اثربخشی آموزش تاب‌آوری بر سطح کیفیت زندگی مادران دارای فرزندان10-13 ساله مبتلا به سرطان در بیمارستان امام خمینی (ره) تهران سال1389- 1388

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی تربیتی

2 عضو هیئت علمی دانشگاه علامه طباطبایی

3 عضو هیئت علمی بیمارستان امام خمینی (ره)

چکیده

این پژوهش به منظور یقیین اثربخشی آموزش تاب‌آوری بر کیفیت زندگی مادرانی که فرزندان آن‌ها دچار سرطان شده‌اند، انجام شده است. جامعه آماری این پژوهش کلیه‌ی مادران فرزندان سرطانی بین 10 – 13 بوده است. روش پژوهش بکار گرفته شده طرح نیمه آزمایشی و شامل پیش‌آزمون و پس آزمون با گروه گواه بوده است. با روش نمونه‌گیری تصادفی یک گروه 30 نفری از مادران انتخاب شدند.آن‌ها در دو گروه مساوی قرار داده شده‌اند که نیمی از آن‌ها در گروه آزمایش و نیمی دیگر در گروه گواه بوده‌اند. پرسشنامه‌های تاب‌آوری کانر – دیوید سون و کیفیت زندگی برای هر دو گروه به کار رفت. نتایج 9 جلسه آموزش تاب‌آروی با استفاده از روش تحلیل کوواریانس نشان داد که مادرانی که تحت آموزش معین قرار گرفتند در تاب‌آوری و کیفیت زندگی نسبت به مادرانی که از این آموزش‌ها برخوردارنبوده‌اند پیشرفت بهتری داشته‌اند. آموزش تاب‌آوری تاثیر معناداری بر مولفه‌هایی چون سلامت روان، عملکرد پائین، سرزندگی، درد بدنی، سلامت عمومی، نقش هیجانی داشته است در حالی‌که چنین اثری بر روی مولفه‌های عملکرد جسمانی، عملکرد اجتماعی وجود نداشته است. این پژوهش به این نتیجه می‌ رسد که آموزش تاب‌آوری در افزایش تاب‌آوری و کیفیت زندگی مادرانی که فرزندان‌شان مبتلا به سرطان شده‌اند مؤثر بوده است.

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of Resilience Training On Level of Quality Of Life of Mothers Whose Children, Were Between 10- 13, Suffer From Cancer in Imam Khomeini Hospital Of Tehran during the Years 1388- 1389

نویسندگان [English]

  • Tahere hosseyni Qomi (M.A) 1
  • Soghra Ebrahimi Gavam (Ph.D) 2
  • Zohreh Alavi (Ph.D) 3
چکیده [English]

his study has been done for the purpose of evaluating effect of resilience training on quality of life of mothers whose children suffer from cancer. The statistical population of the study was, all, mothers of cancerous children, between 10 to13. The sufferers had medical files in Imam Khomeini hospital during the years 1388-89.
The applied method was a semi-experimental design, consisting pretest- post test, and along with a control group. By random sampling, a people of the 30 mothers selected; they were put in 2 groups equally: a half of them in experimental group and the rest in control group. Questionnaires of Conner-Davidson resilience scale and quality of life (SF36) were utilized for the both ones. The consequences of 9 sessions resilience training, through Covariance analysis, appeared that the mothers under the certain training have more promoted in resilience and level of life quality than the mothers did not enjoy those trainings. The resilience training gave meaningful effect on components such as mental health, low functioning, vitality, body pain, general health and emotional role while there was not the same effect on physical and social functioning.
This study comes to the conclusion that the resilience training succeeds in promoting resilience and quality of life of mothers whose children suffer from cancer. 

کلیدواژه‌ها [English]

  • resilience - quality of life - cancer
رحیمیان بوگر، اسحاق؛ اصغرنژاد فرید، علی اصغر. (1387). رابطه سرسختی روانشناختی و خود تاب‌آوری با سلامت روان در جوانان و بزرگسالان بازمانده از زلزله شهرستان بم. مجله روانپزشکی و روانشناسی بالینی ایران (اندیشه و رفتار).

سلیمی بجستانی، حسین. (1388). مقایسه اثربخشی مشاوره به شیوه آدلری و بازسازی شناختی مبتنی برتمثیل بر سلامت روانی، تاب‌آوری و امیدواری دانشجویان دانشکده روان‌شناسی علامه طباطبایی. پایان نامه دکتری در رشته مشاوره. دانشکده روان‌شناسی علامه طباطبایی.

