Shaygan Maryam, Dehghan Manshadi Zobeydeh, Hosseini Fahimeh Alsadat, Shaygan Maryam
Full Professor, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
PhD in Psychology, University of Isfahan, Isfahan, Iran.
Burns. 2025 Mar;51(2):107374. doi: 10.1016/j.burns.2025.107374. Epub 2025 Jan 2.
The psychological impact of pediatric burn injuries is profound, often resulting in elevated levels of anxiety for both children and their mothers. This quasi-experimental study was conducted to explore the effectiveness of a resilience training program aimed at reducing anxiety among mothers and their hospitalized children with burn injuries at a burn hospital in Shiraz, Iran. Fifty-six eligible mothers were initially selected through purposive sampling and assigned to either the experimental or control group in a 1:1 ratio through random assignment. The experimental group engaged in six sessions of the resilience training program. Anxiety levels were measured using the State Anxiety Inventory (SAI) and State Anxiety Inventory for Children (SAI-C) at multiple time points. Despite some dropouts, fifty mothers and their children were retained for analysis. The impact of the intervention on anxiety improvement was assessed using a Generalized Estimating Equation (GEE) model.. The results indicated that the resilience training program significantly reduced anxiety levels in both mothers and their children over time (p < .001). This reduction in anxiety persisted for five days following the completion of six sessions for mothers and six days for children (p < .05). Resilience training effectively addressed the psychological needs of mothers and their hospitalized children with burn injuries during the acute phase, significantly reducing anxiety levels and sustaining benefits for up to five days for mothers and six days for children post-intervention. While the impact of the training appeared to lessen over time, this underscores its importance in providing immediate support during a critical period. These findings suggest that resilience training is a valuable addition to clinical practice for the acute hospitalization phase, aimed at enhancing mental health and overall well-being in this vulnerable group.
小儿烧伤的心理影响深远，常常导致儿童及其母亲的焦虑水平升高。本准实验研究旨在探讨一项复原力训练计划的效果，该计划旨在减轻伊朗设拉子一家烧伤医院中烧伤住院儿童及其母亲的焦虑。最初通过目的抽样选取了56名符合条件的母亲，并通过随机分配以1:1的比例将她们分配到实验组或对照组。实验组参加了六次复原力训练课程。在多个时间点使用状态焦虑量表（SAI）和儿童状态焦虑量表（SAI-C）测量焦虑水平。尽管有一些退出者，但仍保留了50名母亲及其子女进行分析。使用广义估计方程（GEE）模型评估干预对焦虑改善的影响。结果表明，随着时间的推移，复原力训练计划显著降低了母亲及其子女的焦虑水平（p <.001）。母亲完成六次课程后，焦虑水平的降低持续了五天，儿童则持续了六天（p <.05）。复原力训练有效地满足了烧伤住院儿童及其母亲在急性期的心理需求，显著降低了焦虑水平，并在干预后为母亲持续带来长达五天的益处，为儿童持续带来长达六天的益处。虽然训练的影响似乎随着时间的推移而减弱，但这凸显了其在关键时期提供即时支持的重要性。这些发现表明，复原力训练是急性住院阶段临床实践的一项有价值的补充，旨在改善这一弱势群体的心理健康和整体幸福感。
