Mowla Forough, Khanjari Sedigheh, Haghani Shima
Vice-Chancellor's Office in Treatment Affairs, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2020 May 28;9:117. doi: 10.4103/jehp.jehp_653_19. eCollection 2020.
Chronic diseases leave a huge impact on the life of children and their family caregivers (FCGs). Therefore, the present study was conducted to determine the effect of the combination of Benson's relaxation technique (BRT) and brief psycho-educational intervention (BPI) on religious coping (RCOPE), sense of coherence (SOC), and quality of life (QoL) of FCGs in children with chronic disease.
The study population, consisted of 100 FCGs whose children were afflicted by chronic diseases, and participated in the current quasi-experimental pretest posttest design. The children were recruited from two state pediatric hospitals in Tehran, Iran. The RCOPE, SOC, and QoL of FCGs were assessed twice, through pretest (T1) and posttest (T2), four weeks after the intervention, by means of RCOPE, SOC and SF-36 questionnaires. The FCGs participated in four training sessions lasting up to 70 min over one week, followed by four more weeks of training. The Chi-square, Fisher's exact tests, independent -test, and paired -test were performed.
Positive RCOPE had a significant rise at T2 ( = 0.020) compared with negative RCOPE that did not show significant changes in T2. SOC scores for the intervention group remarkably rose at T2 ( = 0.022); but, for the control group, the drop was marginal. The QoL scores of both physical and mental components were statistically significant in the intervention group at T2 ( < 0.05).
Findings of the present study suggest that BRT and BPI can help significantly improve the RCOPE, SOC, and QoL of families with children suffering from chronic diseases. Measures that could enhance the RCOPE, SOC, and QoL include low-cost interventions, good safety, and decent outcome.
慢性病对儿童及其家庭照顾者的生活产生了巨大影响。因此,本研究旨在确定本森放松技巧(BRT)与简短心理教育干预(BPI)相结合对慢性病患儿家庭照顾者的宗教应对(RCOPE)、连贯感(SOC)和生活质量(QoL)的影响。
研究对象为100名慢性病患儿的家庭照顾者,参与了当前的准实验性前后测设计。这些患儿来自伊朗德黑兰的两家国立儿童医院。干预四周后,通过RCOPE、SOC和SF - 36问卷,对家庭照顾者的RCOPE、SOC和QoL进行前测(T1)和后测(T2)两次评估。家庭照顾者在一周内参加了四次时长可达70分钟的培训课程,随后还有四周的培训。进行了卡方检验、费舍尔精确检验、独立样本t检验和配对样本t检验。
与负性宗教应对相比,正性宗教应对在T2时显著上升(P = 0.020),而负性宗教应对在T2时未显示出显著变化。干预组的SOC得分在T2时显著上升(P = 0.022);但对照组的下降幅度较小。干预组在T2时身体和心理成分得分的生活质量在统计学上均有显著意义(P < 0.05)。
本研究结果表明,BRT和BPI可显著帮助改善患有慢性病儿童家庭的宗教应对、连贯感和生活质量。可提高宗教应对、连贯感和生活质量的措施包括低成本干预、良好的安全性和良好的效果。