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Impact of psychosocial status and disease knowledge on deferoxamine adherence among thalassaemia major adolescents
Author(s) -
AlKloub Manal Ibrahim,
Nayel Salameh Taghreed,
Froelicher Erika Sivarajan
Publication year - 2014
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12143
Subject(s) - psychosocial , deferoxamine , medicine , checklist , sibling , cross sectional study , disease , clinical psychology , pediatrics , psychiatry , psychology , developmental psychology , pathology , cognitive psychology
This cross‐sectional study aimed to explore the relationship between psychosocial status, disease knowledge and adherence to deferoxamine treatment in adolescents with thalassaemia major. A purposive sample of 36 adolescents with transfusion dependence, ages 12−19 years, was recruited. A semi‐structured interview and two structured questionnaires were used. In this sample, 56% were low adherence and 36% were psychologically impaired. Statistically significant factors associated with psychological impairment were: adolescents more than 16 years; low deferoxamine adherence; mean ferritin more than 2500 μg/L; family size more than six; family income equal or less than 350 Jordanian dinar and having sibling with thalassaemia. Additionally, adolescents with high level of knowledge had significantly lower scores on Pediatric Symptom Checklist.