Volume 21, Issue 5 (1-2023)
TB 2023, 21(5): 1-20 |
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Ethics code: IR.MODARES.REC.1398.069
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Ghorbani F, Navipour H, Memarian R. Investigating the effect of family-centered care program implementation on fatigue and depression of teenage girls with iron deficiency anemia. TB 2023; 21 (5) :1-20
URL: http://tbj.ssu.ac.ir/article-1-3355-en.html
URL: http://tbj.ssu.ac.ir/article-1-3355-en.html
Tarbiat Modares University , naviporh@modares.ac.ir
Keywords: Family-Centered Care Program, Fatigue, Depression, Iron Deficiency Anemia, Adolescent Girls
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Investigating the effect of family-centered care program implementation on fatigue and depression of teenage girls with iron deficiency anemia
Fatemeh Ghorbani( MS.c.)1, Hassan Navipour(Ph.D.)2, Robabeh Memarian(Ph.D.)3
1.MS.c. in Community Health Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran.
2.Corresponding Author: Assistant Professor, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran. Tel: 09123908083, E-mail: naviporh@modares.ac.ir
3.Assistant Professor, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran.
Abstract
Introduction:Today, one of the most common health problems in the world is iron deficiency anemia. The present study was conducted with the aim of determining the effect of family-centered care program implementation on fatigue and depression of teenage girls suffering from iron deficiency anemia. Family-centered care is a method that is controlled through mutually beneficial partnerships between caregivers, patients, and families. Family-centered care is systematically organized so that the dynamics and complexities of different aspects of individuals and families are taken into consideration.
Methods: The present study is a quasi-experimental study of a practical type that was conducted in 1399 with the selection of 70 adolescent girls with iron deficiency anemia studying in high school in Mahmudabad through non-random sampling. Research tools include Questionnaire. After collecting the information obtained from the pre-intervention stage, the family-centered care program for the sample adolescents in the performance test group. It was performed three month after the intervention. The obtained data were analyzed using Paired-Samples T Test.
Results: The comparison of the total score of fatigue and depression of adolescent girls with iron deficiency anemia before and after the intervention in the test group showed a significant difference in the direction of decreasing scores (P<0.001), but there was no significant difference in the control group (P> 0.05). Comparison of total fatigue scores of adolescent girls with iron deficiency anemia before and after the intervention in the experimental group showed a significant difference in reducing scores (P < 0.001), but in the control group, there was no significant difference (P = 0.182); Also, comparison of total depression scores of adolescent girls with iron deficiency anemia before and after the intervention in the experimental group showed a significant difference in reducing scores (P < 0.001), but in the control group, there was no significant difference (P=0.667).
Conclusions: The results showed that the rate of fatigue and depression in adolescent girls with iron deficiency anemia who receive a family-centered care program has decreased compared to the control group.
Keywords: Family-centered care program, Fatigue, Depression, Iron deficiency anemia, Adolescent girls.
Conflict of interest: The authors declared no conflict of interest.
1- Parvin F, Niknami S, Alhani F. The Effect of Iron Deficiency Anemia Prevention Blended Education Package on Knowledge, Attitude and Practice of Adolescent Girls. 3 JNE 2021; 10 (5) :1-10. [Persian]
2- Ghoreishi M S, Abusalehi A, Peyman N, Tehrani H. The effect of preventive educational intervention for promoting iron supplement use in high school female’s students: an application of health belief model. RJMS. 2018; 25 (171):31-42. [Persian]
3- Askari-Nodoushan A, and Sabaghchi M. The Use of Importance-Performance Analysis (IPA) in Evaluating Gap between Youth Needs and Policies’ Proprieties in Yazd, Iran. Applied Sociology. 2018. 29(2):39-64. [Persian]
4- Khosravi S , Sadeghi N , Mousavi M , Investigating the effect of mothers' group discussion
on the level of knowledge and performance Teenage girls about pubertal health, 2020 .28(9). 3076 – 3085.[Persian]
5-Vaezi M, Niknami S, Hidarnia A R, Goodarzi A. Visual Media Education for Prevention of Iron Deficiency Anemia among High School Girls in Chabahar City. MCS 2018; 5 (2) :156-162 [Persian]
6- Abedini S, Shahi A, Aghamolaei T. Prevalence of anemia and Iron deficiency anemia in high school girls of Bandar Abbas. jpm. 2016; 3 (1):43-37. [Persian]
7- Onyeneho NG, Igweonu OU. Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria. Journal of Health, Population and Nutrition. 2016 Dec;35(1):1-8.
