Abstract
This study was designed to correlate entertainment of clown-doctors (CD) activities on hospitalized children and aphysiological bio-marker. For this purpose we collected saliva samples and verified children satisfaction with these activities by using a visual analog scale (VAS). Children from 6 to 7 years-old, with diagnosis of any acute pathology, interned in the Pediatric Ward of the Botucatu Medical School Hospital (São Paulo, Brazil) were interviewed. Two groups were taken into consideration: lunchCD and dinnerCD. The following protocol was applied in each group (lunch and dinner): collection of the first saliva sample and presentation of VAS prior to CD activities, followed by collection of a second saliva sample and another VAS assessment after CD activities. The salivary cortisol was reduced in both groups comparing the first saliva sample. The satisfaction of the intervention was evident for lunchCD. The CD intervention is effective in decreasing an important physiological biomarker of stress factor, cortisol, in hospitalized children, been effective for the healing process.
Highlights
The activities developed by clowns doctors (CD) are very well accepted and praised in hospital wards, especially in pediatric ones.[1,2,3] Despite this recognition there is a lack of studies on the mechanisms involved in such activities
We provide the parents or legal guardians with some instructions, for instance, allowing the children without eating or drinking for 20 minutes previous the saliva collection, not brush or floss the teeth following the meals, and ask children to brush the teeth only after the second saliva collection
Discussion els in the lunchCD group occurred within only 2 hours what may reflect a true effect of CD
Summary
Children aged 6 to 7 years from the Pediatric Ward of the Botucatu Medical School Hospital (Brazil) were recruited. Conflict of interest: the authors declare no potential conflict of interest. Ly Abstract on This study was designed to correlate entertainment of clown-doctors (CD) activities on e hospitalized children and aphysiological bios marker. For this purpose we collected saliva u samples and verified children satisfaction with l these activities by using a visual analog scale ia (VAS). Children from 6 to 7 years-old, with diagnosis of any acute pathology, interned in the c Pediatric Ward of the Botucatu Medical School r Hospital (São Paulo, Brazil) were interviewed.
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