Medical clowning influences the emotions of parents of children undergoing cancer treatment: A quasi-experimental study

Wei Wen Wu, Cheng Shi Shiu, Frank L. Lu, Chia Chun Tang, Shiann Tarng Jou, Jiann Shiuh Chen, Yen Lin Liu, Shao Yu Tsai

研究成果: 雜誌貢獻文章同行評審

摘要

Background: Medical clowning for children has been found to be effective at enhancing parents' psychological well-being during preoperative preparation, but has not been found during cancer treatment. This study aimed to examine whether and how medical clowning influenced the emotions of parents of children undergoing cancer treatment. Methods: In this quasi-experimental study, 96 parents of children receiving inpatient cancer treatment were recruited, from June 2018 through April 2020. A demographic questionnaire measuring characteristics of parent and dyadic child, Brief Symptom Rating Scale measuring psychological distress of the parent, and Mood Assessment Scale measuring emotional status of parent and child were administered 1 day before a clowning service. The day after the clowning service, the Mood Assessment Scale again collected emotional status for parent and child. Descriptive analysis, bivariate analysis, and structural equation modeling to fit the actor-partner, cross-lagged model were used. Findings: Parents experienced a low degree of psychological distress that called for emotional management. The indirect effect of medical clowning on parents' emotions through children's emotions was significant, as were the direct effect and total effect of medical clowning on parents' emotions. Discussion: Parents experienced psychological distress during their child's inpatient cancer treatment. Medical clowning can directly improve children's emotions and through this pathway indirectly improve their parents' emotions. Application to practice: There is need to monitor psychological distress and provide interventions for parents of children undergoing cancer treatment. Medical clowns should continue to serve parent-child dyads in pediatric oncology practice and become members of multidisciplinary health care teams.
原文英語
頁(從 - 到)e11-e17
期刊Journal of Pediatric Nursing
71
DOIs
出版狀態已發佈 - 7月 1 2023

ASJC Scopus subject areas

  • 兒科

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