طاولی، آزاده. منتظری، علی. محققی، محمد علی. روشن، رسول. طاولی، زهرا. ملیانی، مهدیه. (1386). نقش اطلاع از تشخیص سرطان در کیفیت زندگی بیماران مبتلا به سرطان دستگاه گوارش. فصلنامه پایش. سال ششم. شماره سوم ص258.

فرگوسن، جرج و یوشیوتاکانه. تحلیل آماری در روانشناسی و علوم تربیتی. ترجمه علی دلاور و سیامک نقش‌بندی. تهران: نشر ارسباران، 1384.

کاوه، منیژه. (1388). تدوین برنامه افزایش تاب‌آوری در برابر استرس و تاثیر آموزش آن بر مولفه‌های کیفیت زندگی والدین دارای کودک کم‌توان‌ذهنی خفیف. پایان‌نامه دکتری در رشته روان‌شناسی استثنایی. دانشکده روانشناسی و علوم تربیتی علامه طباطبایی.

میرخانی، مجید. (1378). مبانی توانبخشی، چاپ اول، انتشارات سازمان بهزیستی.

 

 

منابع انگلیسی

Arafa, Mostafa. A, Salah. R Zaher, Amira A El–dowaty and Dalia E Moneeb. (2008). Quality of life among parents of children with heart disease. Health and quality of life outcomes. 6:91

Burton. Nicola. W, Pakenham. Kenneth. I, Brown. Wendy. J. (2009). Evaluating the effectiveness of psychosocial resilience traininig for heart health, and the added value of promoting physical activity :a cluster randomized trial of the ready program. BMC public health. 80, 77-89.

Bonanno. G. A, galea. S. Bucciareli. A & Vlahov. D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources and life stress. Journal of consulting and clinical psychology. 75 (5) ,671-682.

Benard, B. (1991). Fostering resiliency in kinds: protective factors in the family, school, and community. Portland. OR: western center for drugfree schools and communities. 4, 142- 175.

Bradshaw. B, Richardson. G, kumpfer. K, Carlson. J, Stanchfield. J, Overall. J, Brooks. A, kulkami. K. (2007) Determining the efficacy of a resiliency training approach in adulths with type 2 diabets. the diabetes educator 33(4):650-659

Cynthia. R, Pamelas. (1998). Quality of life from nursing & perspectives. Canada: Jones & Bartlett.12, 173- 194.

Cooper, linnea. (2008). Concept analysis: resilience. Pacific Lutheran university school of nursing. 2, 45 -79.

Dent, Maggie. (2009). Real kids in an unreal world: building resilience and self–esteem in today chaotic world.23 ,79 -89.

Eiser, Chirstine (2004). Cancer: The quality of life. Journal of pediatricpsy chology. 29(8):579-590

Eiser, chirstine. Lawrence, Eribaum. (2006). Children with cancer: thequality of life. Newjersey, USA. 8,79 -93.

Farlane, M. K & Carol, l. (2000). Resilience therapy: A group intervention program to promote the psychological wellness of adolescents at risk. Unpublished doctoral dissertation, university of south Africa.

Fredrickson. BL, tugade. M. M, Waugh. C. E & larkin. G. (2003). A prospective study of resilience and emotions following the terrorist attacks on the united states on September 11th2002. Journal ofpersonality and social psychology, 84(2): 365-376.

Hegney, DG. Buikstra, E. Baker, p. Rogers – clark, C. Pearce, S. Ross, H. King, C. Watson–Luke. A. (2007). Individual resilience in ruralpeople: a Queesland study, Australia. Journal of rural and remotehealth research.27, 387- 405

Hamill, S. K. (2003). resilience and self efficacy: the importance of efficacy beliefe and coping mechanisms in resilient adolescents. colgate university journal of the sciences , 35.115-146.

Hinds, Cora. (1990). Personal and contextual factory predicting patient reported quality of life: exploring congruency with betty neumans assumption. J. of adv. Nur. 15: 456 – 462

Hanestad. B. R, Alberksten. G. (1992). The stability of lhfe experience in people with type1 diabetes over aperiod of year. J. advnur. 30: 473-483

Johnson. lisa, Wright, Alex. J, Zautra, Scott, going. (2008). Adaptation to early knee osteoarthritis: The role of risk, resilience, and disease severity on pain and physical function. Ann behav med. 36(1): 70-80.

Kim. DH, Yoo. IY. (2004). Relationship between depression and resilience among children with nephritic syndrome. Journal acadnurs. 34(3): 534-540.

Klassen, robert. Klassen. Annef. (2008). Impact of caring for a child with cancer on parents, health – related reality of life. Journal ofclinical oncology, vol 26 no 36. pp: 5884-5889.

