Nursing Interventions to Improve Quality of Life Among Children and Adolescents with Thalassemia: A Scoping Review

Overview

Journal J Multidiscip Healthc

Publisher Dove Medical Press

Specialty Health Services

Date 2023 Jun 29

PMID 37383528

Authors

Ai Mardhiyah

Santhna Letchmi Panduragan

Henny Suzana Mediani

Iyus Yosep

Affiliations

Soon will be listed here.

Abstract

Thalassemia is an inherited blood disorder affecting hemoglobin synthesis which leads to chronic hemolysis that can reduce the quality of life of children with it due to the disease and the treatment given. However, the intervention still focuses on handling physical problems due to thalassemia. So that an intervention that focuses on improving the quality of life of children with thalassemia is needed. The purpose of this study is to explore interventions that could improve the quality of life of children with thalassemia. A scoping review study design was used in this study. The databases used are CINAHL, PubMed, and Scopus. Articles published from last five years (2018-2022), open access full-text, in English, and with the type of randomized controlled trial (RCT). The keywords used in English are "thalassemia or beta-thalassemia" AND "quality of life OR Life Quality OR Health-Related Quality of Life" AND "nursing intervention OR nursing care". From ten articles analyzed, we found five types of nursing intervention: Health Care Instructions, Psychological Program, Educational Program, Counseling Program, and Self-care Model, which were carried out for 1-7 months. The articles in this study are from Egypt and Iran. The sample in this study is the range of 20-173 respondents. The thalassemia patients in this study were in the age range of 7-35 years, but the average age of the patients was in their 20s. Nursing intervention can potentially improve the quality of life in children and adolescents with thalassemia. Nurses need to pay attention to the patient's age, family and patient knowledge about the disease, length of stay, and the patient's physical and psychological condition in providing nursing care to patients with thalassemia. Implementation of nursing is given by paying attention to the stages of child development and involving the family. Nursing interventions can be carried out by nurses or nurses teach families to intervene at home. This nursing intervention has the potential to improve the quality of life of patients with thalassemia while still taking into account the conditions of the patient and family in a comprehensive manner.

Citing Articles

Impact of Dedicated Thalassemia Day Care Services: Pediatric Hematologist's Perspective.

Khurana R, Kanvinde P, Ganatra P, Bodhanwala M, Aggarwal B, Mudaliar S Indian J Hematol Blood Transfus. 2025; 41(1):102-106.

PMID: 39917477 PMC: 11794906. DOI: 10.1007/s12288-024-01817-8.

Exploring experiences of mothers of children with thalassemia major in Indonesia: A descriptive phenomenological study.

Dewi N, Setyowati , Novieastari E, Hariyati R, Allenidekania Belitung Nurs J. 2024; 10(5):585-592.

PMID: 39416357 PMC: 11474268. DOI: 10.33546/bnj.3142.

Gender Disparities in Psychological Disturbances and Quality of Life Among Adolescent and Adult Patients with Thalassemia: A Review.

Irani Fianza P, Rahmawati A, Wijaya I, Oehadian A, Prasetya D, Vidyaniati P J Multidiscip Healthc. 2024; 17:1663-1669.

PMID: 38646018 PMC: 11032664. DOI: 10.2147/JMDH.S444592.

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