Mohammadi Fateme, Hosseiny Seyyed Mohammad Mahdi, Khazaei Salman, Esfahani Hossein, Soltani Kousar, Masumi Sayed Mohammad
Department of Pediatric Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Pediatrics, School of Medicine, Ekbatan Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Psychol. 2025 Aug 7;13(1):881. doi: 10.1186/s40359-025-03179-w.
Life-threatening and progressive diseases such as cancer not only affect the lives of adolescents but also significantly impact their parents. Spiritual care for these parents may help them manage psychological challenges, develop resilience, and reduce anxiety related to the potential loss of their children. The present study aimed to determine the impact of a spiritual care program on resilience and death anxiety in parents of children and adolescents with cancer.
The present study was a randomized clinical trial. One hundred and four parents of children and adolescents with cancer were selected from a hospital affiliated with the University of Medical Sciences in western Iran from September 2024 to February 2025. They were then randomly assigned to both the intervention group (52 participants) and the control group (52 participants). Parents received training in the intervention group in five 90-minute sessions over 5 days, each session conducted individually. Then these parents were followed up for 5 weeks. Parents completed the death anxiety and resilience questionnaires on the first day and thirty-five days after the intervention. Data analyses were conducted using SPSS version 22.
There was no significant difference in resilience ( = 0.92) and death anxiety ( = 0.95) between parents in both groups before intervention. However, 5 weeks after intervention, a significant increase in resilience and a decrease in death anxiety were observed between the two groups ( < 0.001). Furthermore, there was a statistically significant difference in resilience and death anxiety between before and 5 weeks after intervention in the intervention group ( < 0.001).
Spiritual care programs increase resilience and subsequently reduce death anxiety in parents of children and adolescents with cancer. Nursing managers can identify weaknesses in nursing services for these parents and, using spiritual care programs, take steps to increase resilience and reduce death anxiety in these parents.
IRCT registration number: IRCT20190703044082N11.
15/12/2024.
诸如癌症等危及生命且呈进行性发展的疾病不仅会影响青少年的生活，还会对他们的父母产生重大影响。为这些父母提供精神关怀可能有助于他们应对心理挑战、培养适应力，并减轻与子女可能离世相关的焦虑。本研究旨在确定一项精神关怀计划对癌症患儿及青少年父母的适应力和死亡焦虑的影响。
本研究为随机临床试验。2024年9月至2025年2月期间，从伊朗西部医科大学附属医院选取了104名癌症患儿及青少年的父母。然后将他们随机分为干预组（52名参与者）和对照组（52名参与者）。干预组的父母在5天内参加了5次每次90分钟的培训课程，每次课程单独进行。然后对这些父母进行了5周的随访。父母在干预第一天和干预后35天完成了死亡焦虑和适应力量表。使用SPSS 22版进行数据分析。
干预前两组父母在适应力（=0.92）和死亡焦虑（=0.95）方面无显著差异。然而，干预5周后，两组之间的适应力显著提高，死亡焦虑降低（<0.001）。此外，干预组在干预前和干预后5周之间的适应力和死亡焦虑存在统计学显著差异（<0.001）。
精神关怀计划可提高癌症患儿及青少年父母的适应力，进而降低他们的死亡焦虑。护理管理者可以识别针对这些父母的护理服务中的薄弱环节，并通过精神关怀计划采取措施提高这些父母的适应力并降低他们的死亡焦虑。
IRCT注册号：IRCT20190703044082N11。
2024年12月15日。
