Associations between a health-promoting lifestyle and quality of life among adults with beta-thalassemia major
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
OBJECTIVES: A health-promoting lifestyle (HPL) is a factor that affects the quality of life (QoL) in patients with beta-thalassemia (β-thalassemia). Due to the lack of studies of this issue, this study aimed to determine the association between HPL and QoL among adults with β-thalassemia. METHODS: This cross-sectional (descriptive-analytic) study was conducted among 389 adult patients with β-thalassemia in Tehran, Iran. The research instrument included a questionnaire consisting of three parts: demographic items, the Short-Form Health Survey and the Health-Promoting Lifestyle Profile. The data were analyzed using SPSS version 23.0. The results were considered significant at the conventional p<0.05 level. RESULTS: The mean age of the participants was 30.2±8.3 years. The mean score of the HPL dimensions was 127.28±21.53, and the mean score of the QoL domains was 61.44±23.38. The highest and the lowest mean scores of the HPL dimensions were found for spiritual growth (23.96±5.74) and physical activity (11.32±3.95), respectively. The QoL scores in all three domains (total, physical component summary score, and mental component summary score) were moderate. Health responsibility, physical activity, spiritual growth, and interpersonal relations were significant predictive factors of QoL in adults with β-thalassemia; these four dimensions explained 37.9% of the variance in QoL. CONCLUSIONS: QoL and HPL were not at acceptable levels among patients with thalassemia. Therefore, educational interventions emphasizing spiritual growth, physical activity, and interpersonal relations are necessary for patients with thalassemia.
Abstract
OBJECTIVES: A health-promoting lifestyle (HPL) is a factor that affects the quality of life (QoL) in patients with beta-thalassemia (β-thalassemia). Due to the lack of studies of this issue, this study aimed to determine the association between HPL and QoL among adults with β-thalassemia. METHODS: This cross-sectional (descriptive-analytic) study was conducted among 389 adult patients with β-thalassemia in Tehran, Iran. The research instrument included a questionnaire consisting of three parts: demographic items, the Short-Form Health Survey and the Health-Promoting Lifestyle Profile. The data were analyzed using SPSS version 23.0. The results were considered significant at the conventional p<0.05 level. RESULTS: The mean age of the participants was 30.2±8.3 years. The mean score of the HPL dimensions was 127.28±21.53, and the mean score of the QoL domains was 61.44±23.38. The highest and the lowest mean scores of the HPL dimensions were found for spiritual growth (23.96±5.74) and physical activity (11.32±3.95), respectively. The QoL scores in all three domains (total, physical component summary score, and mental component summary score) were moderate. Health responsibility, physical activity, spiritual growth, and interpersonal relations were significant predictive factors of QoL in adults with β-thalassemia; these four dimensions explained 37.9% of the variance in QoL. CONCLUSIONS: QoL and HPL were not at acceptable levels among patients with thalassemia. Therefore, educational interventions emphasizing spiritual growth, physical activity, and interpersonal relations are necessary for patients with thalassemia.
