Volume 26, Issue 1 (4-2019)
RJMS 2019, 26(1): 59-67 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
panahi L, alaeekarahroudy F, Abdolreza ghareh bagh Z, ghasemi E. The Determining the effect of care education of mothers of children with cerebral palsy on their maternal depression and anxiety.. RJMS 2019; 26 (1) :59-67
URL: http://rjms.iums.ac.ir/article-1-5313-en.html
URL: http://rjms.iums.ac.ir/article-1-5313-en.html
Islamic Azad University, Tehran Medical Branch, Tehran, Iran , falaeekarahroudy@yahoo.com
Abstract: (4208 Views)
Background: Cerebral palsy is a group of multi-dimensional and non-stationary disturbances in motion. Children with cerebral palsy need a careful attention of their caregivers, especially their mothers, in their daily living activities. Therefore, presenting training programs to mothers in order to take care of their children with cerebral palsy is very important. This study examines the impact of determining the effect of care education of mothers of children with cerebral palsy on their maternal depression and anxiety referring to the selected hospital in Alborz university of Medical Sciences in 2017.
Methods: In this experimental, research, 60 mothers referring to Bahonar Hospital in Karaj who had children with cerebral palsy were selected randomly, and then were divided into two control and intervention groups. The education program consisted of 6 domains for mothers during 6 sessions of 30 minutes over a period of two weeks. The training program focused on six areas such as child carriage, different forms of positioning, sleeping, getting dressed and undressed, feeding and nourishing, going to the toilet and urine control which were presented to mothers in the intervention group during six, thirty-minute sessions in two weeks. Depression and anxiety of mothers in both groups before and after the intervention were evaluated. To compare variables in two groups of control and intervention, two-samples independent T-test was used and to compare the average before and after in each group, the paired T-test was conducted. In order to analyze the homogeneity of data in quality variables, K2 or the accurate Fisher test was administered. Moreover, in order to mitigate the effect of pre-test, the average comparison of post-test was done using the ANCOVA covariance analysis and then the results were analyzed using SPSS 21.
Results: The results showed that the training program for taking care of children with cerebral palsy resulted in the reduction of mothers’ depression from mean 26.100 and standard deviation 3.546 to mean 18.966 and standard deviation 3.690 and anxiety from mean 20.966 and standard deviation 2.930 to mean 14.500 and standard deviation 2.788 in the intervention group (p˂0.0001). Considering the control group mothers, it can be stated that the results showed no significant changes in the depression and anxiety of mothers regarding the lack of training in this group. The maternal anxiety score remained at mean 25.266 and standard deviation 2.715 and the depression rate ranged from mean 26.300 and standard deviation 2.718 to mean 25.933 and standard deviation 2.970.
Conclusion: The research results showed that use of training program on how to take care of children with cerebral palsy can reduce depression and anxiety in the mothers of children with cerebral palsy.
Methods: In this experimental, research, 60 mothers referring to Bahonar Hospital in Karaj who had children with cerebral palsy were selected randomly, and then were divided into two control and intervention groups. The education program consisted of 6 domains for mothers during 6 sessions of 30 minutes over a period of two weeks. The training program focused on six areas such as child carriage, different forms of positioning, sleeping, getting dressed and undressed, feeding and nourishing, going to the toilet and urine control which were presented to mothers in the intervention group during six, thirty-minute sessions in two weeks. Depression and anxiety of mothers in both groups before and after the intervention were evaluated. To compare variables in two groups of control and intervention, two-samples independent T-test was used and to compare the average before and after in each group, the paired T-test was conducted. In order to analyze the homogeneity of data in quality variables, K2 or the accurate Fisher test was administered. Moreover, in order to mitigate the effect of pre-test, the average comparison of post-test was done using the ANCOVA covariance analysis and then the results were analyzed using SPSS 21.
Results: The results showed that the training program for taking care of children with cerebral palsy resulted in the reduction of mothers’ depression from mean 26.100 and standard deviation 3.546 to mean 18.966 and standard deviation 3.690 and anxiety from mean 20.966 and standard deviation 2.930 to mean 14.500 and standard deviation 2.788 in the intervention group (p˂0.0001). Considering the control group mothers, it can be stated that the results showed no significant changes in the depression and anxiety of mothers regarding the lack of training in this group. The maternal anxiety score remained at mean 25.266 and standard deviation 2.715 and the depression rate ranged from mean 26.300 and standard deviation 2.718 to mean 25.933 and standard deviation 2.970.
Conclusion: The research results showed that use of training program on how to take care of children with cerebral palsy can reduce depression and anxiety in the mothers of children with cerebral palsy.
Type of Study: Research |
Subject:
Pediatric Neurology
References
2. 1. Mohammadyan F, Sortji H, Hossani SM. [The quality of family focused approach in rehabilitation of cerebral plasy childrens]. J Rehabil Sci; 2011.7(5):758-65. (Persian).
3. 2. Prudente COM, Barbosa MA, Porto CC. Relation between quality of life of mothers of children with cerebral palsy and the children's motor functioning, after ten months of rehabilitation. Revista Latino-Am Enferm; 2010.18(2):149-55.
4. 3. Steultjens EMJ, Dekker J, Bouer LM, Jos CM, Brigitte LM, Cornelia HM, et al. Occupational therapy for children with cerebral palsy: a systematic review. Clin Rehabil; 2004.18(1):1-14.
5. 4. Powell L, Barlow J, Cheshire A. The training and support programme for parents of children with cerebal palsy: a process evaluation. Complement Ther Clin Pact; 2006.12(30):192-9.
