Background: B-Thalassemia major considered as a serious life-threatening disease for pediatric population that causes substantial disruption in all aspects of child life. With advanced, effective management and even cure of thalassemia become possible, attention is drawn to the evaluation of depression and fatigue that accompany suffering children. Aims: investigate the effects of exercise training program combined with 3 months nurse –telephone follow up calls on depression and fatigue level in children with B-thalassemia major. Design and Method: A quasi experimental study was conducted on 60 thalassemic children who selected randomly after fulfilling the criteria of selection at hematology outpatient clinic of mansoura university children's hospital using three tools of data collection; structured interview questionnaire, depression inventory and fatigue scale. Exercise training either aerobic and anaerobic types was specific for the study subjects and they were followed by telephone follow up calls for three months by the researchers. Results: All thalassemic children suffer from depression with different categories and 95% of them suffer from fatigue before intervention. With telenursing follow up calls the total score of depression and fatigue were decreased after one month of exercise performance than before and continuously decreased after three months of exercise performance. Conclusion: The exercise training program combined by follow up calls was effective in decreasing depression and fatigue among thalassemic children after one and three months of intervention. Recommendation: It is suggested for performing and training the regular exercises as a routine care for those pediatric population.
| Published in | American Journal of Nursing Science (Volume 5, Issue 5) |
| DOI | 10.11648/j.ajns.20160505.14 |
| Page(s) | 191-200 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Exercise Program, Tele nursing, Depression, Fatigue, Major thalassemia, Children
| [1] | Shawky M. R and Kamal M. T. Thalassemia intermedia: An overview. The Egyptian Journal of Medical Human Genetics. 2012; 13, 245–255. |
| [2] | El-Shanshory MR, HagagAA, Shebl SS, Badria IM, Abd ElhameedAH, Abd El-Bar ES, Al-Tonbary Y, Mansour A, Hassab H, Hamdy M, Alfy M, Sherief L and Sharaf E. Spectrum of Beta Globein Gene Mutations in Egyptian children with B-Thalassemia. Mediterranean Journal of Heamatology andInfectious diseases. 2014;6(1). |
| [3] | Kargar Najafi M, Borhani F, Dortaj Rabari E, Sabzevari S. The Effect of Family-Centered Empowerment Model on the Mothers‟ Knowledge and Attitudes about Thalassemia Disorder. Iranian J of Pediatric Hematology and Oncology 2011; 1(3):98-103. |
| [4] | Al Ebrahimy A. A, Al Jebory H. K and Jehad K. S. Physical Aspects of School Age Children with Thalassemia Major in Al- Najaf Al-Ashraf. Medical Journal of Babylon. 2015; 12(4), 1053 -1061. |
| [5] | Koutelekos J and Haliasos N. Depression and Thalassemia in children, adolescents and adults. Health Science Journal.2013;7 (3). |
| [6] | Bould H, Collin SM, Lewis G, Rimes K and Crawley E. Depression in paediatric chronic fatigue syndrome. Arch Dis Child 2013; 98: 425–428. |
| [7] | Bakr, A., Amr, M., Sarhan, A., Hammad, A., Ragab, M., and El-Refaey A. Psychiatric disorders in children with chronic renal failure. Pediatr Nephrol. 2007; 22(1), 128-31. |
| [8] | Hashad E. R, Abusaad E. F, El Naggar A. E and AbdEl-Aziz A. M. The Effectiveness of Using Children Apperception test (CAT) in Assessing Depression among Children with Chronic Renal Failure. Mansoura nursing journal. 2015. |
| [9] | Nunes MDR, Silva MCM, Rocha EL, Lima RAG, Nascimento LC. Measurement of fatigue in children and adolescents with cancer. Text Context Nursing, Florianópolis, 2014; 23(2): 492-501. |
