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Abstract(s)
A cada ano, cerca de 400.000 crianças e adolescentes dos 0 aos 19 anos de idade desenvolvem cancro. As crianças e adolescentes com doença oncológica hospitalizados podem apresentar quase o dobro dos sintomas das crianças em regime ambulatório. Sentir tristeza, dor e náusea estão entre os sintomas com maior prevalência e que causam maior sofrimento. Assim, a presente investigação teve como principal objetivo explorar o impacto das visitas dos Doutores Palhaços na adaptação de crianças/adolescentes com cancro hospitalizadas. Tratou-se de um estudo quantitativo experimental, no qual participaram 30 crianças, 18 do sexo masculino (60%) e 12 do sexo feminino (40%), com diagnóstico de cancro, internadas no Instituto Português de Oncologia de Lisboa Francisco Gentil (IPO). Os participantes preencheram o protocolo de investigação e foram avaliados em dois momentos, antes e após as visitas dos Doutores Palhaços. Os resultados mostraram uma mudança positiva nas perceções em relação à hospitalização, havendo uma diminuição do nervosismo, da tristeza, irritabilidade, preocupação, medo e da dificuldade percecionada em estar no hospital. Em relação à adaptação à hospitalização, verificou-se uma redução de todos os indicadores (dor, cansaço, preocupação, medo, tristeza e zanga) após as visitas dos Doutores Palhaços. Concluindo, este estudo permitiu observar um impacto global positivo na adaptação à hospitalização após a interação com os Doutores Palhaços, que vai além da sintomatologia psicológica e abrange também sintomas físicos. Permitiu clarificar a prespetiva das crianças e adolescentes face à hospitalização e à intervenção dos Doutores Palhaços, bem como caracterizar de forma detalhada as estratégias de coping utilizadas pela amostra e associá-las à forma como lidam com a hospitalização. Verifica-se que esta investigação se destaca com um contributo introdutório, tornando-se clara a relevância de mais investigações nesta área, devido aos benefícios apresentados pela interação dos Doutores Palhaços com as crianças.
Each year, approximately 400,000 children and adolescents aged 0 to 19 develop cancer. Children and adolescents hospitalized with oncological diseases can exhibit almost double the symptoms of children in outpatient care. Feeling sadness, pain, and nausea are among the most prevalent symptoms that cause the most suffering. Therefore, the present research aimed to explore the impact of visits by Clown Doctors on the adaptation of hospitalized children/adolescents with cancer. It was a quantitative experimental study involving 30 children, 18 males (60%), and 12 females (40%), diagnosed with cancer and hospitalized at the Portuguese Institute of Oncology of Lisbon Francisco Gentil (IPO). Participants completed the research protocol and were assessed at two points in time, before and after the Clown Doctors' visits. The results showed a positive change in perceptions regarding hospitalization, with a decrease in nervousness, sadness, irritability, worry, fear, and perceived difficulty in being in the hospital. Concerning adaptation to hospitalization, a reduction in all indicators (pain, fatigue, worry, fear, sadness, and anger) was observed after the Clown Doctors' visits. In conclusion, this study allowed us to observe an overall positive impact on adaptation to hospitalization after interaction with Clown Doctors, extending beyond psychological symptoms to encompass physical symptoms as well. It clarified the perspective of children and adolescents regarding hospitalization and the intervention of Clown Doctors, as well as provided a detailed characterization of the coping strategies used by the sample and their association with how they deal with hospitalization. This research stands out as an introductory contribution, highlighting the need for further investigations in this area due to the benefits offered by the interaction of Clown Doctors with children.
Each year, approximately 400,000 children and adolescents aged 0 to 19 develop cancer. Children and adolescents hospitalized with oncological diseases can exhibit almost double the symptoms of children in outpatient care. Feeling sadness, pain, and nausea are among the most prevalent symptoms that cause the most suffering. Therefore, the present research aimed to explore the impact of visits by Clown Doctors on the adaptation of hospitalized children/adolescents with cancer. It was a quantitative experimental study involving 30 children, 18 males (60%), and 12 females (40%), diagnosed with cancer and hospitalized at the Portuguese Institute of Oncology of Lisbon Francisco Gentil (IPO). Participants completed the research protocol and were assessed at two points in time, before and after the Clown Doctors' visits. The results showed a positive change in perceptions regarding hospitalization, with a decrease in nervousness, sadness, irritability, worry, fear, and perceived difficulty in being in the hospital. Concerning adaptation to hospitalization, a reduction in all indicators (pain, fatigue, worry, fear, sadness, and anger) was observed after the Clown Doctors' visits. In conclusion, this study allowed us to observe an overall positive impact on adaptation to hospitalization after interaction with Clown Doctors, extending beyond psychological symptoms to encompass physical symptoms as well. It clarified the perspective of children and adolescents regarding hospitalization and the intervention of Clown Doctors, as well as provided a detailed characterization of the coping strategies used by the sample and their association with how they deal with hospitalization. This research stands out as an introductory contribution, highlighting the need for further investigations in this area due to the benefits offered by the interaction of Clown Doctors with children.
Description
Keywords
Crianças/adolescentes Cancro Perceção da hospitalização Adaptação à hospitalização Doutores Palhaços Children/adolescents Cancer Perception of hospitalization Adaptation to hospitalization Clown Doctors