Bukhari Gul Mehar Javaid
Department of Community Medicine, Federal Medical College, Islamabad, Pakistan.
J Pak Med Assoc. 2022 Nov;72(11):2241-2244. doi: 10.47391/JPMA.5248.
To assess the quality of life among beta-thalassemic major children in a tertiary care setting.
The cross-sectional descriptive study was conducted at the Federal Government Hospital, Islamabad, Pakistan, from October to December, 2020, and comprised beta-thalassemic major children aged 7-13 years. Socio-demographic information was collected using a questionnaire, while the quality of life was assessed using a pretested tool with Cronbach's alpha value 0.855. The data was analysed using SPSS 25.
Of the 87 subjects, 47(54%) were males and 40(46%) were females. The overall mean age was 10.71±1.99 years. The mean quality of scale score was 50.24±18.88. Poor quality of life was found among 33(37.9%) children. The quality of life had significant association with age 7-9 years, male gender and blood transfusion frequency 2 or more (p<0.05). The adjusted odds were also significant with age and blood transfusion frequency (p<0.05). The overall mean score was significantly related within age groups and frequency of blood transfusion (p<0.05), whereas physical and emotional domains were significant with age (p<0.05), while the four domains of physical, psychological, social and educational were associated with frequency of blood transfusion (p<0.05).
Quality of life among thalassemic children was found to be considerably low. The physical and emotional domains need to be focussed upon for improving the quality of life. Measures should be taken to avoid the increased need of blood transfusions through treatment compliance.
评估三级医疗机构中重型β地中海贫血患儿的生活质量。
2020年10月至12月在巴基斯坦伊斯兰堡联邦政府医院开展了一项横断面描述性研究,研究对象为7至13岁的重型β地中海贫血患儿。使用问卷收集社会人口学信息,同时使用经过预测试且Cronbach's α值为0.855的工具评估生活质量。数据采用SPSS 25进行分析。
87名研究对象中,47名(54%)为男性,40名(46%)为女性。总体平均年龄为10.71±1.99岁。量表平均得分是50.24±18.88。33名(37.9%)儿童生活质量较差。生活质量与7至9岁、男性性别以及输血频率为2次或更多显著相关(p<0.05)。调整后的比值比在年龄和输血频率方面也具有显著性(p<0.05)。总体平均得分在年龄组和输血频率方面显著相关(p<0.05),而身体和情感领域与年龄显著相关(p<0.05),同时身体、心理、社会和教育四个领域与输血频率相关(p<0.05)。
发现地中海贫血患儿的生活质量相当低。需要关注身体和情感领域以改善生活质量。应采取措施通过治疗依从性避免输血需求增加。