Effect of the Individual and Family Self-Management Program on Health-Related Quality of Life Among Adolescents with Transfusion Dependent Thalassemia
Keywords:
Self-management, Health-related quality of life, Transfusion dependent thalassemia, AdolescentsAbstract
This quasi-experimental design aimed to study the effects of the individual and family self-management program on health-related quality of life among adolescents with transfusion dependent thalassemia. The sample were 32 adolescents aged between 15-19 years old. Purposive sampling was used to choose the sample population, which was divided into experimental and control groups, each consisting of 16 participants. The research instruments for experimental activity included the self-management program for individuals and families, which was developed by the researcher and based on Ryan and Sawin’s approach for eight-week training. The instruments for collecting data were 1) a general information questionnaire; 2) a transfusion-dependent quality of life questionnaire which wase test for reliability using the Cronbach’s alpha coefficient with a value of .89 and a validity of .77. The data were analyzed including frequency, percentages, mean, standard deviation and t-test statistics.
The results showed that the mean score for health-related quality of life among experimental group after using the Individual and Family Self-Management Program was statistically significantly higher than before using the program and statistically significantly higher than control group (p<.05). These findings suggest that nursing teams can implement the Self-Management Program to promote the health-related quality of life to be continuously at home for adolescents with transfusion dependent thalassemia.
Downloads
References
Motta I, Bou-Fakhredin R, Taher AT, & Cappellini MD. Beta Thalassemia: New Therapeutic Options Beyond Transfusion and Iron Chelation. Drugs. 2020;80(11):1053-63.
Paiboonsukwong K, Jopang Y, Winichagoon P, & Fucharoen S. Thalassemia in Thailand. Hemoglobin. 2022;46(1):53-7.
Jetsrisuparp A, & Meekaewkunchorn A. Guidelines for the care of thalassemia patients. In: Buakhao J editor. Guidelines for the care of thalassemia patients in general practice. 1sted. Bangkok: WVO Office of Printing Mill; 2017. 25-39. (in Thai)
Torcharus K, & Charoenkwan P, editors. Guidelines for the Management of Anemia. Bangkok: Numaungsornkanpim; 2020. (in Thai)
Punriddum J, Sanasuttipun W, & Sangperm P, Factors related to body image of adolescents with thalassemia. Journal of Nursing Science. 2018;36(1):57-72. (in Thai)
Toselli S, Grigoletto A, Zaccagni L, Rinaldo N, Badicu G, Grosz WR, et al. Body image perception and body composition in early adolescents: a longitudinal study of an Italian cohort. BioMed Central Public Health. 2021;21(1):1-13
Naderi M, Raghibi M, Nesheli HM, Mirbod E S, & Yaghoubi S. A comparative study of body image in adolescents with beta-thalassemia major and healthy individuals. Caspian Journal of Pediatrics. 2021;7(1):502-8.
Elzaree FA, Shehata MA, El Wakeel MA, El-Alameey IR, AbuShady MM, & Helal SI. Adaptive Functioning and Psychosocial Problems in Children with Beta Thalassemia Major. Open access Macedonian journal of medical sciences. 2018;6(12), 2337-41.
Kavitha K, & Padmaja A. Effectiveness of SCOPE programme on health-related quality of life and health status of thalassemic children: A pilot study. International Journal of Health Sciences and Research. 2019;9(8):282-6.
Dehnoalian A, Dehkordi SM, Alaviani M, Motamedi Z, Ahmadpour S, & Banan-Sharifi M. The impact of educational counseling program on quality of life of thalassemia patients. Jundishapur Journal of Ch ronic Disease Care. 2017;6(4):1-7.
Yousafzai YM, Roghani A, Khan N, Shah I, Khan S, & Taj AS. Quality of life and its determinants in transfusion dependent thalassemia. Pakistan Journal of Physiology. 2018;14(3):64-7.
Puntuwong P. Quality of Life in Children with Transfusion-Dependent Thalassemia Among Network in Thungsong Hospital. Maharaj Nakhon Si Thammarat Medical Journal. 2023;6(2):90-101. (in Thai)
Piaget J. The theory of stages in cognitive development. New York: Mc Graw-Hill; 1969.
Ryan P, & Sawin K. The individual and family self-management theory: Background and perspective on context, process and outcomes. Nursing Outlook. 2009;57(4):217-25.
WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine. 1995;41(10):1403-9.
Klaassen RJ, Barrowman N, Merelles-Pulcini M, Vichinsky EP, Sweeters N, Kirby-Allen M, et al. Validation and reliability of a disease-specific quality of life measure (the TranQol) in adults and children with thalassaemia major. British journal of haematology. 2014;164(3):431-7.
Sezer HK, Küçükoğlu S, & Canbal A. The effectiveness of an individual and family self-management theory-based education program given for adolescents with epilepsy and parents: randomized controlled trial. Journal of Pediatric Nursing. 2024;79(6):171-80.
Sridan W, Wongjumpa S, & Chaitontheng C. The Current Role of Nurses inSocial Support among Thalassemic Adolescents. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong. 2021;5(2):1-11. (in Thai)
Trirapaiwong Y, & Booranarek S. The role of nurses in promoting family resilience of children with chronic illness. Boromarajonani College of Nursing Nonthaburi Health Science Research Journal. 2024;18(1):156-66. (in Thai)
Sutthisompohn S, & Kusol K. Caregivers of Children with Chronic Illnesses:A Systematic Review on Family Management. The Southern College Network Journal of Nursing and Public Health. 2021;9(1):81-93. (in Thai)
Fatkuriyah L, & Hidayati A. Factors Related to quality of life Among Children with Thalasse-mia Major: A Literature Review. Nurse and Health: Jurnal Keperawatan. 2022;11(1): 47-56.
Rokeach M. Beliefs, Attitudes and Values. San Francisco: Jossey-Bass Inc; 1970.
Rujichayagoon S. The Effect of Education Program on Knowledge, Self-Care Behavior and Quality of Life in Asthma Patient at Phanomphrai Hospital, Roi Et province. Journal of Research and Health Innovative Development. 2021;2(1):91-7. (in Thai)
Erikson E. Childhood and society. 2nd ed. (Revised & Enlarged). New York: W.W Norton; 1993.
Bandura A. Social foundations of thought and action: A social cognitive Theory. New Jersey: Prentice-Hall; 1986.
Kankad B, Mesukko J, & Niyomkar S. Effects of a Smartphone Application for Children and Family Self-Management on Eating and Physical Activity Behaviors Among Overweight Late School-Aged Children. Journal of The Royal Thai Army Nurses. 2024;25(2):140-8. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of The Royal Thai Army Nurses

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.