8- Jacquelyn M Powers, MD, MS. Iron deficiency in infants and children< 12 years: Screening, prevention, clinical manifestations, and diagnosis. UpToDate. 2020.
9- Al-Alimi, A. A, Bashanfer, S, & Morish, M. A. Prevalence of iron deficiency anemia among university students in Hodeida Province, Yemen. Anemia, 2018. Apr 23; 4157876.
10- Mirzaei H, Shojaeizadeh D, Tol A, Shirzad M. Application of Health Belief Model (HBM) to promote preventive behaviors against iron-deficiency anemia among female students of High School Fereydan City: A quasi-experimental study. Iranian Journal of Health Education and Health Promotion. 2017 Nov 10;5(4):260-9. [Persian]
11- Mills, N. T, Maier, R, Whitfield, J. B, Wright, M. J, Colodro-Conde, L, Byrne, E. M, & CouvyDuchesne, B. (2017). Investigating the relationship between iron and depression. Journal of psychiatric research,2017, 94, 148-155.
12- toghiani S, karimi A. The Association of Anemia with Learning and Memory in Students of Imam Raouf Educational Complex of Isfahan, Zanko J Med Sci 2019; 20 (66) :46-55[Persian]
13- Lipoeto NI, Effendi N. The Analysis of Anemia Prevention Model in Pregnant Women in Banten. Journal of Pharmacy and Nutrition Sciences. 2019 Oct 5;9(6):316-22.
14- Houston BL, Hurrie D, Graham J, Perija B, Rimmer E, Rabbani R, Bernstein CN, Turgeon AF, Fergusson DA, Houston DS, Abou-Setta AM. Efficacy of iron supplementation on fatigue and physical capacity in non-anaemic iron-deficient adults: a systematic review of randomised controlled trials. BMJ open. 2018 Apr 1;8(4).
15- Tabatabai A , Yosefi Z , Motamedi M , Taheri S , The effectiveness of dialectical behavior therapy on depression and anxiety in adolescent girls with a history of self-harm , 2021, 13:1 , Mar 13-22.[Persian]
16- Rajabi GH , Shamoni Ahvazi Sh , Aman Elahi A , The effect of group cognitive-behavioral therapy on reducing depressive symptoms in adolescent girls ,Mar 2018 ,15 (29) , 125-148 .[Persian]
17- Sajadian A, Raji Lahiji M , Zarati M , Haghighat S , Zahrakar K , Effect of Logo Therapy on Anxiety and Depression in Breast Cancer Survivors Receiving Nutrition Counseling , Iranian Quarterly Journal of Breast Disease. 2020; 13(3):8-19.[Persian]
18- gholamreza Noorazar S, Ranjbar F, Nemati N, Yasamineh N, Kalejahi P. Relationship between severity of depression symptoms and iron deficiency anemia in women with major depressive disorder. Journal of Research in Clinical Medicine. 2015 Nov 30;3(4):219-24. [Persian]
19- Shafi M, Taufiq F, Mehmood H, Afsar S, Badar A. Relation between depressive disorder and Iron deficiency Anemia among adults reporting to a secondary healthcare facility: a hospital-based case control study. J Coll Physicians Surg Pak. 2018 Jun 1;28(6):456-559.
20- Thero VS. Family Dynamics and Health in Post Covid-19. Clinical Research and Clinical Case Reports. 2021 Jun 16;1(4).
21- Zeighami R , Javdani H , Alipor Heidari M , Ghadami E , The effect of implementing the family-centered empowerment model on depression in patients with major depressive disorder , Nursing and Midwifery Journal 2019; 17 (7) :535-545[Persian]
22- Mansouri Z , Pourmovahed Z , Zarei Mahmoudabadi H , Investigating the effect of family-centered care on the family functioning of premature babies hospitalized in the neonatal intensive care unit , Nursing and Midwifery Journal 2021 ,19(10) , 773-782.[Persian]
23- Amini R , Barkhordar A , Sadeghi A , Tapak L , Investigating the effect of family-centered education on the care knowledge of caregivers of patients admitted to the burn department of Baath Hospital in 2018 , Nursing and Midwifery Journal 2020 , Jun 17(12) ,985-994 .[ Persian]
24- Ghasemian S, Hojjati Zidashti Z. The Effect of Combined Exercise Training and Feroglobin Supplementation on Serum Iron and Lipid Profile in Women with Iron Deficiency Anemia. Qom Univ Med Sci J 2018; 12 (2) :84-93[Persian]
25- Baji Z, Baesi A, Shakerinejad Gh, Tehrani M, Hajinajaf S, Jarvandi F , The Effect of Education Based on Health Belief Model on Eating |Behaviors and Weight Control on Female High School Students in Ahwaz , Ijhehp 2018; 6(3): 231-240[Persian]
26- Ghasemi M, Gholami M, Daneshpazhooh M. The effect of family-centered empowerment model on quality of life of female patients with pemphigus vulgaris referred to Razi hospital. Iranian Journal of Nursing Research. 2018 Sep 10;13(3):1-0. [Persian]
27- Smets EM, Garssen B, Bonke BD, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. Journal of psychosomatic research. 1995 Apr 1;39(3):315-25.