6. 5. Altmdag Ö, Içcan A, Akcan S, Köksal S, Erçin M, Ege L. Anxiety and depression levels in mothers of children with cerebral palsy. Turk Fiz Tip Rehab Derg; 2007.53:22-4.
7. 6. Khayatzadeh Mahani M, Salari Sozan A, Karimlo M. [Cerebral plasy childrens problem that related with motor performances level]. J Med Sci; 2011.10: 86-96. (Persian).
8. 7. Wely LV, Becher J, Reinders- Messelink HA, Lindeman E, Verschuren O, Verheijden J, et al. Learn 2 move 7-12 years: a randomized control trial on the effects of physical activity stimulation program in children with cerebral palsy. BMC Pediatr; 2010.10:77.
9. 8. Altmdag Ö, Içcan A, Akcan S, Köksal S, Erçin M, Ege L. Anxiety and depression levels in mothers of children with cerebral palsy. Turk Fiz Tip Rehab Derg; 2007.53:22-4.
10. 9. Mobarak R, Khan N, Munir S, Zaman S, McConachie H. Predictors of stress in mothers of children with cerebral palsy in Bangladesh. J Pediatr Psychol; 2000.25(6): 427-33.
11. 10. Khayatzadeh Mahani M. [The comparsion of quality in cerebral palsy, mental retardation and normal childrens mothers]. Daneshvar; 2009.17(83):49-58. (Persian).
12. 11. Khanjani M. Effect of training about care of cerebral palsy children on the quality of life of family caregivers of children with cerebral palsy in the Babolsar city. Thesis of MSc in Social Welfare and Rehabilitation Sciences University 2008.
13. 12. Balochi R, Ghaeni S. [In quality of cerebral palsy childrens preparation program in therapist child-parent cluster]. J llam Univer Med Sci; 2009.17(3):16-24. (Persian).
14. 13. Masoudzadeh, A, Settareh J, Mohammadpour, RA, Medanloukordi, M. [The prevalence of death anxiety among employees of a public hospital in the city of Sari in the spring of]. Mazandaran Uni Med Sci J; 2008.18:60-67. (Persian).
15. 14. Sajedi F, Vmeghi, R, Alyazadeh, V, Malek Khosravi, Gh, Karimloo M, Ravarian A, et al. [Is the intensity of anxiety in mothers of children with cerebral palsy igher than normal children's mothers?]. Rehabil J; 2010.5:15-20. (Persian).
16. 15. Khanjani M, Hatamizadeh N, Hosseini M, Rahgozar M, Arjmand, M. [The effect of education on the quality of caring for children with cerebral palsy on the quality of life of family carers]. J Rehabil Sci; 2009.10(3): pp:38-42. (Persian).
17. 16. Dalvand H, Dehghan L, Feizy A, Amirsalai S, Bagheri S, Effect of the Bobath technique, conductive education and education to parents in activities of daily living in children with cerebral palsy in Iran. Hong Kong J Occup Ther; 2009.19(1):14-9.
18. 17. Esmakhani akbari nejad H, Etemadi A, Nasir Nezhad F. [The effectiveness of group-based therapeutic reality on women's anxiety]. J Psychol Stud; 2014.10(2):34-41. (Persian).
19. 18. Davis E, Shelly A, Waters E, Boyd R, Cook K, Davern M. The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers.
20. Child Care Health Develop; 2010.36(1): pp: 63-73.
21. 19. Raina P, O'Donnell M, Rosenbaum P, Brehaut J, Walter S, Russell D, et al. The health and well-being of caregivers of children with cerebral palsy. J Am Acad Pediatr; 2005.115(6): 626-36.
22. 20. Bella G, Garcia M, Spadari-Bratfisch R. Salivary cortisol, stress, and health in primary caregivers [mothers] of children with cerebral palsy. Psychoneuroendocrinology; 2011.36:834-42.
23. 21. Raina P, O'Donnell M, Rosenbaum P, Brehaut J, Walter S, Russell D, et al. The health and well-being of caregivers of city qualitative study. Nurs Res; 2009.4(15):6-15.
24. 22. Toulgui E, Jemni S, Samia F, Mtaouaa S, Khachnaoui F. Depression and anxiety in mothers of children with cerebral palsy: comparative study. Ann Phys Rehabil Med; 2016.59.
25. 23. VanLeit B, Crowe TK. Outcomes of an occupational therapy program for mothers of children with disabilities: Impact on satisfaction with time use and occupational performance. Am J Occup Ther; 2002.56(4):402-10.
26. 24. Anne S, Marit G, Clare J. Parentsperspectives of surgery for a child who has cerebral palsy. J Pediatr Health Care; 2009.23:165-72.
27. 25. Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one's physical health? A meta-analysis. Psychol Bullet; 2003.129(6):946.
28. 26. Raina P, O'Donnell M, Schwellnus H, Rosenbaum P, King G, Brehaut J, et al. Caregiving process and caregiver burden: conceptual models to guide research and practice. BMC Pediatr; 2004.4(1):1.
29. 27. Lundy HF. Parental stress, socioeconomic status, satisfaction with services, and family quality of life among parents of children receiving special education services. Thesis of PhD in Georgia State University, 2011.
30. 28. Hsieh PC. Contributions of leisure participation in predicting stress coping and quality of life among parental caregivers of children with developmental disabilities. Thesis of MSc in Indian University, 2012.
31. 29. Gonzalez BT, Carroll CE, Elliott DL, Fitzgerald JS, Vallent HJ. Visiting preferences of patients in the intensive care unit and in a complex care medical unit. Am J Critic Care; 2004.13;194-8.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
