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基于罗伊适应模式的项目对多发性硬化症患者子女应对技能的影响

The Effect of a Program Based on Roy's Adaptation Model on Coping Skills of Children of People with Multiple Sclerosis.

作者信息

Mohammadi Kobra, Mehralian Hossein A, Abolhassani Shahla, Kheiri Soleiman

机构信息

Shahrekord University of Medical Sciences, Shahrekord, Chaharmahal and Bakhtiari Province, Shahrekord, Iran.

Nursing and Midwifery Care Research Center, Adults Health Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):703-708. doi: 10.4103/ijnmr.ijnmr_231_22. eCollection 2024 Nov-Dec.

Abstract

BACKGROUND

The health of children is affected by Multiple Sclerosis (MS) in their parents and various complications of it. Given this, this study was conducted to investigate the effect of a program based on Roy's adaptation model on the coping skills of children of MS patients.

MATERIALS AND METHODS

This study was performed on 78 children of 78 MS patients from Shahrekord Support Association of MS patients including around 1800 patient members in 2018 using a quasi-experimental method. Samples were selected by the convenience sampling method, and a researcher-made checklist was completed based on Roy's adaptation model by them, and those who scored less than 80% on the checklist were included in the study and randomly allocated to control and intervention groups. The coping skills questionnaire was completed before, immediately, and 2 months after the intervention in two groups. In the intervention group, a supportive training program was developed and implemented based on Roy's adaptation model in six sessions and followed up for 2 months. Data were analyzed by SPSS version 23 using statistical tests.

RESULTS

There was a significant difference in changes in mean coping skills scores during the intervention between control and intervention groups ( < 0.001) so that the coping skills scores showed a significant increase in the intervention group.

CONCLUSIONS

It is possible to increase the level of adaptation in children of MS patients and improve their coping skills by using educational and supportive programs based on Roy's adaptation model.

摘要

背景

父母患有多发性硬化症(MS)及其各种并发症会影响儿童的健康。鉴于此,本研究旨在调查基于罗伊适应模式的项目对MS患者子女应对技能的影响。

材料与方法

2018年,采用准实验方法,对来自设拉子MS患者支持协会的78名MS患者的78名子女进行了研究,该协会包括约1800名患者成员。采用便利抽样法选取样本,他们根据罗伊适应模式完成了一份研究者编制的检查表,检查表得分低于80%的人被纳入研究,并随机分为对照组和干预组。两组在干预前、干预后立即和干预后2个月完成应对技能问卷。在干预组中,基于罗伊适应模式制定并实施了一个支持性培训项目,共六个环节,并进行了2个月的随访。使用统计检验通过SPSS 23版对数据进行分析。

结果

对照组和干预组在干预期间平均应对技能得分的变化存在显著差异(<0.001),因此干预组的应对技能得分显著提高。

结论

通过使用基于罗伊适应模式的教育和支持项目,可以提高MS患者子女的适应水平,改善他们的应对技能。

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