28- Beck AT, Ward C, Mendelson M. Beck depression inventory (BDI). Arch Gen Psychiatry. 1961.
29- Hamidi R. Validity and reliability Beck depression inventory-II among the Iranian elderly population. 2015. 189-198. [Persian]
30- Chehrehgosha M, Dastourpour M, Sanagu A, Mohamadi A. Cancer-related Fatigue and its Relationship with Demographic and Clinical Characteristics. Jorjani Biomed J. 2013; 1 (2):24-31. [Persian]
31- Badr M. Madani , Abdulslam M. Alsulami II , Ibrahim A. Abu alola , Saad M. Alasmari , Faisal M. Khoujah , Osama M. Andijani , Mshari A. Alhomrani , Sari S. Alhomrani , Saeed S. Alquhaibi , Faisal S. Alsulami , Waleed A. Ibrahim , Bakor A. Abu alola , Ali H. Alqarni , Prevalence of Anemia Among Children and Adolescents in Rural Area of Khulais in Saudi Arabia , 2022 , Cureus 14(2) .
32- Rostami S, Namaki KHameneh S, Keikhaei Dehdezi B, Haghighizadeh MH. The Effect of Family-centered Empowerment on Quality of Life in Children with Hemophilia. Avicenna Journal of Nursing and Midwifery Care. 2020 Mar 10;28(1):1-0. [Persian]
33- Prochaska MT, Newcomb R, Block G, Park B, Meltzer DO. Association between anemia and fatigue in hospitalized patients: does the measure of anemia matter?. Journal of hospital medicine. 2017 Nov;12(11):898.
34- Dalvand H, Fiyani R, Bagheri H, An overview of the family-centered program approach , Peugeot Heshi Novin Scientific Journal, Tehran University of Medical Sciences, 2019, 8(1) 1-9. [Persian]
35- The book The Power of Planning by Brian Tracy, translated by Yalda Blark, Mehran Publications, 2021. [Persian]
Fatemeh Ghorbani( MS.c.)1, Hassan Navipour(Ph.D.)2, Robabeh Memarian(Ph.D.)3
1.MS.c. in Community Health Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran.
2.Corresponding Author: Assistant Professor, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran. Tel: 09123908083, E-mail: naviporh@modares.ac.ir
3.Assistant Professor, Faculty of Medical Sciences, Tarbiat Modares University, Department of Nursing, Tehran, Iran.
Abstract
Introduction:Today, one of the most common health problems in the world is iron deficiency anemia. The present study was conducted with the aim of determining the effect of family-centered care program implementation on fatigue and depression of teenage girls suffering from iron deficiency anemia. Family-centered care is a method that is controlled through mutually beneficial partnerships between caregivers, patients, and families. Family-centered care is systematically organized so that the dynamics and complexities of different aspects of individuals and families are taken into consideration.
Methods: The present study is a quasi-experimental study of a practical type that was conducted in 1399 with the selection of 70 adolescent girls with iron deficiency anemia studying in high school in Mahmudabad through non-random sampling. Research tools include Questionnaire. After collecting the information obtained from the pre-intervention stage, the family-centered care program for the sample adolescents in the performance test group. It was performed three month after the intervention. The obtained data were analyzed using Paired-Samples T Test.
Results: The comparison of the total score of fatigue and depression of adolescent girls with iron deficiency anemia before and after the intervention in the test group showed a significant difference in the direction of decreasing scores (P<0.001), but there was no significant difference in the control group (P> 0.05). Comparison of total fatigue scores of adolescent girls with iron deficiency anemia before and after the intervention in the experimental group showed a significant difference in reducing scores (P < 0.001), but in the control group, there was no significant difference (P = 0.182); Also, comparison of total depression scores of adolescent girls with iron deficiency anemia before and after the intervention in the experimental group showed a significant difference in reducing scores (P < 0.001), but in the control group, there was no significant difference (P=0.667).
Conclusions: The results showed that the rate of fatigue and depression in adolescent girls with iron deficiency anemia who receive a family-centered care program has decreased compared to the control group.