| [10] | Mohamed A. S. The Effectiveness of an Educational Intervention on Fatigue in Hemodialysis Patients: A Randomized Controlled Trial. IOSR Journal of Nursing and Health Science. 2014; 3, (4). |
| [11] | Sohn Y, E, Kato R, Noetzli J. L, Gera A, Coates T, Harmatz P, Keens K. G and Wood C. J. Exercise performance in thalassemia major: correlation with cardiac iron burden.. 2012 Wiley Periodicals, Inc. American Journal of Hematology. |
| [12] | Marinov BI, Terziyski KV, Sapunarova KG, et al. Exercise performance in children with severe beta-thalassemia before and after transfusion. Folia Med (Plovdiv) 2008; 50: 48–54. |
| [13] | Brussel M, Lelieveld O. M, Endelbert R. H, Helders M and Takken T. Aerobic and Anaerobic Exercise Capacity in Children With Juvenile Idiopathic Arthritis. Arthritis & Rheumatism (Arthritis Care & Research). 2007. 57 (6): 891–897. |
| [14] | Rezaei J, Abdi A, Rezaei M, Heydarnezhadian J and Jalali R. Effect of Regular Exercise Program on Depression in Hemodialysis Patients. International Scholarly Research Notices. 2015. |
| [15] | Health Resources and Services Administration. What is telehealth? Available from: http://www.hrsa.gov/telehealth. [Last accessed on 2007]. |
| [16] | Hockenberry, M. J., and Wilson, D. Wong’s Essentials of Pediatric nursing. 2013; 8 th ed., Mosby, Elsevier, Canada, pp, 969-971. |
| [17] | Wagner D, Bear M: Patient satisfaction with nursing care: a concept analysis within a nursing framework. J Adv Nurs. 2009; 65(3): 692–701. |
| [18] | Gischler SJ, Mazer P, Poley MJ, Tibboel D, van Dijk M: Telephone helpline for parents of children with congenital anomalies. J Adv Nurs. 2008; (6): 625–631. |
| [19] | Letourneau MA, MacGregor DL, Dick PT, McCabe EJ, Allen AJ, Chan VW, MacMillan LJ, Golomb MR: Use of a telephone nursing line in a pediatric neurology clinic: one approach to the shortage of subspecialists. Pediatrics.2003; 112(5): 1083–1087. |
| [20] | Ghazanfari Z, Arab M, Forouzi M andPouraboli B. Knowledge level and educational needs of thalassemic children's parents in Kerman. Iranian Journal of Critical Care Nursing. 2010; 3 (3): 99-103. |
| [21] | Elalfy S. M, Farid N. M, Labib H. J and RezkAllah K. H. Quality of life of Egyptian thalassemia major children and adolescents. The Egyptian Society of Haematolog. 2014. |
| [22] | El-Gilany, A. El-Wehady, A. and El- Wasify, M. Updating and validating of the socioeconomic status scale for health research in Egypt. Eastern Miditerranean Health journal. 2012; (18) 9. |
| [23] | Kovacs, M. 1985: The children's depression inventory (CDI). Psychopharmacol. Bull. 21, PP: 995-998. |
| [24] | Garieb Abd-El Fattah Garieb. Arabic version of children's depression inventory. Psychological Departement, Faculty of education, Al- Azhar university. 2012. Available at El-Angluo Liberary, Egypt. |
| [25] | Hinds PS, Hockenberry M, Tong X, Rai SN, Gattuso JS, McCartthy K, et al. Validity and reliability of a new instrument to measure cancer-related fatigue in adolescents. J Pain Symptom Manag. 2007; 34(6): 607-18. |
| [26] | Cox CL: A model of health behavior to guide studies of childhood cancer survivors. Oncol Nurs Forum 2003, 30(5): 92–99. |
| [27] | Moscato SR, Valanis B, Gullion CM, Tanner C, Shapiro SE, Izumi S: Predictors of patient satisfaction with telephone nursing services. Clin Nurs Res 2007, 16(2): 119–137. |
| [28] | Wahlberg AC, Cedersund E, Wredling R: Telephone nurses’ experience ofproblems with telephone advice in Sweden. J Clin Nurs 2002, 12(1): 37–45. |
| [29] | Beaulieu R, Humphreys J: Evaluation of a telephone advice nurse in anursing faculty managed pediatric community clinic. J Pediatr Health Care.2008; 22(3): 175–181. |
| [30] | Wong DL, George E and Tan MA. A holistic approach to education program in thalassemia population: Consideration of perspectives, attitudes and perceived needs. J. Community Genet. 2011; 2(2): 71-79. |