참고문헌 (34)
- Qurat-ul-Ain LA, "Prevalence of β-thalassemic patients associated with consanguinity and anti-HCV-antibody positivity – a cross sectional study", Pak J Zool, 43, pp.29~36 (2011)
- Pouraboli B, "Living in a misty marsh: a qualitative study on the experiences of self-care suffering of patients with thalassemia", Iran J Nurs Midwifery Res, 19, pp.S77~S82 (2014)
- Lyrakos GN, "Psychometric properties of the Specific Thalassemia Quality of Life Instrument for adults", Patient Prefer Adherence, 6, pp.477~497 (2012)
- Khodaei GH, "Frequency of thalassemia in Iran and Khorasan Razavi", Int J Pediatr, 1, pp.45~50 (2013)
- Sazlina SG, "Predictors of health related quality of life among children and adolescents with beta thalassemia in three hospitals in Malaysia: a cross sectional study", Int J Public Health Clin Sci, 2, pp.1~12 (2015)
- Hashemieh M, "The Iran thalassemia prevention program: success or failure?", Iran J Ped Hematol Oncol, 5, pp.161~166 (2015)
- Telfer P, "Quality of life in thalassemia", Ann N Y Acad Sci, 1054, pp.273~282 (2005)
- Mikelli A, "Brief report : Depressive symptoms and quality of life in adolescents with b-thalassaemia", J Adolesc, 27, pp.213~216 (2004)
- Baraz S, "A comparison of quality of life between adolescences with beta thalassemia major and their healthy peers", Int J Pediatr, 4, pp.1195~1204 (2016)
- Azarkeivan A, "Associates of poor physical and mental health-related quality of life in beta thalassemia-major", intermedia, 2009, pp.14, 349~355
- Ansari Sh, "Quality of life in patients with thalassemia major", Iran J Ped Hematol Oncol, 4, pp.57~63 (2014)
- Thavorncharoensap M, "Factors affecting health-related quality of life in Thai children with thalassemia", BMC Blood Disord, 10, pp.1~ (2010)
- Janwijit S, "Health promoting lifestyle and quality of life in patients with chronic obstructive pulmonary disease", pp.2006
- Şenol V, "The relationship between health promoting behaviors and quality of life in nursing home residents in Kayseri", J Geriatr, 2014, pp.839685~ (2014)
- Golmakani N, "Health promoting life style and its related factors in female adolescents", J Midwifery Reprod Health, 1, pp.42~49 (2013)
- Tol A, "Health-promoting lifestyle and quality of life among undergraduate students at school of health, Isfahan university of medical sciences", J Educ Health Promot, 2, pp.11~ (2013)
- Cappellini MD, "Guidelines for the management of transfusion dependent thalassaemia (TDT)", pp.224~ (2014), Thalassaemia International Federation
- Montazeri A, "The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity", BMC Public Health, 9, pp.341~ (2009)
- Walker SN, "The Health-Promoting Lifestyle Profile : development and psychometric characteristics", Nurs Res, 36, pp.76~81 (1987)
- Zeidi IM, "Reliability and validity of Persian version of the health-promoting lifestyle profile", J Mazand Univ Med Sci, 22, pp.103~113 (2012)
- Leppink J, "Data analysis in medical education research : a multilevel perspective", Perspect Med Educ, 4, pp.14~24 (2015)
- Montazeri A, "The Short Form Health Survey(SF-36) : translation and validation study of the Iranian version", Qual Life Res, 14, pp.875~882 (2005)
- Fallahzadeh H, "Health-related quality of life and associated factors among Iranian university students", J Community Health Res, 1, pp.122~130 (2012)
- Haghpanah S, "Quality of life among Iranian patients with beta-thalassemia major using the SF-36 questionnaire", Sao Paulo Med J, 131, pp.166~172 (2013)
- Safizadeh H, "Quality of life in patients with thalassemia major and intermedia in kerman-iran (I.R.)", Mediterr J Hematol Infect Dis, 4, pp.e2012058~ (2012)
- Amani F, "Quality of life among Ardabil patients with beta-thalassemia major", Int J Res Med Sci, 3, pp.3308~3312 (2015)
- Shaligram D, "Psychological problems and quality of life in children with thalassemia", Indian J Pediatr, 74, pp.727~730 (2007)
- Kumar S, "Health promotion: an effective tool for global health", Indian J Community Med, 37, pp.5~12 (2012)
- Mazloomymahmoodabad S, "Education based on precede-proceed on quality of life in elderly", Glob J Health Sci, 6, pp.178~184 (2014)
- Kalroozi F, "Health-promoting behaviours and related factors among nurses in selected military hospitals", Mil Caring Sci, 1, pp.73~80 (2015)
- Rakhshani T, "The association of health-promoting lifestyle with quality of life among the Iranian elderly", Iran Red Crescent Med J, 16, pp.e18404~ (2014)
- Pirincci E, "Factors affecting health-promoting behaviours in academic staff", Public Health, 122, pp.1261~1263 (2008)
- Mehri A, "Health promoting lifestyle and its determinants among university students in Sabzevar, Iran", Int J Prev Med, 7, pp.65~ (2016)
- Mirghafourvand M, "Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital, 2013", J Caring Sci, 3, pp.175~184 (2014)