Effect of Health Education intervention on Aroused Shame and Stress Level among Parents of Cerebral Palsied Adolescents

Document Type : Original Article

Authors

1 Medical Surgical Nursing, Faculty of Nursing, Alexandria University

2 Nursing Education, Faculty of Nursing, Alexandria University

3 Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University.

Abstract

Health education is an effective approach for health-care management and developing healthy
behaviors. It is principally important with family, caregivers, and mainly, with parents who have
teenagers with profound disabilities such as cerebral palsy (CP). Parents’ health teaching about their
cerebral palsied adolescents may alleviate their psychological suffering. Nurses in adult care,
psychiatric and mental health and nursing education fields have a significant role in developing the
heath educational process with those parents. Aim of the study: to determine the effect of health
education intervention about cerebral palsied adolescents care management on parents' shame and
stress level. Design: a quasi-experimental study. Setting: The study was conducted at the
Vocational and Rehabilitation Association of Children with Special Needs and Disabilities in
Elrasafa, Moharam Bek, Alexandria, Egypt, which is affiliated to the Ministry of Insurance and
Social affair. Subjects: a purposive sample of one hundred parents with cerebral-palsied
adolescents. Parents were randomly distributed into study and control groups, fifty in each. Tools:
Through interview schedule procedure, triple section questionnaire was used in data collection,
which included: Parental Aroused Shame Scale (PAS), Parenting Stress Index Short Form
(PSI-SF) – distress subscale, A Socio-Demographic assessment sheet. Results: Results revealed
that there was a significant decrease in parents' aroused shame and stress level post health education
implementation, in the 2nd and 3rd assessments among the study group considerably. In addition, the
study proved that there is a parallel positive relation between aroused shame and stress level among
parents with CP adolescents. Conclusion: Health education intervention is a successful approach
for nurturing aroused shame and stress level among parents with CP adolescents.
Recommendations: Continuous health education programs for parents with CP adolescents are
needed as well as investigation of its effects on other physical, psychological, intellectual, social,
and spiritual parameters. 

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