Edraki Mitra, Rambod Masoume, Molazem Zahra
Community Based Psychiatric Care Research Center, Department of Pediatrics, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2018 Oct;6(4):324-333.
Diabetes patients are at risk of psychosocial problems. Some interventions might decrease these problems. This study aimed to evaluate the effect of coping skills training on depression, anxiety, stress, and self-efficacy of adolescents with type I diabetes.
This randomized controlled trial with pre- and post-test design was performed in the diabetes clinic in Shiraz from June to November 2015. This study was conducted on 100 adolescents with type 1 diabetes who were randomly divided into an intervention (receiving coping skills training in groups for eight sessions) and a control group (usual care). Depression, Anxiety, and Stress Scales (42-items, scores=0-42) and General Self-Efficacy questionnaire (17-items, scores=17-85) were used. The variables were measured at baseline and two months after starting the intervention. Data were analyzed using SPSS, version 16 through Chi-square test, independent t-test, and paired t-test. P<0.05 was significant.
After the intervention, the mean scores of depression, anxiety and stress in the intervention group were 5.41±4.58, 6.44±7.01, and 7.46±7.01, and in the control groups they were 19.73±11.80, 18.28±10.51, 21.10±10.94, respectively. Moreover, after the intervention, the mean scores of self-efficacy were 70.82±10.84, and 50.13±15.42 in the intervention and control groups, respectively. The results showed differences between the two groups regarding depression, anxiety, stress, and self-efficacy after starting the intervention (P<0.001).
As coping skills training reduced depression, anxiety, and stress and improved the patients' self-efficacy, the use of this intervention could be a part of community-based nursing practice for adolescents with diabetes and more research for improving evidence-based practice in this regard are warranted. IRCT201505011369N4.
糖尿病患者存在心理社会问题的风险。一些干预措施可能会减少这些问题。本研究旨在评估应对技能培训对1型糖尿病青少年的抑郁、焦虑、压力和自我效能的影响。
本随机对照试验采用前后测设计，于2015年6月至11月在设拉子的糖尿病诊所进行。本研究对100名1型糖尿病青少年进行，他们被随机分为干预组（接受为期八节的小组应对技能培训）和对照组（常规护理）。使用抑郁、焦虑和压力量表（42项，得分=0-42）和一般自我效能量表（17项，得分=17-85）。在基线和开始干预两个月后测量这些变量。使用SPSS 16版通过卡方检验、独立t检验和配对t检验对数据进行分析。P<0.05具有统计学意义。
干预后，干预组的抑郁、焦虑和压力平均得分分别为5.41±4.58、6.44±7.01和7.46±7.01，对照组分别为19.73±11.80、18.28±10.51、21.10±10.94。此外，干预后，干预组和对照组的自我效能平均得分分别为70.82±10.84和50.13±15.42。结果显示，开始干预后，两组在抑郁、焦虑、压力和自我效能方面存在差异（P<0.001）。
由于应对技能培训降低了抑郁、焦虑和压力，提高了患者的自我效能，因此使用这种干预措施可以成为糖尿病青少年社区护理实践的一部分，并且有必要进行更多研究以改善这方面的循证实践。IRCT20150年5月1日1369N4。
