fa تأثیر آموزش مراقبت معنوی بر سلامت معنوی مادران دارای کودک مبتلا به اختلال بیش‌فعالی/نقص توجه پرستاری کودکان Pediatric nursing پژوهشي اصیل Original Research <div style="text-align: justify;"><span style="font-family:Tahoma;"><span style="line-height:2;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">سابقه و هدف:</span></span></span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:10.0pt">اختلال بیش‌فعالی از شایع‌ترین اختلالات عصبی</span><span lang="AR-SA" style="font-size:10.0pt">&ndash;</span><span lang="AR-SA" style="font-size:10.0pt">رشدی کودکی است که علاوه&rlm;بر مشکلات رفتاری در کودک، فشار روانی قابل‌توجهی بر مادران تحمیل می‌کند. ازاین‌رو، طراحی مداخلات حمایتی برای بهبود وضعیت روانی این گروه آسیب‌پذیر از اهمیت زیادی برخوردار است. بنابراین مطالعۀ حاضر با هدف تعیین تأثیر آموزش مراقبت معنوی بر سلامت معنوی مادران دارای کودک مبتلا به اختلال بیش&rlm;فعالی انجام شد.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">مواد و روش‌‌ها:</span></span></span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">این مطالعه تجربی پیش‌آزمون</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">&ndash;</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">پس‌آزمون با دو گروه آزمون و کنترل، روی </span></span><span lang="FA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">۶۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"> مادر مراجعه‌کننده به بیمارستان آیت‌الله طالقانی گرگان انجام شد. شرکت‌کنندگان به روش در دسترس انتخاب و به&rlm;صورت تصادفی ساده در دو گروه </span></span><span lang="FA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">۳۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">نفره قرار گرفتند. گروه آزمون طی شش جلسۀ </span></span><span lang="FA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">۴۵</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">دقیقه‌ای آموزش مراقبت معنوی براساس مدل ریچاردز و برگین (</span></span><span dir="LTR" style="font-size:9.0pt"><span style="letter-spacing:-.3pt">Richards and Bergin</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">)</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">(2005) دریافت کرد. گروه کنترل مراقبت‌های روتین را دریافت کردند. ابزار گردآوری، پرسش&rlm;نامۀ جمعیت‌شناختی و سلامت معنوی اِلیسون و پالوتزیان (</span></span><span dir="LTR" style="font-size:9.0pt"><span style="letter-spacing:-.3pt">Ellison and Paloutzian</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">) (1982) بود که قبل و بعد از مداخله تکمیل شدند. داده‌ها با آزمون تحلیل کوواریانس چندمتغیره و اثرات بین‌آزمودنی تحلیل شد.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">یافته‌ها: </span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt">میانگین نمرۀ سلامت معنوی در گروه آزمون (قبل </span><span lang="AR-SA" style="font-size:10.0pt">956/8</span><span dir="LTR" lang="EN" style="font-size:10.0pt"> &plusmn; </span><span lang="AR-SA" style="font-size:10.0pt">30/75</span><span lang="FA" style="font-size:10.0pt">، بعد </span><span lang="AR-SA" style="font-size:10.0pt">353/8</span><span dir="LTR" lang="EN" style="font-size:10.0pt"> &plusmn; </span><span lang="AR-SA" style="font-size:10.0pt">43/100</span><span lang="FA" style="font-size:10.0pt">) و در گروه کنترل (قبل </span><span lang="AR-SA" style="font-size:10.0pt">075/9</span><span dir="LTR" lang="EN" style="font-size:10.0pt"> &plusmn; </span><span lang="AR-SA" style="font-size:10.0pt">83/76</span><span lang="FA" style="font-size:10.0pt">، بعد </span><span lang="AR-SA" style="font-size:10.0pt">674/9</span><span dir="LTR" lang="EN" style="font-size:10.0pt"> &plusmn; </span><span lang="AR-SA" style="font-size:10.0pt">73/78</span><span lang="FA" style="font-size:10.0pt">) به دست آمد. </span><span lang="FA" style="font-size:10.0pt">نتایج نشان داد آموزش مراقبت معنوی باعث بهبود معنادار نمرۀ کل سلامت معنوی و ابعاد آن در گروه آزمون نسبت به کنترل شد (001/0=</span><span dir="LTR" style="font-size:9.0pt">P</span><span lang="FA" style="font-size:10.0pt">).</span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.1pt">نتیجه‌گیری:</span></span></span></span></span></b>&nbsp;<span lang="FA" style="font-size:10.0pt">آموزش مراقبت معنوی می‌تواند سلامت معنوی مادران دارای کودک مبتلا به اختلال بیش‌فعالی/نقص توجه را ارتقا دهد. بنابراین ادغام این رویکرد در خدمات حمایتی و آموزشی ویژه این مادران ضروری است.</span></span></span></span></span></span></span></div> <div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-family:Tahoma;"><span style="line-height:2;"><span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Background and Objective:</span></span></span></b> <span style="font-size:9.0pt">Attention deficit/hyperactivity disorder (</span><span style="font-size:9.0pt">ADHD) is one of the most common neurodevelopmental disorders in children, which, in addition to behavioral problems in children, causes significant psychological stress for mothers. Therefore, designing supportive interventions to improve the mental health of this vulnerable group is highly important. Thus, the present study was conducted to determine the effect of spiritual care training on the spiritual health of mothers of children with ADHD.</span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Materials and Methods:</span></span></span></b> <span style="font-size:9.0pt">This pre-test-post-test experimental study was conducted with one experimental and one control group among 60 mothers referred to Ayatollah Taleghani Hospital in Gorgan. Participants were selected by convenience sampling and randomly assigned to two groups of 30. The experimental group participated in six 45-minute sessions of spiritual care training based on the model of Richards and Bergin (2005). The control group received routine care. Data were collected using the Demographic and Spiritual Health Questionnaire developed by Palotzin and Ellison (1982), which was completed before and after the intervention. Data were analyzed using multivariate analysis of covariance and between-subject effects.</span><span style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Results:</span></span></span></b> <span style="font-size:9.0pt">The average spiritual health scores in the test group were (before: 75.30 &plusmn; 8.956; while after: 100.43 &plusmn; 8.353), and in the control group were (before: 76.83 &plusmn; 9.075; while after: 78.73 &plusmn; 9.674). The results showed that spiritual care training significantly improved the total spiritual health score and its dimensions in the experimental group compared to the control group</span> <span style="font-size:9.0pt">(P=0.001).</span><span style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Conclusion:</span></span></span></b> <span style="font-size:9.0pt">Spiritual care training can effectively improve the spiritual health of mothers of children with ADHD. Therefore, integrating this approach into specialized support and educational services for these mothers has great potential to improve their quality of life and ability to adapt.</span></span></span></span></span></span></span></div> <span style="font-family:Tahoma;"><span style="line-height:2;">&nbsp;</span></span> بیش‌فعالی, سلامت معنوی, مادر, مراقبت معنوی ADHD, Mother, Spiritual care, Spiritual health 437 447 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-2451-1&slc_lang=fa&sid=1 فائزه منصوری faezeh.mansouri@iau.ir 100319475328460029422 100319475328460029422 No گلبهار آخوندزاده G_akhoundzadeh1364@iau.ac.ir 100319475328460029423 100319475328460029423 Yes راضیه نادرخانی rnaderkhani@iau.ac.ir 100319475328460029424 100319475328460029424 No