Nursing & Midwifery Care Research Center, School of Nursing & Midwifery, Pediatric and Neonatal Intensive Care Nursing Department, Iran University of Medical Sciences, Tehran, Iran.
Critical Care Nursing Department, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
BMC Pediatr. 2024 May 22;24(1):354. doi: 10.1186/s12887-024-04828-6.
Welfare and rehabilitation centers prioritize the welfare of children over the mental and physical well-being of mothers. The present study aimed to determine the impact of resilience training on stress, hope, and psychological toughness of mothers living with mentally and physically disabled children.
This intervention study was conducted in the Hamadan (Iran) Welfare and Rehabilitation Center in 2023. To this end, 70 parents of children with mental and physical disabilities were randomly selected and then randomly assigned to two control and intervention groups. In the intervention group, 9 resilience training sessions were conducted, each lasting 60 min. These meetings were held weekly at the welfare and rehabilitation center. The resilience training included three components: (1) exploring the concept of resilience within families and the attributes of individuals with high resilience, (2) examining internal and external factors that influence resilience, and (3) studying the strategies for enhancing family resilience. No intervention was performed in the control group. Data collection was done using parental stress, hope, and psychological toughness questionnaire. The mothers of both groups completed the above questionnaires both before and one month after the intervention. Data analysis was performed using chi-square (χ2), Kruskal-Wallis, and t-test with SPSS software (version 23) at a significance level of 0.05.
Before the intervention, there was no statistically significant difference in parental stress between the two groups (p = 0.370). However, after the intervention, the difference between the two groups became statistically significant (p = 0.001). Similarly, there was no significant difference in parents' hope before the intervention (p = 0.452), but a significant difference was observed after the intervention (p = 0.001). Besides, parental psychological toughness was not significant before the intervention (p = 0.179) but became significant after the intervention (p = 0.000).
Based on the results, resilience training reduced parental stress and increased hope and resilience in mothers of the test group. Therefore, resilience training is recommended to lower parental stress and increase the hope and psychological toughness of mothers of mentally and physically disabled children.
福利和康复中心优先考虑儿童的福利，而不是母亲的身心健康。本研究旨在确定弹性训练对与身心残疾儿童一起生活的母亲的压力、希望和心理韧性的影响。
这项干预研究于 2023 年在伊朗哈马丹的福利和康复中心进行。为此，随机选择了 70 名有身心障碍儿童的父母，然后将他们随机分配到对照组和干预组。在干预组中，进行了 9 次弹性训练，每次 60 分钟。这些会议每周在福利和康复中心举行。弹性训练包括三个部分：（1）探讨家庭内部弹性的概念和具有高弹性的个人属性，（2）研究影响弹性的内部和外部因素，（3）研究增强家庭弹性的策略。对照组没有进行干预。使用父母压力、希望和心理韧性问卷收集数据。两组母亲在干预前和干预后一个月都完成了上述问卷。使用 SPSS 软件（版本 23）进行卡方（χ2）、克鲁斯卡尔-沃利斯和 t 检验进行数据分析，显著性水平为 0.05。
干预前，两组父母压力无统计学差异（p=0.370）。然而，干预后，两组之间的差异具有统计学意义（p=0.001）。同样，干预前父母的希望没有显著差异（p=0.452），但干预后有显著差异（p=0.001）。此外，干预前父母的心理韧性不显著（p=0.179），但干预后显著（p=0.000）。
根据结果，弹性训练降低了实验组母亲的父母压力，增加了他们的希望和韧性。因此，建议进行弹性训练，以降低父母的压力，增强身心残疾儿童母亲的希望和心理韧性。
