:: Volume 32, Issue 1 (Spring 2022) ::
MEDICAL SCIENCES 2022, 32(1): 83-91 Back to browse issues page
Investigation of resilience status among mothers of children undergoing dialysis referred to selected hospitals of medical sciences universities of Tehran
Zahra Jafari1 , Shadi Abdollah Zargar 2, Zahra Abdolreza Gharebagh3
1- MSc Student in Pediatric Nursing, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2- Faculty Member, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , PhD Student of Nursing, Faculty of Medical Sciences, Nursing Department, Tarbiat Modares University, Tehran, Iran , Shadi_zargar2005@yahoo.com
3- Faculty Member, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , PhD Candidate in Medical Education, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (1608 Views)
Background: Children on dialysis need long-term care. The child's illness and the conditions associated with his/her treatment and care expose the mother to various psychological stresses. Resilience maintains good decision-making power and performance in stressful situations. The aim of this study was to investigate of resilience status among mothers of children on dialysis.
Materials and methods: This descriptive cross-sectional study was performed on all mothers of children undergoing dialysis in Children's Medical Center, Mofid Hospital, Ali Asghar Hospital and Bahrami Hospital. A total of 166 eligible mothers were selected by census and completed a two-part questionnaire including demographic information and Connor-Davidson Resilience Scale. Data analysis was performed using SPSS software version 22 at a significance level of 0.05.
Results: The mean of resilience was 3.35 out of 4 points and was at strong level. Also, the mean of dimensions of personal competence/strength, trust in personal instincts, tolerance of negative emotions, control and spirituality in individuals were 3.37, 3.17, 3.43, 3.45 and 3.33, respectively. The resilience of mothers of children undergoing hemodialysis was significantly higher than children under peritoneal dialysis (p=0.047). There was no significant association between maternal age, maternal education, maternal status of morbidity, child age, child gender, number of children in the family and duration of dialysis and mean maternal resilience.
Conclusion: The resilience situation was at a good level. Due to the importance of resilience, it is recommended to provide educational and empowerment interventions for parents of children with chronic diseases.
 
Keywords: Resilience, Mothers, Children on dialysis
Full-Text [PDF 371 kb]   (551 Downloads)    
Semi-pilot: Survey/Cross Sectional/Descriptive | Subject: Nursing
Received: 2021/09/12 | Accepted: 2021/10/25 | Published: 2022/03/21
References
1. Tantisattamo E, Kalantar-Zadeh K. Editorial: Novel therapeutic approaches in chronic kidney disease, uremia and kidney transplantation: past, present and future. Curr Opin Nephrol Hypertens 2021;30):1-4. [DOI:10.1097/MNH.0000000000000677]
2. Gulati S. Chronic Kidney Disease in Children. Available from: https://emedicinemedscapecom/article/984358-overview#a5. 2021.
3. Gheissari A, Kelishadi R, Roomizadeh P, Abedini A, Haghjooy-Javanmard S, Abtahi SH, et al. Chronic Kidney Disease Stages 3-5 in Iranian Children: Need for a School-based Screening Strategy: The CASPIAN-III Study. Int J Prev Med 2013;4:95-101.
4. Sharifian M, Jabbarpour J. Prevalence of chronic kidney disease complication in children admitted Mofid hospital in 2014 - 2015. Res Med 2016;39:208-212. [In Persian]
5. Madani A, Shakiba M, Esfehani T, Mohseni P. The Etiologies And Outcome Of ESRD In Children Medical Center From 1988 To 2003. Tehran Uni Med J TUMS Public 2005;63:61-67. [In Persian]
6. Barreira TV, Broyles ST, Tudor-Locke C, Chaput J-P, Fogelholm M, Hu G, et al. Epidemiological transition in physical activity and sedentary time in children. J Physic Activ Health 2019;16:518-524. [DOI:10.1123/jpah.2018-0546]
7. Madani K, Otoukesh H, Rastegar A, Van Why S. Chronic renal failure in Iranian children. Pediatr Nephrol 2001;16:140-144. [DOI:10.1007/s004670000522]
8. Mitsnefes MM, Laskin BL, Dahhou M, Zhang X, Foster BJ. Mortality risk among children initially treated with dialysis for end-stage kidney disease, 1990-2010. JAMA 2013;309:1921-1929. [DOI:10.1001/jama.2013.4208]
9. Foster BJ, Dahhou M, Zhang X, Platt RW, Hanley JA. Change in mortality risk over time in young kidney transplant recipients. Am J Transplant 2011;11:2432-2442. [DOI:10.1111/j.1600-6143.2011.03691.x]
10. McDonald SP, Craig JC. Long-term survival of children with end-stage renal disease. N Engl J Med 2004;350:2654-2662. [DOI:10.1056/NEJMoa031643]
11. Kouri AM, Rheault MN. Cardiovascular disease in children with chronic kidney disease. Curr Opin Nephrol Hypertens 2021;30:231-236. [DOI:10.1097/MNH.0000000000000684]
