Effect of Family-Based Care Training by Tele-nursing on Emotional Reactions in Mothers of Children with Bone Marrow Transplantation

 Background and purpose: Child hospitalization is a stressful event for the mother and can cause emotional reactions in her. The aim of this study was to investigate the effect of family-based education by telenursing on emotional reactions in mothers. Materials and methods: This clinical trial was performed in 66 individuals who were randomly assigned into experimental and control groups. Participants in both groups completed the Depression Anxiety Stress Scale (DASS-21) at the beginning of the study and 45 days after discharge. The experimental group received training on health and nutrition through WhatsApp Messenger, while the control group received routine training at discharge. Data were analyzed using SPSS V24. Results: There were no significant differences between the intervention and control group in mean scores for anxiety, depression, and stress (P>0.05). The mean scores in experimental group were 8.21±5.03, 28.09±13.3, and 11.41±4.85 before the intervention and 5.45±3.91, 18.64±11.78, and 8.33±4.86 after the intervention, respectively. In control group, the mean scores for anxiety, depression, and stress were 7.01±5.14, 22.61±14.75, and 8.91±5.64 before the intervention and 8.91±5.64, 22±12.75, and 6.91±4.89 after the intervention, respectively. The scores for depression and stress indicated significant differences between the two groups after the intervention (P<0.05). But, there were no significant differences between the experimental group and controls in the mean score for anxiety before and after the intervention (P>0.05). The regression slope was not found to be significant (F=0.338, P≥0.05). Conclusion: Family-based care training by telenursing could be effective in reducing the emotional reactions in mothers of children with bone marrow transplantation.