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A combined intervention of art therapy and clown visits to reduce preoperative anxiety in children

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  • Alberto Dionigi
  • Paola Gremigni

Abstract

Aims and objectives To test whether a combined intervention of art therapy and clown visits could enhance the efficacy of oral medication in reducing children's anxiety at parental separation prior to induction of anaesthesia. Background Approximately 50% of children undergoing surgery report high anxiety at anaesthesia induction. Complementary therapies have been used to decrease children's anxiety, but no study has evaluated the efficacy of a combination of such therapies. Design This is an observational study, which involved allocating different interventions to two groups and measuring their anxiety at two time points. Methods This study assigned 78 children (aged 3–11 years) undergoing general anaesthesia for surgery to two conditions. The control group underwent general anaesthesia following standard practice, and the intervention group received an intervention of integrated art therapy and clown visits upon their arrival at the hospital and throughout their time in the preoperating room. Each child in both groups received 0·5 mg/kg oral midazolam 30 minutes before surgery and had a parent present throughout their time in the preoperating room. Each child's anxiety was evaluated twice using the Modified Yale Preoperative Anxiety Scale: at baseline and at separation from parents. Repeated measures anova was used to test for differences between the time points and the two groups. Results Children in the intervention group showed a significant (p

Suggested Citation

  • Alberto Dionigi & Paola Gremigni, 2017. "A combined intervention of art therapy and clown visits to reduce preoperative anxiety in children," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 632-640, March.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:5-6:p:632-640
    DOI: 10.1111/jocn.13578
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    References listed on IDEAS

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    1. Wendy Fincher & Jane Shaw & Anne‐Sylvie Ramelet, 2012. "The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single‐blind randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(7‐8), pages 946-955, April.
    2. Panagiota Copanitsanou & Kirsi Valkeapää, 2014. "Effects of education of paediatric patients undergoing elective surgical procedures on their anxiety – a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(7-8), pages 940-954, April.
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    Cited by:

    1. Jia-Fen Wu & Chi-Yang Chung, 2023. "Art Therapy as an Intervention for Children: A Bibliometric Analysis of Publications from 1990 to 2020," SAGE Open, , vol. 13(4), pages 21582440231, December.

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