Volume 30, Issue 2 (Spring 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(2): 81-89 | Back to browse issues page

Ethics code: IR.KUMS.REC.1400.387

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Rezaie S, Goudarzi M. Effectiveness of Family-centered Problem-solving Training on the Negative Effects of Social Distancing Caused by COVID-19 in the Family of Nurses of Kermanshah University of Medical Sciences. Avicenna J Nurs Midwifery Care 2022; 30 (2) :81-89
URL: http://nmj.umsha.ac.ir/article-1-2389-en.html
1- Department of Counseling, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran
2- Department of Family Counseling, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran , mg.sauc@gmail.com
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Background and Objective
Coronavirus is a large group of viruses that is known as a general health crisis and has had the highest prevalence since acute respiratory syndrome. Collective tragedies, especially those involving infectious diseases, often generate waves of fear and anxiety that appear to cause widespread behavioral and psychological disturbances in a large population of society members. The implementation of health policies, despite the positive consequences, has led to negative psychological effects on the community. Among the causes of the negative effects related to coronavirus disease 2019 (COVID-19) can be mentioned as the fear of illness, fear of death, spread of false news and rumors, disruption in daily activities, prohibiting or restricting regulations for travel and commute, reduced social relations, and occupational and financial problems. Given that nurses are the largest group of care providers in the healthcare system, they typically face high levels of physical and mental workload, especially during the COVID-19 pandemic when work pressures are intensified due to special conditions. As the epidemic continued, the number of patients admitted to the wards, and consequently, the need for patient care, increased, resulting in an expansion in the physical and mental workload of healthcare workers, especially intensive care unit nurses as frontline forces fighting against COVID-19. In this regard, the physical illness caused by the COVID-19, on the one hand, and the mental disorders caused by the social distancing plan, on the other hand, are the consequences of the spread of this dangerous disease among nurses and their families. Moreover, distance and separation have made the medical staff and their families encounter some problems. Regarding this, one of the most strategic techniques to reduce psychological stress is family-centered problem-solving training, which can enhance the social competence and skills of people in the community and improve the family atmosphere. Therefore, the present study was conducted to investigate the effectiveness of family-centered problem-solving training on the negative impacts of social distancing caused by COVID-19 in the families of nurses at Kermanshah University of Medical Sciences, Kermanshah, Iran.
Materials and Methods
The present quasi-experimental study was conducted based on a pretest-posttest control group design. Eligible nurses were selected using the available sampling method and randomly assigned to two groups. The samples included the families of nurses who had a high score in the social distance measurement tool, accounting for 100 individuals divided into two groups of intervention and control (n=50 each). The intervention group participated in 10 two-hour virtual sessions of family-centered problem-solving training. Afterward, a post-test was taken from both groups. Data were analyzed in SPSS software (version 20) using frequency, mean and standard deviation, and analysis of covariance.
Out of family members of nurses participating in the study (n=380), the age range of the subjects was obtained at 20-55 years and the mean age of the samples was estimated at 38 years. A total of 208 (59%), 161 (39%), and 11 (2%) cases were the mothers, fathers, and parents of both nurses, respectively. Among this population, 361 participants were working night shifts in the COVID-19 ward and 19 individuals in the Intensive Care Units. The results showed that there was a significant difference between the mean post-test scores of the control and intervention groups regarding the dependent variable of family coherence (F=37.00, P=0.01). It was also revealed that the independent variable of the group was effective on the dependent variable of marital conflict and there was a significant difference between the control and intervention groups in this regard (F=35.00, P<0.001). Moreover, the independent variable of control was effective on the dependent variable of anxiety and there was a significant difference between the control and intervention groups regarding this (F=37.50, P<0.001). Based on the results, the independent variable of the group was effective on the dependent variable of fear and there was a significant difference between the control and intervention groups in this regard (F=46.01, P<0.001).
The present study was conducted to investigate the effectiveness of family-centered problem-solving training on reducing the negative effects of social distance caused by COVID-19 in the families of nurses at Kermanshah University of Medical Sciences. Based on the results, the mean score of psychological effects due to social distancing was significantly different between the intervention and control groups after the family-centered problem-solving training. Moreover, it was revealed that family-centered problem-solving training was effective on the variables of family coherence, marital conflict, anxiety, and stress in the intervention group, which were consistent with the findings of other studies conducted in this domain. To explain these results, it can be said that marital conflict and family coherence can affect the psychological consequences of social distancing and exacerbate the negative effects of important stressful life events. On the other hand, having close and related interactions with family members can compensate for the psychological consequences of the main stressors, which were in line with the results of the present study.
Due to the fact that the nursing profession is closely related to the health of the community members, special attention should be paid to the factors that increase mental health, such as family-centered problem-solving training. In this respect, it is necessary to train family-centered problem-solving skills to nurses' families. Since the families of nurses are in a stressful situation, in addition to teaching problem-solving skills, it is required to provide other pieces of training, such as a healthy lifestyle, that consist of physical health, spiritual health, mental health, social health, and moral health so that these families can be empowered and resilient. This research, similar to other scientific studies, faced some limitations. Firstly, the selection of the samples from one center and one city might have affected external validity of the study. Secondly, the researcher had direct involvement and relationship with the samples and was directly involved in interpreting the results, guiding the samples, and conducting the research. Therefore, the researcher's involvement in the results might have led to some bias towards the confirmation or rejection of hypotheses. Thirdly, due to the short study time, the researcher could not follow up the participants. Finally, the mental preoccupation and life business of the treatment staff and their families might have affected their accuracy in answering the questionnaires.
Type of Study: Original Research | Subject: Education in Nursing and Midwifery
Received: 2021/10/20 | Accepted: 2022/02/7 | Published: 2022/05/31

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