King, D. W, King, L. A, Fairbank, J. A, Keane, T M, & Adams, G. (1998). Resilience-recovery factors in posttraumatic stress disorder among female and male Vietnam veterans: Hardiness, postwar social support, and additional stressful life events. Journal of Personality andSocial Psychology, 74, 420-434.

Lavee .Yoav, mey-Dan. Mali. (2003). Patterns of change in marital relationships among parents of children with cancer. Journal healthand social work. vo1, 28.

Mchorney, C, Ware, J. Eand raczek, A. E. (1993). The most 36 –item short from health survey (sf 36): II. psychometric clinical tests of validity in measuring physical and mental health constructs. Medical care: 31:247-263.

MacGrath, H. (2000). The bounce back! resiliency program: Apilot study. paper presented at the ameican educational researchasspciation annual conference, new Orleans, April 24th- 28th.

Moon. JR, Jung. YY, hung. J kang. IS, park. sw, yang. JH, jun. TG. kim. MJ, lee. HJ. (2006). Relationship, between depression and resilienve in adolescents with congenital heart disease. Korean Journal of Pediator. 49(5) 523-528.

Masten. A. S. (1995). resilience in development. hand book of positive psychology. new york. Pp: 3-25 – hillsdale, NJ: Eribaum

Masten, A. S. (1989). Resilience in development: Implications of the study of successful adaptation for developmental psychopathology. In D. Cicchetti (Ed.), The emergence of a discipline: Rochester symposium on developmental psychopathology (Vol. 1, pp. 261-294). Hillsdale, NJ: Erlbaum.

Nancy, white. Judy, richter.jane, koeckeritz. youngae, lee. kiristy, l. (2002). Across cultural familiy resiliency in hemodialysis patients, journal oftrams cultural nersing. 13, 134 -157.

Neill, J. T & Dias, K. l. (2001). Adventure education and resilience: Adouble-Edged sword .Journal of adventure education outdoor learning, 1, 35-42

Neenan, Michael, (2009). Developing resilience: A cognitive– behavioural approach. Development and psychopathology–2: 425 - 444

Nowack, K. M. (1989). Coping style, cognitive hardiness, and health status. journal of behavioral medicine, 12(2), 145 – 58.

Noone, S. J. & Hastings, R. p (2009). Building psychological resilience in support staff caring for people with intellectual disabilities: pilot evaluation of an acceptance–based intervention. journal ofintellectual disabilities, 13(1): 43-51

Oliver, gosph. (1997). quality of life and mental health services, 1ed, London: Routledge. 170: 529 - 535.

Roman–oertwig, Sandra. (2004). Teacher resilience and job-satisfaction.a dissertation propodal submitted to the faculty of the university of nourth Carolina at chapel hill in partial fulfillment of the requirements for the degree of education in the school of education.

Skehill, C. M. (2001). Resilience, coping with an extended stay outdoor education program, and adolescent mental health.canberra: university of Canberra: dissertation for the degree of honurs.

Shin, Yamizaki. Shigeru, sokejima. Tetsuya, mizoue. Akira, eboshida and Shunichi, Fukuhara. (2005). Health – related quality of life of mothers of children with leukemia in Japan. Quality of life Research, Vol -14, NO – 4. PP: 1079 -1085.

Shin. YH, Sim. MK, Kim. TI. (2006). Resilience and health – related quality of life in children with choronic illness.journal of child healthnurs. 12 (3): 295-303.

Schoon, Ingrid. (2006). Risk and resilience adaptation in changing times. Journal of marriage and family-68: 1383 -1384.

Steensma, H. Hejer, M. D & stallen, V. (2007). Effect-of resilience training on the redutch workers. Quarterly of community healtheducation , 27(2), 145 -159.

Steinhard T. M. & Dolbier, C. (2008). Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomology. Journal of American college health, 56(4), 445 – 453.

Tugade. M. M, Fredrickson. B. L. & Barrett. L. F. (2004). Psychological resilience and positive emotional granularity: examining the benefits of positive emotions on coping and health. journal of personality. 72(6): 1161-1190

Werner, E. E. (1982). Vulnerable but invincible: a longitudinal study of resilient children and youth. New York: McGraw-HillNew York: McGraw -Hill

Wong. MCS, Sun. J, lee. A, Stewart. D, Cheng. Ffk, Kan. W, Ho. M, (2009). The impact of a newly designed resilience-enhancing programme on parent-and teacher–perceived resilience environment among health program schools in hong kong. Journal of epidemiol community health. 63: 209 -214.

Yi. Jp, Vitaliano. PP, Smith. Re, Yi. Jc, Weingerk. (2008). The role of resilience on psychological adjustment and physical health in patients with diabetes. Br  J health psychol. 13(pt2).311-25.