Indonesian Mothers' Needs and Concerns about Having a Thalassemic Child and Its Treatment: An Exploratory Qualitative Study

Thalassemia is a major genetic blood disorder that considered as a public health problem in Indonesia. Yet, little is known about affected individuals thalassemic children and parents overall experiences with and perceptions of thalassemia mayor in Indonesia. This study aimed to explore the concerns, beliefs, feelings and needs of mothers' who have a thalassemic child. A total of (N=24) mothers' were chosen as participants. Focus Group Discussion (FGD) was carried out to better elucidate the mothers' perceptions of their needs and concerns. A semi-structure focus group moderator’s guide corresponding to the research questions was developed. To gain in-depth understanding, questions were divided in four major domains which were (i) Perceptions about child disease, (ii) Knowledge about thalassemia and its treatment, (iii) Thalassemia impact on child and family, and (iv) Needs and future concerns. Transcripts were thematically coded according to the research themes that emerged from the data, and the themes were further sorted into subthemes. The finding of this study indicates significant impact of thalassemic children on their families in terms of emotional well-being, financial burden and social impact. Mother’s education level was very low about Thalassemia. Mother also expressed their needs for more information about thalassemia and its treatment, social, professional support, and financial support. Results of this study provided a portrait of the reality that thalassemia has a significant impact on children and their families. A holistic approach should be carried out while caring with thalassemic children and their families. Nurses and health care professionals should explore the feelings, concerns and needs of mothers' who have thalassemic children and eventually provide appropriate care plans that alleviate their suffering. ISSN 2639-9474 Research Article Citation: Henny Suzana Mediani, Ikeu Nurhidayah, Ai Mardhiyah, et al. Indonesian Mothers Needs’ and Concerns about Having a Thalassemic Child and Its Treatment: An Exploratory Qualitative Study. Nur Primary Care. 2017; 1(2): 1-7.

[1]  รศ.ดร.ธีรศักดิ์ อุ่นอารมย์เลิศ,et al.  Research Design: Qualitative, Quantitative, and Mixed Method Approaches , 2016 .

[2]  A. Azarkeivan,et al.  Quality of life in patients with thalassemia major , 2014, Iranian journal of pediatric hematology and oncology.

[3]  Saira Majid,et al.  QUALITY OF LIFE AND COPING STYLES OF CARE-GIVERS OF PATIENTS SUFFERING FROM THALASSEMIA MAJOR , 2013 .

[4]  S. Mashayekhi,et al.  The financial and social impact of thalassemia and its treatment in Iran , 2012 .

[5]  S. Mansoor,et al.  Parents' opinion of quality of life (QOL) in Pakistani thalassaemic children. , 2011, JPMA. The Journal of the Pakistan Medical Association.

[6]  A. Thompson,et al.  The impact of thalassemia on Southeast Asian and Asian Indian families in the United States: a qualitative study. , 2011, Ethnicity & disease.

[7]  K. Indaratna,et al.  Factors affecting health-related quality of life in Thai children with thalassemia , 2010, BMC blood disorders.

[8]  L. Mazzone,et al.  Emotional impact in β-thalassaemia major children following cognitive-behavioural family therapy and quality of life of caregiving mothers , 2009, Clinical practice and epidemiology in mental health : CP & EMH.

[9]  S. Girimaji,et al.  Psychological problems and quality of life in children with thalassemia , 2007, Indian journal of pediatrics.

[10]  T. Ratanasiri,et al.  Lived experiences of mothers caring for children with thalassemia major in Thailand. , 2007, Journal for specialists in pediatric nursing : JSPN.

[11]  M. Campbell,et al.  Health and Quality of Life Outcomes , 2006 .

[12]  D. Melzer,et al.  Clinical Practice and Epidemiology in Mental Health , 2005 .

[13]  David J. Silverman,et al.  Doing Qualitative Research: A Practical Handbook , 1999 .

[14]  Paula Lusardi,et al.  Qualitative Research in Nursing: Advancing the Humanistic Imperative , 1995 .