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基于移动医疗的放松方案对癌症患儿母亲应对压力和焦虑水平的影响:一项随机对照研究。

Effect of mHealth-based relaxation program on stress coping and anxiety levels in mothers of children with cancer: A randomized controlled study.

机构信息

Gazi University Nursing Faculty Pediatric Nursing Department, Emek, Ankara, Turkey.

Gazi University Health Research and Application Center, Pediatric Hematology and Oncology Service, Yenimahalle, Ankara, Turkey.

出版信息

Patient Educ Couns. 2024 Jun;123:108247. doi: 10.1016/j.pec.2024.108247. Epub 2024 Mar 11.

Abstract

OBJECTIVE

This study aimed to explore the effects of a mHealth-based relaxation program on anxiety and stress coping levels in mothers of children with cancer.

METHODS

This randomized controlled, single-blind, parallel-group trial was conducted in the pediatric hematology-oncology unit of a university hospital. The study was completed by 50 mothers (intervention group: n = 25; control group: n = 25). The mothers in the intervention group participated in a mHealth-based relaxation program for eight weeks (including progressive muscle relaxation, guided imagery, and the four-leaf clover of mindfulness). Videos of the relaxation program were sent to mothers' WhatsApp accounts. The mothers in the control group received routine care. The State-Trait Anxiety and Stress Coping Scales were administered during the first and eighth weeks. The registration number of this study on ClinicalTrials.gov is NCT05807295.

RESULTS

Mothers who participated in the relaxation program had lower anxiety levels and higher stress-coping scores than those in the control group (p < 0.05).

CONCLUSION

Progressive muscle relaxation exercises, guided imagery, and cognitive-based therapeutic approaches were effective in reducing mothers' anxiety and stress coping.

PRACTICE IMPLICATIONS

Pediatric oncology nurses can apply mHealth-based relaxation programs to support caregivers, particularly mothers. In this way, ensuring the continuity and integrity of care is easy.

摘要

目的

本研究旨在探讨基于移动医疗的放松方案对癌症患儿母亲焦虑和压力应对水平的影响。

方法

这是一项在一所大学医院儿科血液肿瘤科进行的随机对照、单盲、平行组试验。共有 50 位母亲完成了这项研究(干预组:n=25;对照组:n=25)。干预组的母亲参加了为期八周的基于移动医疗的放松方案(包括渐进性肌肉放松、引导想象和正念四叶苜蓿)。放松方案的视频被发送到母亲的 WhatsApp 账户。对照组的母亲接受常规护理。在第一周和第八周进行状态-特质焦虑和压力应对量表评估。本研究在 ClinicalTrials.gov 的注册号为 NCT05807295。

结果

参加放松方案的母亲焦虑水平低于对照组,压力应对得分高于对照组(p<0.05)。

结论

渐进性肌肉放松练习、引导想象和基于认知的治疗方法可有效减轻母亲的焦虑和压力应对。

实践意义

儿科肿瘤护士可以应用基于移动医疗的放松方案来支持照顾者,特别是母亲。这样,就可以轻松确保护理的连续性和完整性。

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