输液依从性的影响。方法选取2021年1月至2022年9月本院门诊收治的100例静脉输液患儿作为研究对象,根据电脑随机数字表法将其分为对照组与观察组,每组50例。对照组予以常规护理,观察组在对照组基础上予以“小丑”疗法。比较两组患儿家属的焦虑情绪以及患儿疼痛程度、情绪状态及输液依从性。结果护理后,观察组患儿家属的状态焦虑量表(SAI)、特质焦虑量表(TAI)评分均低于对照组(P<0.05)。观察组不同年龄患儿的疼痛评分均低于对照组(P<0.05)。护理后,观察组患儿的斯宾思儿童焦虑量表(SCAS)评分低于对照组(P<0.05)。观察组患儿的输液总依从率为94.00%,高于对照组的80.00%(P<0.05)。结论“小丑”疗法应用于输液患儿中可获得显著效果,不仅能改善患儿家属的焦虑情绪,还能减轻患儿的疼痛程度,改善情绪状态,促进输液依从性进一步提高。Objective To analyze the effects of"clown"therapy on the anxiety of family members of children with infusion and the compliance of children with infusion.Methods A total of 100 children with intravenous infusion admitted in the outpatient department of our hospital from January 2021 to September 2022 were selected as the research objects.According to the computer random number table method,the children were divided into control group and observation group,with 50 cases in each group.The control group was given routine nursing,and the observation group was given"clown"therapy on the basis of the control group.The anxiety of the family members of children and the degree of pain,emotional state and infusion compliance of the children between the two groups were compared.Results After nursing,the scores of State Anxiety Inventory(SAI)and Trait Anxiety Inventory(TAI)of family members of children in the observation group were lower than those in the control group(P<0.05).The pain scores of children of different ages in the observation group were lower than those in the control group(P<0.05).After nursing,the Spence Children's Anxiety Scale(SCAS)score of children in the observation group was lower than that in the control group(P<0.05).The total compliance rate of infusion of children in the observation group was 94.00%,which was higher than 80.00%in the control group(P<0.05).Conclusion The"clown"therapy in children with infusion has a significant application effect,it can not only improve the anxiety of the family members of the children,but also reduce the pain degree of the children,improve the emotional state,and promote the further improvement of infusion compliance.

关 键 词：“小丑”疗法 静脉输液 患儿 焦虑情绪 疼痛程度 输液依从性 

分 类 号：R473[医药卫生—护理学]