12. Chua AN, Warady BA. Care of the Pediatric Patient on Chronic Dialysis. Adv Chronic Kidney Dis. 2017;24:388-397. [DOI:10.1053/j.ackd.2017.09.008]
13. Wightman A. Caregiver burden in pediatric dialysis. Pediatr Nephrol 2020;35:1575-1583. [DOI:10.1007/s00467-019-04332-5]
14. Lima AGT, Sales CCDS, Serafim WFL. Burden, depression and anxiety in primary caregivers of children and adolescents in renal replacement therapy. J Bras Nefrol 2019;41:356-363. [DOI:10.1590/2175-8239-jbn-2018-0039]
15. Khorsandi F, Parizad N, Feizi A, MaslakPak MH. How do parents deal with their children's chronic kidney disease? A qualitative study for identifying factors related to parent's adaptation. BMC Nephrol 2020;21:1-14. [DOI:10.1186/s12882-020-02170-4]
16. Bowers C, Kreutzer C, Cannon-Bowers J, Lamb J. Team resilience as a second-order emergent state: A theoretical model and research directions. Front Psychol 2017;8:1360. [DOI:10.3389/fpsyg.2017.01360]
17. Jongen CS, Langham E, Bainbridge R, McCalman J. Instruments for measuring the resilience of indigenous adolescents: an exploratory review. Front Psychol 2019;7:194. [DOI:10.3389/fpubh.2019.00194]
18. Ilias K, Cornish K, Park MS-A, Toran H, Golden KJ. Risk and resilience among mothers and fathers of primary school age children with ASD in Malaysia: A qualitative constructive grounded theory approach. Front Psychol 2019;9:2275. [DOI:10.3389/fpsyg.2018.02275]
19. Sardarzadeh F, Jian Bagheri M. The role of resilience in reduction of job stress and job burnout among employees of satellite project of Iranian Offshore Oil Company. Shenakht J Psychol and Psych 2016;3:61-77. [In Persian]
20. Tong A, Lowe A, Sainsbury P, Craig JC. Experiences of parents who have children with chronic kidney disease: a systematic review of qualitative studies. Pediatrics 2008;121:349-360. [DOI:10.1542/peds.2006-3470]
21. Cardoso Vaz J, Marten Milbrath V, Bärtschi Gabatz RI, Reis Krug F, Hirschmann B, Morais de Oliveira M. Care for families of children with chronic disease. J Nurs UFPE 2018;12:1397-408. [DOI:10.5205/1981-8963-v12i5a230852p1397-1408-2018]
22. Ye ZJ, Guan HJ, Wu LH, Xiao MY, Luo DM, Quan XM. Resilience and Psychosocial Function Among Mainland Chinese Parents of Children with Cancer: A Cross-sectional Survey. Cancer Nurs 2015;38:466-74. [DOI:10.1097/NCC.0000000000000220]
23. Zarean Z, Nazari F, Hazhir S, Alvandi P. Comparison of resilience in parents of normal children and parents of children with autism and evaluation of the effectiveness of parenting education in improving resilience. National conference and festival of children with special needs; Isfahan, Iran [In persian]
24. Macía P, Barranco M, Gorbeña S, Álvarez-Fuentes E, Iraurgi I. Resilience and coping strategies in relation to mental health outcomes in people with cancer. PLOS One 2021;16:e0252075. [DOI:10.1371/journal.pone.0252075]
25. Alarcón R, Cerezo MV, Hevilla S, Blanca MJ. Psychometric properties of the Connor-Davidson Resilience Scale in women with breast cancer. Int J Clin Health Psychol 2020;20:81-89. [DOI:10.1016/j.ijchp.2019.11.001]
26. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003;18:76-82. [DOI:10.1002/da.10113]
27. Samani S, Jokar B, Sahragard N. Effects of resilience on mental health and life satisfaction. IJPCP 2007;13:290-95. [In Persian]
28. Ahangarzadeh Rezaei S, Rasoli M. Psychometric properties of the persian version of "Conner-Davidson Resilience Scale" in adolescents with cancer. J Urmia Nurs Midwifery Facul 2015;13:739-747. [In Persian]
29. Habibpour Z, Mahmoudi H, Nir MS, Areshtanab HN. Resilience and its Predictors among the Parents of Children with Cancer: A Descriptive-Correlational Study. Indian J Palliat Care 2019;25:79-83.
30. Shameli R, Hasani F. The effectiveness of reality therapy on resilience in mothers with children afflicted by cancer. Thoughts and Behavior in Clinical Psychology (JTBCP) 2017;12:77-87. [In Persian]
31. Corsi M, Orsini A, Pedrinelli V, Santangelo A, Bertelloni CA, Carli N, et al. PTSD in parents of children with severe diseases: a systematic review to face Covid-19 impact. Ital J Pediatr 2021;47:1-7. [DOI:10.1186/s13052-021-00957-1]
32. Van Warmerdam J, Zabih V, Kurdyak P, Sutradhar R, Nathan PC, Gupta S. Prevalence of anxiety, depression, and posttraumatic stress disorder in parents of children with cancer: A meta‐analysis. Pediatr Blood Cancer 2019;66:e27677. [DOI:10.1002/pbc.27677]
33. Masa'deh R, Jarrah S. Post-traumatic stress disorder in parents of children with cancer in Jordan. Arch Psychiatr Nurs 2017;31:8-12. [DOI:10.1016/j.apnu.2016.07.012]
34. Asghari Nekah S, Jansooz F, Kamali F, Taherinia S. The resiliency status and emotional distress in mothers of children with cancer. J Clin Psychol 2015;7:15-26. [In Persian]



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