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RESULTS Results showed that children in the clown group had significantly lower pain and anxiety than children in the control group (p less then .001). CONCLUSIONS According to the results, therapeutic clowning was effective in relieving the pain and anxiety of children between the ages of 7 and 12 years who undergone intrathecal chemotherapy. PRACTICE IMPLICATIONS Due to its positive effects, therapeutic clowning could be explore for use in other areas of paediatric nursing for the children between the ages of 7 and 12 years as a complem

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