Assessments self –care of sickle-cell patients at Baghdad teaching hospitals

Abstract

Sickle-cell disease (SCD)) is a group of genetic disorders that is characterized by the development of abnormal hemoglobin (Hgb S), abnormal red blood cells, and the resultant complications include vaso-occlusive pain crises, acute chest syndrome, acute splenic sequestration& pneumococcal disease. Objectives of the study: To assess the self efficacy of patients with sickle – cell anemia at blood disease ward in Baghdad Teaching hospital and to find out the association of some demographical characteristics of the sample such as (age, gender, level of education & years of disease affected) with self efficacy. Methodology: A descriptive design of study was carried out, for the period 1st Oct, 2017 – 15th of May, 2018, to identify the self – efficacy of sickle cell patients, A 40 patients was participate at the study. The setting was Baghdad Teaching Hospital, Ghazi –Al Hariri Teaching Hospital IBN-Al Belady teaching hospital. Results: Most of study participants are females (60.0%), More than a third are within the age group of (22-25) years-old (35.0%),they were at high school graduate (27.0%), followed by those who are middle school graduates (25.0%), those who are both elementary school graduate and hold a bachelor’s degree (15.0%), and those who are unable to read and write (7.5%). More than a half are married (55.0%), followed by those who are married (30.0%), those who are divorced (12.5%). Less than a third are students (n = 12; 30.0%), followed by those who are self-employed (27.5%), those who are out of work (20.0%), those who are officers (12.5%), and those who are housewives. Less than a half reported that their father is the affected person (45.0%), followed by mothers (27.5%), relatives (15.0%), and both parents (12.5%). Regarding health status, the health of the majority are fair (80.0%), followed by those who have poor health (n = 6; 15.0%), and those who have good health (5.0%). More than two-fifth reported that they are hospitalized (4-6) times per year. All patients reported that they have been treated for more than 10 years (100.0%). Conclusions: findings of study shows that,male participants have a better self-efficacy of activity of daily living than female participants of activity of daily living, level of education, age, family ranking & financial social status.