Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2022 Jul;10(3):210-222. doi: 10.30476/IJCBNM.2022.93400.1927.
Diabetes-induced anxiety, depression, and decreased self-efficacy lead to poor adherence to treatment in diabetic children. Since painting therapy seems to be helpful to express their feelings, this study aimed to investigate the effects of virtual directed painting therapy on anxiety, depression, and self-efficacy in diabetic children.
This randomized controlled trial was conducted on 40 children with type 1 diabetes aged 8-12 years who were referred to Imam Reza Clinic of Diabetes in Shiraz, from July to October 2020. Children were randomly selected and assigned to intervention and control groups, using block randomization. The intervention group received the routine care plus virtual painting therapy directed by WhatsApp (six 2-hour group sessions once a week for six weeks). Spence Children's Anxiety Scale, Maria Kovacs Children's Depression Inventory, and Diabetes Management Self-Efficacy Scale were completed before and after the intervention. Data were analyzed through SPSS 23, using Chi-square, Mann-Whitney U, and Wilcoxon tests. P value <0.05 was considered as significant.
After the intervention, the median (interquartile range) total scores for anxiety, depression, and self-efficacy in the intervention group were 48.50 (45.00-51.75), 7.00 (4.00-9.00), and 169.00 (154.00-178.00), and in the control group 55.00 (48.50-62.25), 13.00 (10.00-17.50), and 152.00, respectively (110.50-184.00). After the intervention, there was a significant difference between the groups regarding anxiety (P=0.02) and depression (P<0.001); however, the difference in self-efficacy was not significant (P=0.20).
Painting therapy should be considered as a part of care programs in diabetes centers and other community settings to control anxiety and depression of diabetic children.
IRCT20200118046181N1.
糖尿病引起的焦虑、抑郁和自我效能感降低会导致糖尿病患儿治疗依从性差。由于绘画疗法似乎有助于表达他们的感受，因此本研究旨在探讨虚拟定向绘画疗法对糖尿病患儿焦虑、抑郁和自我效能的影响。
本随机对照试验于 2020 年 7 月至 10 月在设拉子伊玛目礼萨糖尿病诊所对 40 名 8-12 岁的 1 型糖尿病儿童进行，采用区组随机分组。将儿童随机分为干预组和对照组，采用块随机分组。干预组接受常规护理加虚拟绘画治疗（每周一次，每次 2 小时，共 6 周）。在干预前后完成斯宾塞儿童焦虑量表、玛丽亚·科瓦奇儿童抑郁量表和糖尿病管理自我效能量表。使用 SPSS 23 进行数据分析，采用卡方检验、Mann-Whitney U 检验和 Wilcoxon 检验。P 值<0.05 被认为具有统计学意义。
干预后，干预组焦虑、抑郁和自我效能的总分中位数（四分位距）分别为 48.50（45.00-51.75）、7.00（4.00-9.00）和 169.00（154.00-178.00），对照组分别为 55.00（48.50-62.25）、13.00（10.00-17.50）和 152.00（110.50-184.00）。干预后，两组在焦虑（P=0.02）和抑郁（P<0.001）方面存在显著差异；然而，自我效能方面的差异无统计学意义（P=0.20）。
绘画疗法应被视为糖尿病中心和其他社区环境中护理计划的一部分，以控制糖尿病患儿的焦虑和抑郁。
IRCT20200118046181N1。
