Scientific Journal of Nursing, Midwifery and Paramedical Faculty
فصلنامه پرستاری، مامایی و پیراپزشکی
SJNMP
Medical Sciences
http://sjnmp.muk.ac.ir
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admin
2476-4841
2476-4841
10.29252/sjnmp
48604
fa
jalali
1405
8
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2026
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fa
تأثیر قصه‌گویی والدین مبتنی‌بر داستان‌های مذهبی بر زندگی معنوی کودکان مبتلا به فیبروز کیستیک: یک کارآزمایی بالینی تصادفی کنترل‌شده
The Effect of Parent-Led Storytelling Based on Religious Stories on the Spiritual Life of Children with Cystic Fibrosis: A Randomized Controlled Trial
تخصصي
Special
پژوهشي
Research
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">زمینه و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">فیبروز کیستیک یک اختلال ژنتیکی است که عمدتاً سیستم‌های تنفسی و گوارشی را درگیر می‌کند و می‌تواند بر ابعاد معنوی سلامت کودکان نیز تأثیر بگذارد. بااین‏حال، زندگی معنوی در مراقبت از این کودکان کمتر مورد توجه قرار گرفته است. این مطالعه با هدفِ بررسی تأثیر قصه‌گویی والدین بر زندگی معنوی کودکان مبتلا به فیبروز کیستیک انجام شد.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">مواد و روش</span></span></span></b><b><span dir="LTR" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">‎</span></span></span></b><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">ها:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">این کارآزمایی بالینی تصادفی کنترل‌شده در سال 1401 روی 64 کودک مبتلا به فیبروز کیستیک مراجعه‌کننده به درمانگاه ریه بیمارستان مرکز طبی کودکان در تهران انجام شد. نمونه‌گیری به‌صورت در دسترس و تخصیص به‌صورت تصادفی بلوکی انجام شد. داده‌ها با استفاده از پرسش‏نامۀ اطلاعات جمعیت‌شناختی و پرسش‏نامۀ زندگی معنوی، پیش از مداخله و یک ماه پس از پایان آن جمع‌آوری شدند. گروه مداخله به‏مدت هشت هفته قصه‌گویی توسط والدین را دریافت کرد و گروه کنترل مداخلۀ جدیدی دریافت نکرد. داده‌ها با</span></span> <span dir="LTR" style="font-size:9.0pt"><span style="font-family:"B Nazanin"">SPSS</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">نسخۀ 24 و در سطح معناداری 0/05</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">></span></span><span dir="LTR" style="font-size:9.0pt"><span style="font-family:"B Nazanin"">P</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">تحلیل شدند.</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="tab-stops:right 322.35pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">یافته</span></span></span></b><b><span dir="LTR" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">‎</span></span></span></b><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">ها</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Optima LT Std",sans-serif"><span style="color:#2140c1">:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> در ابتدای مطالعه، تفاوت معناداری در زندگی معنوی بین دو گروه مشاهده نشد</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> (0/72=</span></span><span dir="LTR" style="font-size:9.0pt"><span style="font-family:"B Nazanin"">P</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">). </span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">یک ماه پس از مداخله، نمرۀ زندگی معنوی در گروه مداخله به‌طور معناداری بالاتر از گروه کنترل بود (0/001</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">></span></span><span dir="LTR" style="font-size:9.0pt"><span style="font-family:"B Nazanin"">P</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">). </span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">تحلیل کوواریانس نیز تفاوت معنادار دو گروه را پس از تعدیل نمرات پیش‌آزمون تأیید کرد (0/001</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">></span></span><span dir="LTR" style="font-size:9.0pt"><span style="font-family:"B Nazanin"">P</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">نتیجه</span></span></span></b><b><span dir="LTR" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">‎</span></span></span></b><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""><span style="color:#2140c1">گیری:</span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">قصه‌گویی توسط والدین می‌تواند رویکردی مؤثر برای ارتقای زندگی معنوی کودکان مبتلا به فیبروز کیستیک باشد. استفاده از این مداخله به‏عنوان بخشی از رویکردی جامع در مراقبت از این کودکان توصیه می‌شود.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"><span style="color:#2140a3"><span style="letter-spacing:.15pt">Background and Aim:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">Cystic fibrosis (CF) is a genetic disorder that primarily affects the respiratory and gastrointestinal systems and may also affect the spiritual dimension of children’s health. However, spiritual life has received limited attention in the care of children with CF. This study aimed to investigate the effect of parent-delivered storytelling on the spiritual life of children with CF.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"><span style="color:#2140c1">Materials and Methods:</span></span></span></b><b> </b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">This randomized controlled trial was conducted in </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">2022</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"> among </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">64</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"> children with CF referred to the Pulmonary Clinic of Children’s Medical Center Hospital in Tehran, Iran. Participants were recruited through convenience sampling and allocated to the study groups using block randomization. Data were collected using a demographic information questionnaire and a spiritual life questionnaire before the intervention and one month after its completion. The intervention group received parent-delivered storytelling for eight weeks, while the control group received no new intervention. Data were analyzed using SPSS version </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">24</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"> at a significance level of P < </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">0.05</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"><span style="color:#2140c1">Results: </span></span></span></b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">At baseline, no statistically significant difference in spiritual life was observed between the groups (P = </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">0.72</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">). One month after the intervention, the spiritual life score was significantly higher in the intervention group than in the control group (P < </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">0.001</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">). Analysis of covariance confirmed a significant between-group difference after adjustment for baseline scores (P < </span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">0.001</span></span><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">).</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:Trebuchet MS,sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif"><span style="color:#2140c1">Conclusion: </span></span></span></b><span style="font-size:9.0pt"><span style="font-family:"Optima LT Std",sans-serif">Parent-delivered storytelling may be an effective approach to enhancing the spiritual life of children with CF. Incorporating this intervention as part of a holistic approach to caring for these children may be considered.</span></span></span></span></span></span><br>
فیبروز کیستیک, معنویت, قصه‌گویی
Cystic Fibrosis, Spirituality, Storytelling
249
258
http://sjnmp.muk.ac.ir/browse.php?a_code=A-10-680-4&slc_lang=fa&sid=1
Akram Sadat
Sadat Hosseini
اکرم سادات
سادات حسینی
tehrantarasht@gmail.com