Keywords: Family-centered care program, Fatigue, Depression, Iron deficiency anemia, Adolescent girls.
Conflict of interest: The authors declared no conflict of interest.
1- Parvin F, Niknami S, Alhani F. The Effect of Iron Deficiency Anemia Prevention Blended Education Package on Knowledge, Attitude and Practice of Adolescent Girls. 3 JNE 2021; 10 (5) :1-10. [Persian]
2- Ghoreishi M S, Abusalehi A, Peyman N, Tehrani H. The effect of preventive educational intervention for promoting iron supplement use in high school female’s students: an application of health belief model. RJMS. 2018; 25 (171):31-42. [Persian]
3- Askari-Nodoushan A, and Sabaghchi M. The Use of Importance-Performance Analysis (IPA) in Evaluating Gap between Youth Needs and Policies’ Proprieties in Yazd, Iran. Applied Sociology. 2018. 29(2):39-64. [Persian]
4- Khosravi S , Sadeghi N , Mousavi M , Investigating the effect of mothers' group discussion
on the level of knowledge and performance Teenage girls about pubertal health, 2020 .28(9). 3076 – 3085.[Persian]
5-Vaezi M, Niknami S, Hidarnia A R, Goodarzi A. Visual Media Education for Prevention of Iron Deficiency Anemia among High School Girls in Chabahar City. MCS 2018; 5 (2) :156-162 [Persian]
6- Abedini S, Shahi A, Aghamolaei T. Prevalence of anemia and Iron deficiency anemia in high school girls of Bandar Abbas. jpm. 2016; 3 (1):43-37. [Persian]
7- Onyeneho NG, Igweonu OU. Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria. Journal of Health, Population and Nutrition. 2016 Dec;35(1):1-8.
8- Jacquelyn M Powers, MD, MS. Iron deficiency in infants and children< 12 years: Screening, prevention, clinical manifestations, and diagnosis. UpToDate. 2020.
9- Al-Alimi, A. A, Bashanfer, S, & Morish, M. A. Prevalence of iron deficiency anemia among university students in Hodeida Province, Yemen. Anemia, 2018. Apr 23; 4157876.
10- Mirzaei H, Shojaeizadeh D, Tol A, Shirzad M. Application of Health Belief Model (HBM) to promote preventive behaviors against iron-deficiency anemia among female students of High School Fereydan City: A quasi-experimental study. Iranian Journal of Health Education and Health Promotion. 2017 Nov 10;5(4):260-9. [Persian]
11- Mills, N. T, Maier, R, Whitfield, J. B, Wright, M. J, Colodro-Conde, L, Byrne, E. M, & CouvyDuchesne, B. (2017). Investigating the relationship between iron and depression. Journal of psychiatric research,2017, 94, 148-155.
12- toghiani S, karimi A. The Association of Anemia with Learning and Memory in Students of Imam Raouf Educational Complex of Isfahan, Zanko J Med Sci 2019; 20 (66) :46-55[Persian]
13- Lipoeto NI, Effendi N. The Analysis of Anemia Prevention Model in Pregnant Women in Banten. Journal of Pharmacy and Nutrition Sciences. 2019 Oct 5;9(6):316-22.
14- Houston BL, Hurrie D, Graham J, Perija B, Rimmer E, Rabbani R, Bernstein CN, Turgeon AF, Fergusson DA, Houston DS, Abou-Setta AM. Efficacy of iron supplementation on fatigue and physical capacity in non-anaemic iron-deficient adults: a systematic review of randomised controlled trials. BMJ open. 2018 Apr 1;8(4).
15- Tabatabai A , Yosefi Z , Motamedi M , Taheri S , The effectiveness of dialectical behavior therapy on depression and anxiety in adolescent girls with a history of self-harm , 2021, 13:1 , Mar 13-22.[Persian]
16- Rajabi GH , Shamoni Ahvazi Sh , Aman Elahi A , The effect of group cognitive-behavioral therapy on reducing depressive symptoms in adolescent girls ,Mar 2018 ,15 (29) , 125-148 .[Persian]
17- Sajadian A, Raji Lahiji M , Zarati M , Haghighat S , Zahrakar K , Effect of Logo Therapy on Anxiety and Depression in Breast Cancer Survivors Receiving Nutrition Counseling , Iranian Quarterly Journal of Breast Disease. 2020; 13(3):8-19.[Persian]
18- gholamreza Noorazar S, Ranjbar F, Nemati N, Yasamineh N, Kalejahi P. Relationship between severity of depression symptoms and iron deficiency anemia in women with major depressive disorder. Journal of Research in Clinical Medicine. 2015 Nov 30;3(4):219-24. [Persian]
19- Shafi M, Taufiq F, Mehmood H, Afsar S, Badar A. Relation between depressive disorder and Iron deficiency Anemia among adults reporting to a secondary healthcare facility: a hospital-based case control study. J Coll Physicians Surg Pak. 2018 Jun 1;28(6):456-559.
