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对土耳其青少年进行家族性地中海热教育对焦虑、抑郁和生活质量的影响。

The effect of education given to Turkish adolescents with Familial Mediterranean fever on anxiety, depression, and quality of life.

机构信息

Department of Mental Health and Psychiatric Nursing, Department of Nursing, Faculty of Health Sciences, Kastamonu University, Kastamonu, Turkey.

Department of Child Health and Diseases Nursing, Department of Nursing, Faculty of Health Sciences, Kastamonu University, Kastamonu, Turkey.

出版信息

Eur J Pediatr. 2023 Jul;182(7):3063-3073. doi: 10.1007/s00431-023-04975-5. Epub 2023 Apr 18.

Abstract

To examine the effects of individual education given to Turkish adolescents with Familial Mediterranean fever (FMF) on anxiety, depression, and quality of life. The randomized controlled experimental study was performed on 70 adolescents aged 12-18 years who were diagnosed as having FMF between October 2021 and April 2022 in Turkey. The disease management education was offered individually to adolescents in the intervention group with a booklet entitled "FMF is under my control;" no intervention was applied to adolescents in the control group. The training booklet was prepared by the researchers in a multidisciplinary team and was finalized by taking expert opinions. In the data collection process, a personal information form, the State-Trait Anxiety Inventory for Children (STAI-CH), the children's depression inventory (CDI), and the Pediatric Quality of Life Inventory (PedsQL) were used. After applying the scales specified in the pretest, individual training was given and the posttest was performed 2 months later using the same scales. After the education, there was a statistically significant decrease in the mean CDI score of the intervention group (p < 0.05), whereas there were statistically significant increases in mean scores obtained on PedsQL and its sub-scales (p < 0.05). However, the decrease in the mean STAI-CH score of the intervention group was not statistically significant (p > 0.05). There was no statistically significant difference in the mean STAI-CH, CDI, and PedsQL scores of the control group after the education (p > 0.05).  Conclusion: The effectiveness of the individual education program for adolescents with FMF in improving quality of life and reducing levels of depression within the scope of disease management has been confirmed. It is recommended that all health professionals working with children with FMF regularly provide individual or group-planned education programs. What is Known: • The unpredictability of FMF attacks has a very negative effect on adolescents. • Individual education programs on FMF focus on children with a holistic approach. What is New: • To the best of our knowledge, this study is the first study to evaluate disease management education given to adolescents with FMF. • This is a pioneering study of the use of nurses in the education of adolescents with FMF and in fulfilling their educational roles.

摘要

目的

研究针对土耳其青少年家族性地中海热(FMF)患者开展的个体教育对其焦虑、抑郁和生活质量的影响。

方法

这是一项随机对照实验研究,于 2021 年 10 月至 2022 年 4 月在土耳其对 70 名 12-18 岁确诊为 FMF 的青少年进行了研究。在干预组中,青少年接受了题为“FMF 在我掌控中”的小册子进行个体疾病管理教育,而对照组的青少年则未接受干预。研究人员在多学科团队中编写了这本培训手册,并征求了专家的意见。在数据收集过程中,使用了个人信息表、儿童状态-特质焦虑量表(STAI-CH)、儿童抑郁量表(CDI)和儿童生活质量量表(PedsQL)。在进行预测试指定的量表后,对青少年进行了个体培训,并在 2 个月后使用相同的量表进行了后测。

结果

教育后,干预组 CDI 平均分显著降低(p<0.05),而 PedsQL 及其子量表平均分显著升高(p<0.05)。然而,干预组 STAI-CH 平均分的降低不具有统计学意义(p>0.05)。教育后,对照组 STAI-CH、CDI 和 PedsQL 平均分无统计学差异(p>0.05)。

结论

FMF 青少年个体教育计划在改善生活质量和降低疾病管理范围内的抑郁水平方面具有有效性。建议所有与 FMF 患儿一起工作的卫生专业人员定期提供个体或小组计划的教育计划。

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