Effect of a Supportive Training Program on Anxiety in Children with Chronic Kidney Problems and their Mothers’ Caregiver Burden

Niloofar Bahrami, Saeid Pahlavanzadeh, Maryam Marofi

Abstract


Background: Chronic problems have a long course of treatment and are one of the important causes of the childhood hospitalization. The aim of this study was to determine the effect of a supportive training program on the children’s anxiety and their mothers’ caregiver burden.

Materials and Methods: This study was a randomized controlled clinical trial, performed on two groups in three stages in the autumn of 2017 on 112 individuals. The study population consisted of all children with chronic kidney problems who hospitalized in Emam Hossein Hospital (Isfahan, Iran) and their mothers. Sampling selection method was convenient. Participants were randomly assigned to experimental (n = 56) and control (n = 56) groups and the supportive training program, that was a self‑regulating program, was done for the experimental group. The Face Anxiety Scale and the Zarit Caregiver Burden Scale were completed by both groups before, after and 1 month after the intervention. Statistical significance was set at 5%.

Results: There was a significant difference in the mean scores of anxiety and caregiver burden in the experimental group preintervention [anxiety: (t54 = 0.31, p = 0.75); caregiver burden: (t54 = 1.34, p = 0.18)], postintervention [anxiety: (t54 = 5.30, p < 0.001); caregiver burden: (t54 = 2.72, p = 0.009)], and follow‑up [anxiety: (t54 = 2.39, p = 0.01); caregiver burden: (t54 = 3.06, p = 0.003)], whereas there was no significant difference in the mean scores of anxiety and caregiver burden in the control group. In order to controlling for pretest scores, the repeated measure analysis of covariance was adopted.

Conclusions: The results showed that the supportive training program can reduce children’s anxiety and their mothers’ caregiver burden and suggesting to nurses, an effective program to reduce the negative effects of hospitalization on children and their mothers.


Keywords


Anxiety, burden of care, chronic disease, Iran, training

Full Text:

PDF

References


Hockenberry MJ, Wilson D. Wong’s Nursing Care of Infant and Children. 7th ed. USA: Elsevier, Mosby; 2015. p. 910‑5, 1036‑8, 1069, 1057, 1555‑9.

Hinkle JL, Cheever KH. Brunner & Suddarths Textbook of Medical‑Surgical Nursing. 13th ed. USA: Wolters Kluwer/ Lippinicott Williams; 2014. p. 70‑84.

Gallibois CM, Jawa NA, Noone DG. Hypertention in pediatric patients with chronic kidney disease: Management challenges. Int J Nephrol Renovasc Dis 2017;10:205‑13.

Kaspar CDW, Bholah R, Bunchman TE. A review of pediatric chronic kidney disease. Blood Purif 2016;41:211‑17.

Kelly MM. Children and adolescents with chronic kidney disease: A population at risk for more than just kidney disease. Nephrol Nurs J 2016;43:67‑71.

Ferris ME, Miles JA, Seamon ML. Adolescents and young adults with chronic or end‑stage kidney disease. Blood Purif 2016;41:205‑10.

Aein F, Rafiei H. School children’s experiences of hospitalization: A qualitative study. J Kermansha Univ Med Sci 2012;16:391‑403.

Bsiri‑Moghaddam K, Bsiri‑Moghaddam M, Sadeghmoghaddam L, Ahmadi F. The concept of hospitalization of children from the view point of parents & children. Iran J Pediatr 2011;21:201‑8.

Mirlashari J, Rasoli M. Nursing of Children, Sick Child. 5th ed, vol. 2. Tehran: Andisheh Rafi Publication; 2017. p. 11‑35 and 70‑6.

Bignal ONR, Goldstein SL. Childhood CKD affects the entire family. AJKD 2015;65:367‑8.

Abbasi A, Ashraf‑Ebrahimi N, Asayesh H, Shariati A, Rahmani H, Mollaei E. Relationship between caregivers burden and counter skills in hemodialysis patient. J Urmia Nurs Midwifery Fac 2012;4:533‑9.

Nikfarid L, Eezadi H, Shakoori M. Coping behaviors of mothers of chronically ill children. IJN 2012;24:53‑62.

Tak YR, McCubbin M. Family stress, perceived social support and coping following the diagnosis of a child’s congenital heart disease. J Adv Nurs 2002;39:190‑8.

Sharifian M, Jabbarpour J. Prevalence of chronic kidney disease complication in children admitted Mofid hospital in 2014‑5. Res Med 2016;39:208‑12.

Ghane G, Ashghali Farahani M, Seyedfatemi N, Haghani H. Effectiveness of supportive educative program on the burden in family caregivers of hemodialysis patients. J Uremia Nurs Midwifery Fac 2017;14:885‑95.

