IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 1, Issue 2 (2020)
J Clinic Care Skill 2020, 1(2): 49-54 |
Back to browse issues page
Article Type:
History
Received: 2018/09/6 | Accepted: 2019/01/10 | Published: 2020/06/20
Received: 2018/09/6 | Accepted: 2019/01/10 | Published: 2020/06/20
How to cite this article
Taheri P, Nooryan K, Karimi Z, Zoladl M. Effect of Individual Psychotherapy with a Focus on Self-Efficacy on Quality of Life in Patients with Thalassemia Major:
A Clinical Trial. J Clinic Care Skill 2020; 1 (2) :49-54
URL: http://jccs.yums.ac.ir/article-1-58-en.html
URL: http://jccs.yums.ac.ir/article-1-58-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran
2- Psychiatric Nursing Department, Nursing Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
3- Operating Room Department, Para- medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
4- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
2- Psychiatric Nursing Department, Nursing Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
3- Operating Room Department, Para- medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
4- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract (3347 Views)
Aims: The aim of this study was to investigate the effect of individual psychotherapy with a focus on self-efficacy on quality of life in patients with thalassemia major.
Materials and Methods: In this randomized clinical trial study in 2016, among patients with thalassemia major referring to Cooley's anemia ward of Shahid Rajaie Hospital in Gachsaran, Iran, 50 eligible patients were selected by convenience sampling method. They were assigned in intervention (n=25) and control (n=25) groups by quadratic block randomization. Each of 50 subjects signed the informed written consent. Demographic questionnaire and 36-Item Short-Form Health Survey (SF-36) were used as the research tool. The data were analyzed by SPSS 21 software, using Chi-square test, independent T-test, and the Mann-Whitney U test.
Findings: One month after the intervention, the scores of the Physical Component Summary (2461.8±15.7) and the Mental Component Summary (1873.0± 21.6) in the intervention group were significantly higher than the same scores (2283.2±279.8) and (1712.6±270.5) in the control group (p<0.05). At this time, the score of all Health Domain Scales of SF-36 Health Survey in the intervention group were higher than the same scores in the control group. These differences were significant except for the Role-Physical and Bodily Pain (p<0.05).
Conclusion: Individual psychotherapy with a focus on self-efficacy is effective on increasing quality of life of patients with thalassemia major.
Materials and Methods: In this randomized clinical trial study in 2016, among patients with thalassemia major referring to Cooley's anemia ward of Shahid Rajaie Hospital in Gachsaran, Iran, 50 eligible patients were selected by convenience sampling method. They were assigned in intervention (n=25) and control (n=25) groups by quadratic block randomization. Each of 50 subjects signed the informed written consent. Demographic questionnaire and 36-Item Short-Form Health Survey (SF-36) were used as the research tool. The data were analyzed by SPSS 21 software, using Chi-square test, independent T-test, and the Mann-Whitney U test.
Findings: One month after the intervention, the scores of the Physical Component Summary (2461.8±15.7) and the Mental Component Summary (1873.0± 21.6) in the intervention group were significantly higher than the same scores (2283.2±279.8) and (1712.6±270.5) in the control group (p<0.05). At this time, the score of all Health Domain Scales of SF-36 Health Survey in the intervention group were higher than the same scores in the control group. These differences were significant except for the Role-Physical and Bodily Pain (p<0.05).
Conclusion: Individual psychotherapy with a focus on self-efficacy is effective on increasing quality of life of patients with thalassemia major.
