A study of Knowledge, Attitude, Practice and Hospital Facilities Provided to Individuals with Positive Sickle Cell status in South Gujarat: A Cross-Sectional Study

Asha K. Tatipamul, Ekta Mehta, Mirali Patel
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Abstract

Background: Sickle cell disease (SCD) is a group of inherited red blood cell disorders and is a genetically transmitted autosomal recessive hemoglobinopathy that causes significant morbidity and mortality. Sickle cell anemia patients experience blood-related problems, which can be identified through clinical examination or family history. It is connected to episodes of severe illness and the development of organ damage. This causes illnesses that affect not only the organs but also the tissues, increasing the risk of infection and causing painful events such as anemia and tissue damage. Therefore, in order to combat this sickness, we must concentrate on this tribal community. So the aim of our study was to assess the Attitude, Knowledge, Practice and hospital facilities provided to patients with positive Sickle cell anemia status. Methodology: Total 226 Individuals with Positive sickle cell status who met inclusion and exclusion criteria were recruited in our study. After getting informed consent from participants, a Self structured questionnaire was filled by participants. Results: Descriptive statistics and frequency analysis was used to analyze the data. Majority of them 212 (93.8) had ever heard about sickle cell anaemia with the highest source of information was from Education (40.7%) followed by health care professionals (34.1%). More than half of the participants (85.4%) knew about signs and symptoms with fatigue (31.8%) and joint pain (20.8%) were the most common one. Majority of the respondents knew how SCD is diagnosed. 154 (68.1%) and 101 (44.7%) participants responded positively to their sickling status and premarital counseling respectively. Near half of the applicable respondent (34.1%) knew about sickling status of their partners before marriage or first child and (32.7%) knew about their children’s sickle cell status. 157 individuals were aware of government services in which Anemia Mukt Bharat (87.9%) was most commonly used by them. More than half of the individuals (74.8%) agreed that they are getting high quality care from the hospitals. Conclusion: Participants had showed moderate knowledge, attitude and practice on Sickle cell disease. Hospitals were delivering high quality care by providing different services and medical facilities among tribal population. Key words: Sickle cell disease, knowledge, practice, attitude, hospital, questionnaire
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南古吉拉特邦镰状细胞阳性患者的知识、态度、实践和医院设施研究:横断面研究
背景:镰状细胞病(SCD)是一组遗传性红细胞疾病,是一种遗传性常染色体隐性血红蛋白病,会导致严重的发病率和死亡率。镰状细胞性贫血患者会出现与血液有关的问题,可通过临床检查或家族病史确定。镰状细胞性贫血与严重疾病的发作和器官损伤的发展有关。这种疾病不仅会影响器官,还会影响组织,增加感染的风险,造成贫血和组织损伤等痛苦。因此,为了与这种疾病作斗争,我们必须集中精力关注这个部落群体。因此,我们的研究旨在评估镰状细胞性贫血阳性患者的态度、知识、实践和医院设施:本研究共招募了 226 名符合纳入和排除标准的镰状细胞阳性患者。在获得参与者的知情同意后,参与者填写了一份自我结构化问卷:采用描述性统计和频率分析法对数据进行分析。大多数参与者(212 人,93.8%)曾听说过镰状细胞贫血症,其中最多的信息来源是教育(40.7%),其次是医护人员(34.1%)。超过半数的参与者(85.4%)了解症状和体征,其中最常见的是疲劳(31.8%)和关节疼痛(20.8%)。大多数受访者知道如何诊断 SCD。分别有 154 名(68.1%)和 101 名(44.7%)受访者对他们的患病状况和婚前咨询做出了积极回应。近一半的受访者(34.1%)在婚前或生育第一胎时了解其伴侣的镰状细胞状况,32.7%的受访者了解其子女的镰状细胞状况。157 人知道政府提供的服务,其中最常使用的是 "贫血 Mukt Bharat"(87.9%)。超过一半的受试者(74.8%)认为他们从医院获得了高质量的治疗:参与者对镰状细胞病的认识、态度和实践均处于中等水平。结论:参与者对镰状细胞病的认识、态度和实践都处于中等水平,医院通过向部落居民提供不同的服务和医疗设施,提供了高质量的医疗服务:镰状细胞病、知识、实践、态度、医院、问卷调查
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