20- Thero VS. Family Dynamics and Health in Post Covid-19. Clinical Research and Clinical Case Reports. 2021 Jun 16;1(4).
21- Zeighami R , Javdani H , Alipor Heidari M , Ghadami E , The effect of implementing the family-centered empowerment model on depression in patients with major depressive disorder , Nursing and Midwifery Journal 2019; 17 (7) :535-545[Persian]
22- Mansouri Z , Pourmovahed Z , Zarei Mahmoudabadi H , Investigating the effect of family-centered care on the family functioning of premature babies hospitalized in the neonatal intensive care unit , Nursing and Midwifery Journal 2021 ,19(10) , 773-782.[Persian]
23- Amini R , Barkhordar A , Sadeghi A , Tapak L , Investigating the effect of family-centered education on the care knowledge of caregivers of patients admitted to the burn department of Baath Hospital in 2018 , Nursing and Midwifery Journal 2020 , Jun 17(12) ,985-994 .[ Persian]
24- Ghasemian S, Hojjati Zidashti Z. The Effect of Combined Exercise Training and Feroglobin Supplementation on Serum Iron and Lipid Profile in Women with Iron Deficiency Anemia. Qom Univ Med Sci J 2018; 12 (2) :84-93[Persian]
25- Baji Z, Baesi A, Shakerinejad Gh, Tehrani M, Hajinajaf S, Jarvandi F , The Effect of Education Based on Health Belief Model on Eating |Behaviors and Weight Control on Female High School Students in Ahwaz , Ijhehp 2018; 6(3): 231-240[Persian]
26- Ghasemi M, Gholami M, Daneshpazhooh M. The effect of family-centered empowerment model on quality of life of female patients with pemphigus vulgaris referred to Razi hospital. Iranian Journal of Nursing Research. 2018 Sep 10;13(3):1-0. [Persian]
27- Smets EM, Garssen B, Bonke BD, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. Journal of psychosomatic research. 1995 Apr 1;39(3):315-25.
28- Beck AT, Ward C, Mendelson M. Beck depression inventory (BDI). Arch Gen Psychiatry. 1961.
29- Hamidi R. Validity and reliability Beck depression inventory-II among the Iranian elderly population. 2015. 189-198. [Persian]
30- Chehrehgosha M, Dastourpour M, Sanagu A, Mohamadi A. Cancer-related Fatigue and its Relationship with Demographic and Clinical Characteristics. Jorjani Biomed J. 2013; 1 (2):24-31. [Persian]
31- Badr M. Madani , Abdulslam M. Alsulami II , Ibrahim A. Abu alola , Saad M. Alasmari , Faisal M. Khoujah , Osama M. Andijani , Mshari A. Alhomrani , Sari S. Alhomrani , Saeed S. Alquhaibi , Faisal S. Alsulami , Waleed A. Ibrahim , Bakor A. Abu alola , Ali H. Alqarni , Prevalence of Anemia Among Children and Adolescents in Rural Area of Khulais in Saudi Arabia , 2022 , Cureus 14(2) .
32- Rostami S, Namaki KHameneh S, Keikhaei Dehdezi B, Haghighizadeh MH. The Effect of Family-centered Empowerment on Quality of Life in Children with Hemophilia. Avicenna Journal of Nursing and Midwifery Care. 2020 Mar 10;28(1):1-0. [Persian]
33- Prochaska MT, Newcomb R, Block G, Park B, Meltzer DO. Association between anemia and fatigue in hospitalized patients: does the measure of anemia matter?. Journal of hospital medicine. 2017 Nov;12(11):898.
34- Dalvand H, Fiyani R, Bagheri H, An overview of the family-centered program approach , Peugeot Heshi Novin Scientific Journal, Tehran University of Medical Sciences, 2019, 8(1) 1-9. [Persian]
35- The book The Power of Planning by Brian Tracy, translated by Yalda Blark, Mehran Publications, 2021. [Persian]
Type of Study: Research |
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Received: 2022/06/7 | Accepted: 2022/10/10 | Published: 2023/01/20
Received: 2022/06/7 | Accepted: 2022/10/10 | Published: 2023/01/20
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