Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy
Aboelela, E., El-Dakhakhny, A., Hesham, M., El-Abdeen, K. (2018). Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy. EKB Journal Management System, 14(2), 153-166. doi: 10.21608/znj.2018.38589
Eman Aboelela; Amal El-Dakhakhny; Mervat Hesham; Khadiga Zain El-Abdeen. "Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy". EKB Journal Management System, 14, 2, 2018, 153-166. doi: 10.21608/znj.2018.38589
Aboelela, E., El-Dakhakhny, A., Hesham, M., El-Abdeen, K. (2018). 'Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy', EKB Journal Management System, 14(2), pp. 153-166. doi: 10.21608/znj.2018.38589
Aboelela, E., El-Dakhakhny, A., Hesham, M., El-Abdeen, K. Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy. EKB Journal Management System, 2018; 14(2): 153-166. doi: 10.21608/znj.2018.38589

Effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy

Zagazig Nursing Journal
Article 11, Volume 14, Issue 2 - Serial Number 2018, 2018, Page 153-166  XML PDF (454.65 K)
Document Type: Original Article
DOI: 10.21608/znj.2018.38589
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Authors
Eman Aboelela1; Amal El-Dakhakhny2; Mervat Hesham3; Khadiga Zain El-Abdeen4
1Assistant lecturer of pediatric nursing, Faculty of Nursing, Zagazig University
2Professor of pediatric nursing, Faculty of Nursing, Zagazig University
3Professor of pediatrics, Faculty of medicine, Zagazig University
4Lecturer of pediatric nursing, Faculty of Nursing, Zagazig University
Abstract
Background: Thalassemic patients’ survival is closely linked to the quality of blood transfusion and iron chelation therapy. Non-adherence to chelation therapy severely compromises patient health, quality of life and survival. Aim of the study: Was to evaluate the effect of multidimensional intervention on improving adherence of thalassemic children to iron chelation therapy. Subject and method: Research design: A quasi experimental (pre-post) design was used. Setting: Pediatric Hematology Outpatient Clinic at Zagazig University Hospital, Zagazig, Egypt. Subjects: A purposive sample of 50 thalassemic children. Tools of data collection: Three tools were used to collect the necessary data included; a structured interview questionnaire, Morisky 8-Item Medication Adherence Scale (MMAS-8), and Chelation Therapy Management Form. Results: It was found that thalassemic children’ adherence to iron chelation therapy and their serum ferritin levels were significantly improved after implementation of the multidimensional intervention (P=0.001). Conclusion: The multidimensional intervention improved thalassemic children’ adherence to iron chelation therapy. Recommendations: multifaceted/ multidimensional interventions tailored to individual patients’ needs, will be helpful in managing medication adherence issues
Keywords
adherence; iron chelation therapy; thalassemia; Multidimensional Intervention
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