Health-related quality of life of parents of children with beta-thalassemia major attending a tertiary care institution in Eastern India

Archita Chandra, S. Mallik, S. Chakrabarti, N. Bhattacharyya
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Abstract

Context: Chronic diseases such as beta-thalassemia major among children impact their parents in various ways, as they face continuous stress and strain while striving to provide their children with a best possible care. Literature related to health-related quality of life (HRQoL) among parents of children with beta-thalassemia major are limited among Indian population. Aims: This study aimed to assess the HRQoL of parents of children with beta-thalassemia major attending a tertiary care institution in Eastern India and its various correlates. Settings and Design: This cross-sectional study was conducted at a tertiary care institution in Eastern India. Materials and Methods: A sample size of 192 was selected using the simple random sampling among parents with children suffering from beta-thalassemia major who fulfilled the inclusion criteria. Study participants were interviewed regarding different variables and their HRQoL, using a predesigned, pretested, and semi-structured schedule and the Short Form 36 Health survey, respectively, after obtaining ethical clearance from the Institutional Ethics Committee and informed consent from them. Statistical Analysis Used: Data were entered in MS Excel and analyzed using IBM SPSS 20.0 version (Armonk, NY: IBM Corp). Results: The mean HRQoL score was found to be 38.7 ± 11.3 with an interquartile range of 23–59.7. The Spearman's rho correlation matrix showed that HRQol of parents is weakly positively correlated with the educational status of the father of the child (r = 0.2), educational status of the mother of the child (r = 0.1), family history of thalassemia (r = 0.2), ongoing treatment (r = 0.1), and duration of blood transfusion (r = 0.2). Conclusions: Hence, we can conclude that HRQoL of parents of beta-thalassemia major children was correlated with the educational status of the father and mother, family history of thalassemia, ongoing treatment, and duration of blood transfusion.
在东印度三级保健机构接受治疗的严重乙型地中海贫血儿童的父母的健康相关生活质量
背景:儿童中的慢性疾病,如β地中海贫血,以各种方式影响他们的父母,因为他们在努力为孩子提供尽可能好的护理的同时,面临着持续的压力和紧张。印度人群中与严重β地中海贫血儿童父母健康相关的生活质量(HRQoL)相关的文献有限。目的:本研究旨在评估在印度东部一家三级护理机构就读的主要β地中海贫血儿童的父母的HRQoL及其各种相关性。设置和设计:这项横断面研究是在印度东部的一家三级护理机构进行的。材料和方法:采用简单随机抽样法,从符合纳入标准的患有β地中海贫血的父母中选择192名样本。研究参与者在获得机构伦理委员会的伦理许可和知情同意后,分别使用预先设计、预先测试和半结构化的时间表和简表36健康调查,就不同的变量及其HRQoL进行了访谈。使用的统计分析:数据输入MS Excel中,并使用IBM SPSS 20.0版本(纽约州Armonk:IBM Corp)进行分析。结果:平均HRQoL评分为38.7±11.3,四分位间距为23-59.7。Spearman的rho相关矩阵显示,父母的HRQol与孩子父亲的教育程度(r=0.2)、孩子母亲的教育状况(r=0.1)、地中海贫血家族史(r=0.2)、正在进行的治疗(r=0.1)和输血持续时间(r=0.2%)呈弱正相关。结论:因此,我们可以得出结论,β-地中海贫血主要儿童父母的HRQoL与父亲和母亲的教育状况、地中海贫血家族史、正在进行的治疗和输血时间有关。
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