Chen HM, Huang MF, Yeh YC, Huang WH, Chen CS. Effectiveness of coping strategies intervention on caregiver burden among caregivers of elderly patients with dementia. Psychogeriatrics 2015;15:20‑5.

Borhani F, Bagherian S, Abaszadeh A. Correlation between anxiety and pain due to intravenous catheters in children with thalassemia. Sci J Iran Blood Transfus Organ 2011;9:170‑4.

Mohammadi A, Hassani Mehraban A, Damavandi Sh A. Effect of play‑based occupational therapy on symptoms of hospitalized children with cancer: A single‑subject study. Asia Pac J Oncol Nurs 2017;4:168‑72.

Navidian A, Salar A, Kermansaravi F. Study of experienced by family caregivers of patients with mental disorder in mentally ill hospital and psychiatric center. Teb va Tazkiyeh 2010;52:19‑25.

Asghari Nekah SM, Kamali F, Jansouz F. The effect of Structured Cognitive‑Behavioral Group play therapy on anxiety and depression in children with cancer: A pilot study. Evid Based Care 2015;5:39‑50.

Moammadi A, Raadin A. The effectiveness of art therapy on decreasing on depression, Anxiety and aggression in preschoolers. J Analitical‑Cognitive Psychol 2017;8:43‑51.

Sheikhzakaryaee N, Moridi G, Ardalan M, Hododi F. Effect of painting on anxiety of hospitalized cancer children. Payesh 2016;15:63‑8.

Karami J, Mohammadi F, Shahbazirad A. The effectiveness of storytelling on decreasing on symptoms of separation anxiety in children. Pediat Nurs J 2015;3:48‑56.

Kunchan L, Mukesh Chandra Sh, Aarti S. A randomized clinical trial to evaluate the effectiveness of storytelling by researcher on the hospitalization anxiety of children admitted in pediatric ward of selected hospitals of district Patiala Punjab. IJSR 2014;6:706‑9.

HamedTavassoli S, Alhani F, Hajizadeh E. Investigation of the effect of familiarization play on the injective procedural anxiety in B‑Thalassemia pre‑school children. IJNR 2013;7:42‑9.

Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr 2016;16:1‑9.

Khodabakhshi Koolaee A, Vazifehdar R, Bahari F, Akbari ME. Impact of painting therapy on aggression and anxiety of children with cancer. Caspian J Peditr 2017;2:135‑41.

Ajorloo M, Barghi Irani Z, Ali Akbari M. Story therapy effect on reducing and improvement habits sleep in children with cancer under chemotherapy. Health Psychol 2016;15:5‑25.

Silva SGT, Santos MA, Floriano CMF, Damião EBC, Campos FV, Rossato LM. Influence of therapeutic play on the anxiety of hospitalized school‑age children: Clinical trial. Rev Bras Enferm 2017;70:1244‑9.

Rezaee N, Navidian A, Abbasi F. The impact of a group supportive training on caregiving burden in mothers of children with Thalassemia major. J HAYAT 2017;23:126‑37.

Etemadifar S, Bahrami M, Shahriari M, Farsani AK. The effectiveness of a supportive educative group intervention on family caregiver burden of patients with heart failure. Iran J Nurs Midwifery Res 2014;19:217‑23.

Torabi M, Hemmati Maslak Pak M, Radfar M, Alinejad V. The impact of care‑center group discussion on hemodialysis patients, caregiver burnout. J Urmia Nurs Midwifery Fac 2017;15:187‑98.

Ashghali Farahani M, Ghane G, Sydfatemi N, Hagani H. Effect of educational program on the burden of family caregivers of hemodialysis patients. Evid Based Care 2016;6:7‑18.

Navidian A, Kermansarvi F, Rigi SN. The effectiveness of a group psycho‑educational program on family caregiver burden of patients with mental disorder. BMC Res Notes 2012;5:399‑406.

Manne SH, Bartell A, Mee L, Sands S, Kashy DA. A randomized clinical trial of a parent‑focused social‑cognitive processing intervention for caregivers of children undergoing hematopoetic stem cell transplantation. J Consult Clin Psychol 2016;84:389‑401.

McMillan SC, Small BJ, Halry WE, Zambroski C, Buck HG. The COPE intervention for caregivers of patients with heart failure: An adapted intervention. J Hosp Palliat Nurs 2013;15:196‑206.

Farahmandnia B, Dashtbozorgi B, Alijani Renani H, Latifi SM, Aminzadeh M. The effect of family psychoeducation on burden of care n families with type 1 diabetic children. Jundishapur J Chronic Dis Care 2017;6:e12874. doi: 10.5812/JJcdc. 12874.


Refbacks

  • There are currently no refbacks.