Keywords:
References
1. Tahmasbi S, Aein F, Heravi Karimuoe F. B-Thalassemia children and quality of life: Does the present condition justify children's quality of life?. J Holist Nurs Midwifery. 2007;17(1):23-30.[Persian] [link]
2. Yazdi Kh, Sanagoo A, Joybari L. Psychosocial, social and financial problems with coping strategies among families with thalassemic patients. J Gorgan Univ Med Sci. 2007;9(2):71-5. [Persian] [link]
3. Pordanjani SH, Zare K, Pedram M, Pakbaz Z. Comparison of quality of life of thalassemic children with their parents. Jundishapur Sci Med J. 2010;8(4):455-62. [Persian] [link]
4. Aydinok Y, Erermis S, Bukusoglu N, Yilmaz D, Solak U. Psychosocial implications of thalassemia major. Pediatr Int. 2005;47(1):84-9. [link] [DOI:10.1111/j.1442-200x.2004.02009.x] [PMID]
5. Khani H, Majdi MR, AzadMarz-Abadi E, Montazeri A, Ghorbani A, Ramezani Shir-Khar Kalaei M. Evaluation of quality of life in patients with thalassemia major in the southern margin of the Caspian Sea. J Behav Sci. 2008;2(4):325-32. [Persian]. [link]
6. Allahyari A, Alhani F, Kazemnejad A, Izadyar M . The effect of family-centered empowerment model on the quality of life of school-age B-thalassemic children. Iran J Pediatrics; 2006;16(4):455-61. [Persian] [link]
7. Anie KA, Green J. Psychological therapies for sickle cell disease and pain. Cochrane Database Syst Rev. 2015; Issue 5. Art. Available from: http://www.cochrane.org/CD001916/CF_psychological-therapies-for-sickle-cell-disease-and-pain. [link] [DOI:10.1002/14651858.CD001916.pub3] [PMID] [PMCID]
8. Mazzone L, Battaglia L, Andreozzi F, Romeo MA, Mazzone D. Emotional impact in Β-thalassaemia major children following cognitive-behavioural family therapy and quality of life of caregiving mothers. Clin Pract Epidemiol Ment Health. 2009;5:5. [link] [DOI:10.1186/1745-0179-5-5] [PMID] [PMCID]
9. Razzazan N, Ravanipour M, Gharibi T, Motamed N, Zarei AR. Effect of self-management empowering model on the quality of life in adolescents and youths with major thalassemia. J Nurs Educ. 2014;3(2):48-59. [Persian] [link] [DOI:10.17795/jjcdc-23366]
10. Hekmatipour N, Behnam Vashani H, Vaghee S, Asghari Nekah SM. Effects of storytelling on educational self-efficacy in children with thalassemia, aged 7-12 Years old. Evid Base Care J. 2015;5(3):19-28. [Persian] [link]
11. Montazeri A, Goshtasbi A, Vahdaninia MS, Gandek B. The short form health survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82. [link] [DOI:10.1007/s11136-004-1014-5] [PMID]
12. Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med care. 1992;30(6):473-83. [link] [DOI:10.1097/00005650-199206000-00002] [PMID]
13. Scholten L, Willemen AM, Grootenhuis MA, Maurice-Stam H, Schuengel C, Last BF. A cognitive behavioral based group intervention for children with a chronic illness and their parents: A multicentre randomized controlled trial. Bmc Pediatr. 2011;11(65):1-8. [link] [DOI:10.1186/1471-2431-11-65] [PMID] [PMCID]
14. Behnam Vashani H, Hekmati pour N, Vaghee S, Asghari Nekah S. Survey of social, emotional and academic self efficacy in 7- 12 aged children with major thalassemia in mashhad (2013). J Pediatr Nurs. 2015;2(2):49-57. [Persian] [link]
15. Azizinezhad P, Kashaninia Z. Effect of self-care training on applying coping strategies of adolescents. Hormozgan Med J. 2006;10(3):256-72. [Persian] [link]
16. Adegbola M. Spirituality self-efficacy and quality of life among adults with sickle cell disease. South Online J Nurs Res. 2011;11(1):894-915. [link] [DOI:10.5402/2011/672579] [PMID] [PMCID]
17. Anie KA, Massaglia P. Psychological Therapies for Thalassemia. Cochrane Database Syst Rev. 2001;3(8):132-68. [link] [DOI:10.1002/14651858.CD002890] [PMID]
18. Dhirar N, Khandekar J, Bachani D, Mahto D. Thalassemia major: How do we improve quality of life?.Springerplus. 2016;5(1):1895-9. [link] [DOI:10.1186/s40064-016-3568-4] [PMID] [PMCID]
19. Ahmadi M, Poormansouri S. Effectiveness of educational program based on self-management model on depression, anxiety and stress in patients with sickle cell disease (24 weeks follow up). J Urmia Nurs Midwifery Fac. 2016;13(12):1039-49. [Persian] [link]
20. Kiaei M, Ferdosi M, Moradi R, Chelongar Q, Ahmadzadeh M, Bahmanziari N. Association between self-efficacy and quality of life in women with breast cancer undergoing chemotherapy. J Qazvin Univ Med Sci. 2016;20(2):65-58. [Persian] [link]
21. Shafiee Z, Babaee S, Nazari A. The relationship between self-efficacy and quality of life in patients undergoing coronary artery bypass graft surgery in Shahid Chamran Hospital in Isfahan during 2010-2011. Iran J Surg. 2014;22(1):64-72. [Persian] [link]
22. Khodabakhshi Koolaee A, Navidian A, Baiati Z, Rahmatizadeh M. Effectiveness of supportive psychotherapy on quality of life in patients with type2 diabetes . J Diabetes Nurs. 2015;3(3):31-41. [Persian] [link]
23. Khayamnekouei Z, Yousefy A, Manshaee Gh. The effect of cognitive-behavioral training on improving the quality of life in cardiac patients. Iran J Med Educ. 2010;10(2):148-54. [Persian] [link]
24. Genty M, Devy R, Edan G, Lehert P. Effect of cognitive behavioral therapy on MS patients' quality of life: A multi-centre controlled trial. Ann Phys Rehabil Med. 2016;59(Suppl):e41-2. [link] [DOI:10.1016/j.rehab.2016.07.096]