Jahri Sheijani Maryam, Chehrzad Minoo Mitra, Reza Masouleh Shadman, Nezhad Leyli Ehsan Kazem, Bidabadi Elham
School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Department of Nursing, Social Determinants of Health Research Center (SDHRC), School of Nursing and Midwifery, Instructor, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Child Neurol. 2020 Winter;14(1):65-76.
Parents taking care of children with epilepsy experience stress in their daily lives, which enhances their anxiety, changes their function, and eventually increases their children's behavioral problems. The present study aimed at investigating the effect of creating opportunities for parent empowerment (COPE) program on parents of children with epilepsy or other chronic neurological conditions.
MATERIAL & METHODS: A quasi-experimental clinical trial was conducted on 88 mothers of hospitalized children with epilepsy aged 3 to 12 years. In the intervention group, the COPE program was conducted by the researcher in three phases and the usual care received . The mothers' anxiety was assessed in three phases in both groups.
Results of the present study showed that the effect of time and group-time interaction on the state anxiety and trait anxiety was significant in the intervention group; however, the effect of time was not significant in the usual care group ( = 0.12). The differences of state anxiety and trait anxiety were not significant between the two groups ( = 0.136), which depended on the baseline level of anxiety. By analyzing the covariance after controlling the two variables at baseline, it was observed that the score variations in the state anxiety and trait anxiety were significant at all studied time points.
The results of the current study indicated the positive effect of the COPE program on the anxiety of parents of children with epilepsy. Since this technique is non-pharmacological, convenient, easy-to-apply, and cost-effective, it can be used to reduce the parents' anxiety.
照顾癫痫患儿的父母在日常生活中会经历压力，这会加剧他们的焦虑，改变他们的功能，并最终增加其子女的行为问题。本研究旨在调查为父母赋权创造机会（COPE）项目对癫痫或其他慢性神经疾病患儿父母的影响。
对88名3至12岁住院癫痫患儿的母亲进行了一项准实验性临床试验。在干预组中，研究人员分三个阶段实施COPE项目，并给予常规护理。两组均在三个阶段对母亲的焦虑进行评估。
本研究结果表明，时间和组间时间交互作用对干预组的状态焦虑和特质焦虑有显著影响；然而，常规护理组中时间的影响不显著（P = 0.12）。两组之间的状态焦虑和特质焦虑差异不显著（P = 0.136），这取决于焦虑的基线水平。在控制基线的两个变量后进行协方差分析，发现在所有研究时间点，状态焦虑和特质焦虑的得分变化均显著。
本研究结果表明COPE项目对癫痫患儿父母的焦虑有积极影响。由于该技术是非药物性的、方便、易于应用且具有成本效益，因此可用于减轻父母的焦虑。
