The effectiveness of resilience training and stress management (SMART) on the quality of life in patients with thalassemia major

Background: Thalassemia is one of the most common genetic diseases in Iran with different physical and  psychosocial consequences which affect these patients  quality of life . Objectives: The purpose of this study was to investigate the effect of resilience training and stress management on the quality of life in patients with thalassemia major in Kerman-Iran. Methods: In this quasi-experimental study with pre-test and post-test design and a control group, ۳۰ patients referred to Samen-al-Hojaj (AS) charity group, were selected by convenience sampling method and randomly divided into two experimental and control groups (each of ۱۵ patients). After completing the pre-test, the experimental group received ۱۰ sessions of training and stress management. Control group received no intervention. The data collection tool was the questionnaire of quality of life (SF-۳۶). Data were analyzed by SPSS software using the covariance analysis. Results: The results of the covariance analysis in the studied variables indicate that the effect of the group (experimental intervention) on the post-test of physical function, general health, the role limitation for physical and emotional health were significant and respectively were (P=۰.۰۰۵ and F=۱۱.۲۲), (P=۰.۰۰۱ and F=۱۶/۰۲) and (P=۰.۰۴۹, F=۴.۳). However, the effect of the group on the post-test of role limitation for emotional reasons, physical pain, social function, and fatigue or vitality were not significant and respectively were (P=۰.۲۰ and F=۱.۷۴۱), (P=۰.۷۷۴ and F=۰.۰۸۵), (P=۰.۶۷۴ and F=۰.۱۸۳ ) and (P=۰.۲۸۸ and F=۱.۲۰۳). Conclusion: According to the results, based on the effectiveness of stress relief and management on some components of the quality of life in patients with thalassemia major, this study can be used to reach an effective solution to improve the quality of life and generally improve the mental status of patients.  

Keywords:

resiliency training , stress management , quality of life , thalassemia major