廖建玲　何结平

【摘要】 目的：探讨医疗小丑在儿科病房中的应用效果。方法：选取2017年1-10月在本院儿科住院的患儿120例作为研究对象，按照随机数字表法将其分为对照组和干预组，各60例。对照组给予常规护理干预，干预组在常规护理基础上开展医疗小丑活动。分析对比两组患儿输液依从性、家长对护理服务的满意率、家长焦虑状况。结果：两组患儿每次输液依从性逐步提高，差异均有统计学意义（P<0.05）；且在第1、2、4次中，干预组患儿输液依从性均明显高于对照组，差异均有统计学意义（P<0.05）。结论：在儿科病房实施医疗小丑活动，能使患儿更好地配合治疗，利于减轻患儿家长焦虑状况，提高对护理服务的满意率，具有较好推广价值。

【关键词】 医疗小丑； 儿科病房

Observation on the Application Effect of “Clown” Mode Nursing Method in Pediatric Ward/LIAO Jianling，HE Jieping.//Medical Innovation of China，2018，15（16）：0-090

【Abstract】 Objective：To explore the application effect of medical clown in pediatric ward.Method：A total of 120 children hospitalized in pediatric ward from January to October 2017 were selected as the study subjects.According to the random number table method，they were divided into control group and intervention group，60 cases in each group.The control group was given routine nursing intervention，the intervention group was carried out the medical clown activities on the basis of routine nursing.The childrens infusion compliance，parentss satisfaction with nursing service and parentss anxiety status were analyzed and compared between the two groups.Result：The compliance of each infusion between the two groups was improved gradually，the difference was statistically significant（P<0.05）；In the first，second，fourth times，the infusion compliance of the intervention group were significantly higher than those of the control group，the differences were statistically significant （P<0.05）.Conclusion：The implementation of medical clown activities in pediatric wards can make the children better cooperate with the treatment better，relieve the anxiety of parents，improve the satisfaction rate of nursing services，and have a good value of popularization.

【Key words】 Medical clown； Pediatric ward

First-authors address：Xiaolan Hospital Affiliated to Southern Medical University，Zhongshan 528415，China

doi：10.3969/j.issn.1674-4985.2018.16.026

醫疗小丑（medical clown）是近年来发展起来的一种跨学科的治疗方法，专业人士通过滑稽、夸张的表演来缓解患者的紧张情绪，用幽默的力量帮助患者克服焦虑情感和恐惧感[1-3]。医疗小丑在美国、澳大利亚、新西兰、加拿大及欧洲多个国家已有30多年发展历史，发展较为成熟[4-5]。广东省妇幼保健院学习国外成熟经验，在国内率先组建了“小丑医生”志愿服务团队，取得了较好的成效[6]。因此，本院借鉴其经验，探索医疗小丑在儿科病房中的应用效果，旨在为制订缓解低龄患儿恐惧心理措施提供参考，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年1-10月在本院儿科住院的患儿120例作为研究对象，纳入标准：（1）年龄均在4～12岁，性别不限；（2）听力、视力、智力均正常；（3）家长均知晓本研究并签署知情同意书，自愿参加；（4）住院2 d以上。排除标准：（1）病情危重患儿；（2）中途退出研究。按照随机数字表法将其分为干预组和对照组，各60例。

1.2 实施方法 为避免实施医疗小丑活动时影响对照组患儿，两组患儿入院后分别安置病房。……