Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children

Abstract Objective: Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction. Methods: Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hos...

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Main Authors: Pauline Lima Alcântara, Ariane Zonho Wogel, Maria Isabela Lobo Rossi, Isabela Rodrigues Neves, Ana Llonch Sabates, Ana Cláudia Puggina
Format: Article
Language:English
Published: Sociedade de Pediatria de São Paulo
Series:Revista Paulista de Pediatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000400432&lng=en&tlng=en
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author Pauline Lima Alcântara
Ariane Zonho Wogel
Maria Isabela Lobo Rossi
Isabela Rodrigues Neves
Ana Llonch Sabates
Ana Cláudia Puggina
author_facet Pauline Lima Alcântara
Ariane Zonho Wogel
Maria Isabela Lobo Rossi
Isabela Rodrigues Neves
Ana Llonch Sabates
Ana Cláudia Puggina
author_sort Pauline Lima Alcântara
collection DOAJ
description Abstract Objective: Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction. Methods: Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20min. Vital signs were assessed in two measurements with an interval of 1min immediately before and after the interaction. Non-verbal communication was observed before and during the interaction using the Non-Verbal Communication Template Chart, a tool in which non-verbal behaviors are assessed as effective or ineffective in the interactions. Results: The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7-11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non-verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores. Conclusions: The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.
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spelling doaj.art-405df0861f4d4ca68f9d15a5296517cb2022-12-22T02:39:45ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-046234443243810.1016/j.rppede.2016.02.011S0103-05822016000400432Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized childrenPauline Lima AlcântaraAriane Zonho WogelMaria Isabela Lobo RossiIsabela Rodrigues NevesAna Llonch SabatesAna Cláudia PugginaAbstract Objective: Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction. Methods: Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20min. Vital signs were assessed in two measurements with an interval of 1min immediately before and after the interaction. Non-verbal communication was observed before and during the interaction using the Non-Verbal Communication Template Chart, a tool in which non-verbal behaviors are assessed as effective or ineffective in the interactions. Results: The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7-11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non-verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores. Conclusions: The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000400432&lng=en&tlng=enComunicação não verbalTerapia do risoSinais vitais
spellingShingle Pauline Lima Alcântara
Ariane Zonho Wogel
Maria Isabela Lobo Rossi
Isabela Rodrigues Neves
Ana Llonch Sabates
Ana Cláudia Puggina
Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
Revista Paulista de Pediatria
Comunicação não verbal
Terapia do riso
Sinais vitais
title Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
title_full Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
title_fullStr Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
title_full_unstemmed Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
title_short Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children
title_sort effect of interaction with clowns on vital signs and non verbal communication of hospitalized children
topic Comunicação não verbal
Terapia do riso
Sinais vitais
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000400432&lng=en&tlng=en
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