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The Effect of Structured Hope-Based Training on Hope and Anxiety among Family Members of Mechanically Ventilated Patients
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Fatemeh Sadoughi    , Habib Shareinia , Leila Sadegh Moghadam Abbaspour , Maliheh Gholamzadeh , Mohammadreza Mansoorian * |
| Gonabad University of Medical Sciences , mansooriangmu@gmail.com |
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Abstract: (13 Views) |
Background & aim: Anxiety is one of the most common responses among family members of patients admitted to Intensive Care Units (ICUs), affecting their ability to provide support. Hope, as a key coping resource, can play an effective role in reducing anxiety. Accordingly, the present study aimed to investigate the effect of structured hope-building training on hope and anxiety among relatives of patients undergoing mechanical ventilation.
Methods: In this semi-experimental study, 60 family members of patients admitted to the ICU were selected using convenience sampling and assigned to intervention and control groups. The intervention group received structured hope-building training based on Snyder’s Hope Therapy protocol, delivered face-to-face in groups of 6–12 participants, for 60–90 minutes per session, every other day over the course of one week. Data were collected using demographic questionnaires, the Spielberger State Anxiety Inventory, and the Miller Hope Scale, administered once before the intervention and once one week after. Data were analyzed using SPSS version 20 with paired t-tests and independent t-tests.
Results: Paired t-test results indicated that in the intervention group, both state and trait anxiety significantly decreased, while hope significantly increased (P<0.001). In the control group, significant reductions in state and trait anxiety were also observed, accompanied by a decrease in hope (P<0.001). Independent t-test results showed that the mean trait anxiety in the intervention group (41.33 ± 8.34) was significantly lower than in the control group (47.58 ± 8.27; P = 0.004). The mean hope score in the intervention group (112.25 ± 25.25) was significantly higher than in the control group (95.93 ± 25.96; P = 0.016). No significant difference in state anxiety was observed between the two groups (P = 0.405).
Conclusion: structured hope-based training led to a reduction in anxiety and an increase in hope among relatives of patients undergoing mechanical ventilation, and it may be considered as a complementary approach in nursing care. |
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| Keywords: Education, Hope, Anxiety, Relatives, Mechanical Ventilation |
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Type of Study: Research |
Subject:
Special
Received: 2025/07/8 | Accepted: 2025/09/8 | Published: 2025/09/8
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