Hoseinzadeh Fatemeh, Radfar Moloud, Moghaddamtabrizi Fatemeh, Khalkhali Hamidreza
Department of Psychiatric Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Iran J Nurs Midwifery Res. 2019 Jul-Aug;24(4):291-295. doi: 10.4103/ijnmr.IJNMR_174_18.
Cancer is the second most common cause of mortality after cardiovascular diseases (CVDs). Resilience is one of the best strategies for coping with diseases in patients with cancer. This study was aimed to determine the effect of resilience-based group therapy intervention on coping in mothers of children with cancer.
This randomized clinical trial was carried out on 48 mothers of children with cancer in Shahid Motahhari Hospital of Urmia, Iran, in 2017. Samples were randomly divided into two groups in Excel. The data were collected using a demographic questionnaire, the General Health Questionnaire (GHQ-28), and the Coping Health Inventory for Parents (CHIP). Analysis of variance (ANOVA) was used to compare the two groups at three different times. All values of less than 0.05 were considered significant.
A significant difference was observed in the mean scores of integration between the intervention group and control group (F = 426.41, < 0.001); the mean (standard deviation) of the integration score in the intervention and control groups was 40.80 (2.54) and 18.04 (3.05), respectively. Moreover, there was significant difference between the two groups in terms of the mean scores of social support and health status perception (F = 176.59, < 0.001). The mean (standard deviation) of social support and health status perception scores in the intervention group was 39.88 (2.81) and 22.72 (5.91) and in the control group was 16.87 (4.19) and 10.95 (2.01), respectively.
Resilience-based group therapy intervention can be an effective strategy for coping with childhood cancer among mothers of children with cancer.
癌症是仅次于心血管疾病（CVDs）的第二大常见死因。心理弹性是癌症患者应对疾病的最佳策略之一。本研究旨在确定基于心理弹性的团体治疗干预对癌症患儿母亲应对能力的影响。
2017年，在伊朗乌尔米耶的沙希德·莫塔哈里医院对48名癌症患儿的母亲进行了这项随机临床试验。样本在Excel中随机分为两组。使用人口统计学问卷、一般健康问卷（GHQ - 28）和父母应对健康量表（CHIP）收集数据。采用方差分析（ANOVA）在三个不同时间点比较两组。所有P值小于0.05被认为具有统计学意义。
干预组和对照组在整合平均得分上存在显著差异（F = 426.41，P < 0.001）；干预组和对照组的整合得分均值（标准差）分别为40.80（2.54）和18.04（3.05）。此外，两组在社会支持和健康状况感知平均得分方面也存在显著差异（F = 176.59，P < 0.001）。干预组社会支持和健康状况感知得分的均值（标准差）分别为39.88（2.81）和22.72（5.91），对照组分别为16.87（4.19）和10.95（2.01）。
基于心理弹性的团体治疗干预可能是癌症患儿母亲应对儿童癌症的有效策略。
