Sanayeh Masomeh, Nourian Manijeh, Tajalli Saleheh, Khoshnavay Fomani Fatemeh, Heidari Amir, Nasiri Malihe
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2021 Oct;9(4):336-345. doi: 10.30476/ijcbnm.2021.89691.1630.
Congenital heart disease (CHD) in children affects the parents' mental and physical health and their caring and supportive functions. Resilience is an important factor in health. This study aimed to determine resilience and its associated factors in mothers of children with congenital heart disease.
This descriptive cross-sectional study enrolled 136 mothers of children with CHD. Samples were selected in two hospitals of Shahid Modarres and Children's Medical Center in Tehran, Iran, via convenience sampling from May to early October 2019. Data were collected using demographics questionnaire, Multidimensional Scale of Perceived Social Support (MSPSS), Life Orientation Test (LOT), and Wagnild and Young Resilience Scale (RS). Data were analyzed in statistical software SPSS-16 using independent t-test, ANOVA, Pearson and Spearman correlation, and multiple linear regression. The significance level was set at P<0.05.
Mothers' total mean score of resilience was 94.08±12.81, while 14.7%, 66.2%, and 19.1% had low, moderate, and high resilience, respectively. Regression analysis showed that two variables of social support (B=2.20, P<0.001) and optimism (B=0.76, P=0.003) were associated with resilience in mothers. The duration of the child's disease was positively correlated with the mothers' resilience but did not predict it (B=-0.72, P=0.22).
The level of resilience in most mothers was moderate. Social support in the dimension of significant others and optimism were associated with mothers' resilience. Therefore, holistic care and providing educational training programs that enhance these variables could be effective in promoting resilience in mothers of children with CHD.
儿童先天性心脏病（CHD）会影响父母的身心健康及其照顾和支持功能。心理韧性是健康的一个重要因素。本研究旨在确定先天性心脏病患儿母亲的心理韧性及其相关因素。
这项描述性横断面研究纳入了136名先天性心脏病患儿的母亲。2019年5月至10月初，通过便利抽样在伊朗德黑兰的沙希德·莫达雷斯医院和儿童医学中心的两家医院选取样本。使用人口统计学问卷、多维感知社会支持量表（MSPSS）、生活取向测试（LOT）和瓦格尼尔与杨心理韧性量表（RS）收集数据。使用独立t检验、方差分析、Pearson和Spearman相关性分析以及多元线性回归在统计软件SPSS-16中对数据进行分析。显著性水平设定为P<0.05。
母亲心理韧性的总平均分为94.08±12.81，其中14.7%、66.2%和19.1%的母亲心理韧性低、中等和高。回归分析表明，社会支持（B=2.20，P<0.001）和乐观主义（B=0.76，P=0.003）这两个变量与母亲的心理韧性相关。孩子患病的持续时间与母亲的心理韧性呈正相关，但不能预测心理韧性（B=-0.72，P=0.22）。
大多数母亲的心理韧性水平为中等。重要他人维度的社会支持和乐观主义与母亲的心理韧性相关。因此，全面护理并提供增强这些变量的教育培训项目可能有助于提高先天性心脏病患儿母亲的心理韧性。
