Mirhosseini Seyedmohammad, Heshmati Nabavi Fatemeh, Behnam Vashani Hamidreza, Vaghee Saeed
Department of Nursing, Shahroud University of Medical Sciences, Shahroud, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Omega (Westport). 2025 Mar;90(4):1685-1700. doi: 10.1177/00302228221126219. Epub 2022 Sep 7.
This study aimed to determine the effect of an online psychoeducational support group on the perceived stress of caregivers of coronavirus disease 2019 (COVID-19) survivors.
This randomized clinical trial included 70 caregivers of COVID-19 survivors discharged from Imam Reza Hospital in Mashhad, Iran in 2021. The intervention group received a psychoeducational support training program for stress management through six online group sessions (each 35-45 minutes) in a week. An expert psychiatric nurse provided this program on WhatsApp immediately after the patient's discharge from the hospital. The participants completed the Perceived Stress Scale (PSS-14) before starting the intervention and 1 week after that. Data analysis was conducted by descriptive and inferential statistics, including Chi-square, Fisher's exact test, independent, and paired t-test.
Both groups were homogeneous in terms of demographic variables of survivors and caregivers. In terms of the PSS, there was no significant difference between the two groups before the intervention (=0.28). The pre- and post-intervention scores of PSS in the intervention group were 39.57 ± 5.89 and 35.48 ± 5.68, respectively, indicating a significant decrease (p<0.001). Also, the pre- and post-intervention differences between the intervention and control groups were -4.08 ± 3.52 and -0.11 ± 2.66, respectively, indicating a greater decrease in the total PSS of the intervention group ( < 0.001).
The family caregivers of COVID-19 survivors suffered from psychological distress during their patient care. It is recommended to perform online psychoeducational support group interventions for these individuals based on psychological and educational support program.
本研究旨在确定在线心理教育支持小组对2019冠状病毒病（COVID-19）幸存者照料者感知压力的影响。
这项随机临床试验纳入了2021年从伊朗马什哈德伊玛目礼萨医院出院的70名COVID-19幸存者的照料者。干预组通过每周六次在线小组会议（每次35 - 45分钟）接受压力管理的心理教育支持培训项目。患者出院后，一名专业精神科护士立即在WhatsApp上提供该项目。参与者在干预开始前和之后1周完成感知压力量表（PSS - 14）。数据分析采用描述性和推断性统计方法，包括卡方检验、费舍尔精确检验、独立样本和配对t检验。
两组在幸存者和照料者的人口统计学变量方面具有同质性。在PSS方面，干预前两组之间无显著差异（=0.28）。干预组PSS的干预前和干预后得分分别为39.57±5.89和35.48±5.68，表明有显著下降（p<0.001）。此外，干预组与对照组干预前和干预后的差异分别为-4.08±3.52和-0.11±2.66，表明干预组PSS总分下降幅度更大（<0.001）。
COVID-19幸存者的家庭照料者在照料患者期间存在心理困扰。建议基于心理和教育支持项目对这些个体进行在线心理教育支持小组干预。
