Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1403
10
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gregorian
2025
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4
online
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fulltext
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تأثیر الگوی توانمندسازی خانواده محور بر امیدواری والدین کودکان مبتلا به عقبماندگی ذهنی
The effect of a family-centered empowerment model on the hopefulness of parents with mentally retarded children
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">داشتن یک کودک عقبمانده ذهنی بار روانی و اقتصادی زیادی برای خانوار دارد که بر میزان امیدواری افراد اثر میگذارد. هدف مطالعه حاضر تعیین تأثیر الگوی توانمندسازی خانواده محور بر امیدواری والدین کودکان مبتلا به عقبماندگی ذهنی بوده است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این مطالعه کارآزمایی بالینی در سال 1402 در شهرستان علی</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">آباد کتول در مورد والدین کودکان عقبمانده ذهنی انجام گرفته است. با استفاده از نمونهگیری تصادفی ساده از فهرست والدین کودکان کمتوان ذهنی، 48 نفر انتخاب و به صورت تصادفی به دو گروه آزمون و کنترل تقسیم شدند. قبل و بعد از مداخله، پیشآزمون و پسآزمون انجام یافت. در گروه مداخله 6 جلسه توانمندسازی خانواده محور برگزار شد. در گروه کنترل نیز آموزش مراقبتهای معمول صورت گرفت. ابزار گردآوری دادهها پرسشنامه امید </span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Schneider</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> بود. </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">برای تجزیه و تحلیل داده</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ها از نرمافزار </span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 23 و</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> آزمون آنالیز کوواریانس یک متغیره، تی</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">زوج و تی</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مستقل</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> در سطح معناداری 05/0 استفاده شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">میانگین و انحراف معیار سن مادر در این مطالعه در گروه مداخله 07/8</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">27/36 سال و در گروه کنترل 12/5</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">83/34 بود. میانگین سن کودک در گروه مداخله 88/2</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">/11 سال و در گروه کنترل 94/1</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">16/10 بود. در میانگین نمره امیدواری گروه مداخله و کنترل، قبل از مداخله تفاوت آماری معناداری مشاهده نشد (582/0=</span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)، بعد از مداخله نمره امیدواری در گروه مداخله نسبت به گروه کنترل افزایش معناداری یافت (021/0=</span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">). همچنین، با حذف اثر پیشآزمون بین گروه مداخله و کنترل اختلاف معناداری دیده شد (001/0></span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">، 48/0=</span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Eta</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)، به طوری که 48% از تغییرات میانگین نمره امیدواری والدین ناشی از اثر الگوی توانمندسازی خانواده محور بود</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با توجه به اثربخشی الگوی توانمندسازی خانواده محور بر امیدواری والدین و اهمیت نقش والدین در مراقبت از کودکان عقبمانده ذهنی، میتوان از این روش درمانی کم هزینه و اثربخش در مراقبت و توانمندسازی والدین استفاده نمود</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ثبت کارآزمایی بالینی: </span></span></i></b><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">IRCT20191229045934N1</span></span></i><i><span dir="LTR" lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Raising a mentally retarded child imposes significant</span></span> <span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">psychological and economic burdens on families, which can adversely affect their sense of hope. The aim of the study was to determine the effect of a family-centered empowerment model on the hopefulness of parents with mentally retarded children</span></span><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">Methods & Materials:</span></span></span></span></b> <span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.2pt">This clinical trial was conducted in 2023 in Aliabad Katol, focusing on parents with mentally retarded children. A total of 48 participants were selected through simple random sampling from a list of these parents and were randomly assigned to either an intervention group or a control group. Pre-test and post-test evaluations were conducted before and after the intervention. The intervention group participated in six family empowerment sessions, while the control group received routine care training. Data were collected using the Schneider's Hope Questionnaire. Statistical analysis was performed using SPSS version 23, employing univariate analysis of covariance, paired <i>t</i>-tests, and independent <i>t</i>-tests, with a significance level set at 0.05</span></span></span><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">In the intervention group, the average age of mothers was 36.27±8.07 years, compared to 34.83±5.12 years in the control group. The average age of children was 11.88±2.88 years in the intervention group and 10.16±1.94 years in the control group. No significant difference was observed in the mean hope scores between the intervention and control groups prior to the intervention (<i>P</i>=0.582). However, post-intervention, the mean hope score significantly increased in the intervention group compared to the control group (<i>P</i>=0.021). After controlling for pre-test scores, a significant difference emerged between the groups (<i>P</i><0.001, Eta=0.48), indicating that 48% of the variance in parents' hopefulness scores could be attributed to the effects of the family-centered empowerment model</span></span><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Considering the effectiveness of the family-centered empowerment model in enhancing parents' hopefulness, as well as the crucial role that parents play in caring for mentally retarded children, this low-cost and effective intervention should be incorporated into programs aimed at supporting and empowering these parents</span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">.</span></span></span><span lang="EN-US" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<b><span lang="EN-US" style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"><span style="color:black">Clinical trial registry: </span></span></span></span></b><span lang="EN-US" style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">IRCT20191229045934N1</span></span></span>
الگوی توانمندسازی, خانواده محور, امیدواری, عقبماندگی ذهنی
empowerment, family-centered, hopefulness, mental retardation
432
443
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4745-2&slc_lang=fa&sid=1
Saeideh
Mazidi
سعیده
مزیدی