| [31] | Gharaibeh H, Amarneh B and Zamzam S. The psychological burden of patients with beta Thalassemia major in Syria. Pediatrics international. 2009; 51: 630-636. |
| [32] | Millagerd H. Li, Mohamadkhan K. S, and Meamarian R. Assessment of regular exercise effect on heamodialysis children 8–12 yrs old in children medicine of Tehran, Daneshvar Journal.2002;40: 28–23. |
| [33] | Milani R. V, Lavie C. J, Mehra M. R and Ventura H. O. Impact of exercise training and depression on survival in heart failure due to coronary heart disease. The American Journal of Cardiology.2011; 107(1); 64–68. |
| [34] | Oeland M, Laessoe U, Olesen A. V and Munk-Jørgensen P. Impact of exercise on patients with depression and anxiety. Nordic Journal of Psychiatry. 2010; 64(3): 210–217. |
| [35] | Riahi Z, Esfarjani F, Marandi SM, et al. The effect of intradialytic exercise training on the quality of life and fatigue in heamodialysis patients. J Res Rehabil Sci. 2012; 8(2): 219-27. |
| [36] | Yurtkuran M, Alp A, Yurtkuran M, Dilek K. A modified yoga-based exercise program in heamodialysis patients: a randomized controlled study. Complement TherMed. 2007;15(3):164–71. |
| [37] | Motedayen Z, Nehrir B, Tayebi A, Ebadi A and Einollahi B. The effect of the physical and mental exercise during heamodialysis on fatigue: A contolled clinical trial. Nephro Urol Mon. 2014; 6(4). |
| [38] | Soliman M. H. Effect of intradialytic exercise on fatigue, electrolytes level and blood pressure in heamodialysis patient's: A randomized controlled trial. Journal of nursing education and practice. 2015; 5(11). |
| [39] | Thavorncharoensap M, Torcharus K, Nuchrayoon I, Riewpaiboon A, Indaratna K and Ubol B. Factors affecting health –related quality of life in Thai children with Thalassemia. BMC Blood Disorders. 2010, 10:1 http://www.biomedcentral.com/1471-2326/10/1 |
| [40] | El Dakhakhny, A.; Hesham, M.; Mohamed, S.; Mohammad, F.: Quality of Life of School Age Thalassemic Children at Zagazig City, Journal of American Science. 2011; 7(1): 186-191. |
| [41] | Ribeiro R, Coutinho G. L, Iuras A, et al. Effect of resistance exercise intradialytic in renal patients chronic in heamodialysis. Jornal Brasileiro de Nefrologia. 2013; 35, (1) : 13–19. |
| [42] | Bagheriyan S, Borhani F, Abbaszade A and Tehrani H. Non-pharmacological Interventions for Needle-related Procedural Anxiety in Children with Thalassemia. Iranian journal of blood and cancer. 2012; 5 (4). |
APA Style
Fawzia El Sayed Ali Abusaad, Mohamed Mahmoud Sarhan. (2016). Exercise Training Program and Telenursing Effects on Depression and Fatigue Level in B- Thalathemia Major Children. American Journal of Nursing Science, 5(5), 191-200. https://doi.org/10.11648/j.ajns.20160505.14
ACS Style
Fawzia El Sayed Ali Abusaad; Mohamed Mahmoud Sarhan. Exercise Training Program and Telenursing Effects on Depression and Fatigue Level in B- Thalathemia Major Children. Am. J. Nurs. Sci. 2016, 5(5), 191-200. doi: 10.11648/j.ajns.20160505.14
AMA Style
Fawzia El Sayed Ali Abusaad, Mohamed Mahmoud Sarhan. Exercise Training Program and Telenursing Effects on Depression and Fatigue Level in B- Thalathemia Major Children. Am J Nurs Sci. 2016;5(5):191-200. doi: 10.11648/j.ajns.20160505.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajns.20160505.14,
author = {Fawzia El Sayed Ali Abusaad and Mohamed Mahmoud Sarhan},
title = {Exercise Training Program and Telenursing Effects on Depression and Fatigue Level in B- Thalathemia Major Children},
journal = {American Journal of Nursing Science},
volume = {5},
number = {5},
pages = {191-200},
doi = {10.11648/j.ajns.20160505.14},
url = {https://doi.org/10.11648/j.ajns.20160505.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20160505.14},
