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首页> 美国卫生研究院文献>International Journal of Community Based Nursing and Midwifery >Effect of Coping Strategies Training On Its Use by Thalassemia Major Adolescents: A Randomized Controlled Clinical Trial
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Effect of Coping Strategies Training On Its Use by Thalassemia Major Adolescents: A Randomized Controlled Clinical Trial

机译：应对策略培训对其地中海贫血重症青少年使用的影响：一项随机对照临床试验

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>Background: Thalassemia is a chronic disease with serious clinical and psychological challenges. The incidence of thalassemia in a family member may cause a psychological crisis in all family members and in this case coping strategies are required. This clinical trial study aimed to determine the impact of training coping strategies on their use by major thalassemic adolescents referred to Dastgheib Hospital in Shiraz. >Methods:  In this randomized clinical trial, 87 adolescents with major thalassemia who were randomly assigned to two groups of experiment and control were enrolled. Then the experiment group attended six sessions of coping strategies training program in isolation, each lasting for one and half hour. In order to examine the coping strategies, Jalowice’s coping strategy questionnaire was used in three periods including pre-intervention period and one month and two months after the intervention. The collected data were analyzed using independent t-test and Chi-square. >Results: Mean scores of problem-focused coping strategies in the experiment group increased in one month and two months after the intervention from 45±12.7 to 54.8±7.3 and 55.7±7.2, respectively. Also, the difference in mean scores of problem-focused coping strategies was significant in the two groups (P<0.001).  Furthermore, the difference in mean scores of emotion-focused coping strategies was significantly different between the two groups in two months after the intervention (P=0.007). >Conclusion: Based on the obtained results, teaching coping strategies has improved the use of problem-focused coping strategies and also effective coping with stress and disease problems in patients with thalassemia major. Therefore, it is recommended that authorities should consider this as a part of treatment program. >Trial Registration Number: IRCT2013112215484N1
机译：>背景：地中海贫血是一种慢性疾病，具有严重的临床和心理挑战。家庭成员地中海贫血的发病率可能会引起所有家庭成员的心理危机，在这种情况下，需要采取应对策略。这项临床试验研究旨在确定培训应对策略对其主要地中海贫血青少年的使用产生的影响，这些青少年被转诊至设拉子的Dastgheib医院。 >方法：在这项随机临床试验中，招募了87名重度地中海贫血的青少年，他们被随机分为两组实验和对照组。然后，实验小组单独参加了六次应对策略培训计划，每次持续一个半小时。为了检查应对策略，Jalowice的应对策略问卷被用于三个阶段，包括干预前期以及干预后一个月和两个月。使用独立的t检验和卡方检验分析收集的数据。 >结果：实验组在干预后一个月和两个月中，以问题为中心的应对策略的平均评分分别从45±12.7和54.8±7.3和55.7±7.2升高。同样，两组以问题为中心的应对策略的平均得分差异也很显着（P <0.001）。此外，干预后两个月，两组以情感为中心的应对策略的平均得分差异显着（P = 0.007）。 >结论：基于获得的结果，应对策略的教学已改善了以问题为中心的应对策略的使用，并有效地应对了重型地中海贫血患者的压力和疾病问题。因此，建议当局将其视为治疗计划的一部分。 >试用注册号： IRCT2013112215484N1

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