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Article

The Impact of Medical Clowns Exposure over Postoperative Pain and Anxiety in Children and Caregivers: An Israeli Experience

1
Pediatric Surgery Department, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva
2
Joyce and Irwing Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva; Soroka Clinical Research Center, Soroka University Medical Center, Beer-Sheva
3
The Medical School for International Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2019, 11(3), 8165; https://doi.org/10.4081/pr.2019.8165
Submission received: 2 May 2019 / Revised: 4 June 2019 / Accepted: 5 June 2019 / Published: 24 September 2019

Abstract

While postoperative pain management was shown to reduce unwanted physiological and emotional outcomes, pediatric postoperative pain management remains suboptimal. Medical-clowns were shown to be beneficial in many medical contexts including reduction of stress, anxiety and pain. This study was set to assess the effectiveness of medical-clowns on pediatric postoperative pain reduction. Children age 4 or above, planned for elective hernia repair surgery were recruited. Children were randomly divided to a control or medicalclown escorted groups. Demographical and clinical data were collected using questionnaires and electronic sheets. Children escorted by clowns reported lower levels of pain upon admittance, discharge and 12-hours post-surgery. Statistically significant reduction of parental distress and significantly higher serum cortisol levels were observed in the clown-therapy group. Although small, our study supports the possibility that preoperative medical-clown therapy might be a cheap, safe and yet beneficial method for postoperative pain reduction.
Keywords: pain reduction; hernia; clown-doctors; cortisol; pediatric surgery pain reduction; hernia; clown-doctors; cortisol; pediatric surgery

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MDPI and ACS Style

Newman, N.; Kogan, S.; Stavsky, M.; Pintov, S.; Lior, Y. The Impact of Medical Clowns Exposure over Postoperative Pain and Anxiety in Children and Caregivers: An Israeli Experience. Pediatr. Rep. 2019, 11, 8165. https://doi.org/10.4081/pr.2019.8165

AMA Style

Newman N, Kogan S, Stavsky M, Pintov S, Lior Y. The Impact of Medical Clowns Exposure over Postoperative Pain and Anxiety in Children and Caregivers: An Israeli Experience. Pediatric Reports. 2019; 11(3):8165. https://doi.org/10.4081/pr.2019.8165

Chicago/Turabian Style

Newman, Nitza, Slava Kogan, Moshe Stavsky, Shay Pintov, and Yotam Lior. 2019. "The Impact of Medical Clowns Exposure over Postoperative Pain and Anxiety in Children and Caregivers: An Israeli Experience" Pediatric Reports 11, no. 3: 8165. https://doi.org/10.4081/pr.2019.8165

APA Style

Newman, N., Kogan, S., Stavsky, M., Pintov, S., & Lior, Y. (2019). The Impact of Medical Clowns Exposure over Postoperative Pain and Anxiety in Children and Caregivers: An Israeli Experience. Pediatric Reports, 11(3), 8165. https://doi.org/10.4081/pr.2019.8165

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