abstract = {Background: B-Thalassemia major considered as a serious life-threatening disease for pediatric population that causes substantial disruption in all aspects of child life. With advanced, effective management and even cure of thalassemia become possible, attention is drawn to the evaluation of depression and fatigue that accompany suffering children. Aims: investigate the effects of exercise training program combined with 3 months nurse –telephone follow up calls on depression and fatigue level in children with B-thalassemia major. Design and Method: A quasi experimental study was conducted on 60 thalassemic children who selected randomly after fulfilling the criteria of selection at hematology outpatient clinic of mansoura university children's hospital using three tools of data collection; structured interview questionnaire, depression inventory and fatigue scale. Exercise training either aerobic and anaerobic types was specific for the study subjects and they were followed by telephone follow up calls for three months by the researchers. Results: All thalassemic children suffer from depression with different categories and 95% of them suffer from fatigue before intervention. With telenursing follow up calls the total score of depression and fatigue were decreased after one month of exercise performance than before and continuously decreased after three months of exercise performance. Conclusion: The exercise training program combined by follow up calls was effective in decreasing depression and fatigue among thalassemic children after one and three months of intervention. Recommendation: It is suggested for performing and training the regular exercises as a routine care for those pediatric population.},
year = {2016}
}
TY - JOUR T1 - Exercise Training Program and Telenursing Effects on Depression and Fatigue Level in B- Thalathemia Major Children AU - Fawzia El Sayed Ali Abusaad AU - Mohamed Mahmoud Sarhan Y1 - 2016/10/11 PY - 2016 N1 - https://doi.org/10.11648/j.ajns.20160505.14 DO - 10.11648/j.ajns.20160505.14 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 191 EP - 200 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20160505.14 AB - Background: B-Thalassemia major considered as a serious life-threatening disease for pediatric population that causes substantial disruption in all aspects of child life. With advanced, effective management and even cure of thalassemia become possible, attention is drawn to the evaluation of depression and fatigue that accompany suffering children. Aims: investigate the effects of exercise training program combined with 3 months nurse –telephone follow up calls on depression and fatigue level in children with B-thalassemia major. Design and Method: A quasi experimental study was conducted on 60 thalassemic children who selected randomly after fulfilling the criteria of selection at hematology outpatient clinic of mansoura university children's hospital using three tools of data collection; structured interview questionnaire, depression inventory and fatigue scale. Exercise training either aerobic and anaerobic types was specific for the study subjects and they were followed by telephone follow up calls for three months by the researchers. Results: All thalassemic children suffer from depression with different categories and 95% of them suffer from fatigue before intervention. With telenursing follow up calls the total score of depression and fatigue were decreased after one month of exercise performance than before and continuously decreased after three months of exercise performance. Conclusion: The exercise training program combined by follow up calls was effective in decreasing depression and fatigue among thalassemic children after one and three months of intervention. Recommendation: It is suggested for performing and training the regular exercises as a routine care for those pediatric population. VL - 5 IS - 5 ER -
Information
Email: