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Volume 16, Issue 2 (June 2024 2024)
Iranian Journal of Blood and Cancer 2024, 16(2): 51-59 |
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Karbasian F, Nikfarjam M, Noorizadeh K, Abbasi-Kashkooli A, Eshghi P, Reihani H. Evaluation of the Home Safety and Child-friendly Environment for Children with Bleeding Tendency Disorders. Iranian Journal of Blood and Cancer 2024; 16 (2) :51-59
URL: http://ijbc.ir/article-1-1502-en.html
URL: http://ijbc.ir/article-1-1502-en.html
Fereshteh Karbasian1 
, Maral Nikfarjam2 , Kiarash Noorizadeh3 , Ali Abbasi-Kashkooli3 , Peyman Eshghi4 , Hamid Reihani * 5
, Maral Nikfarjam2 , Kiarash Noorizadeh3 , Ali Abbasi-Kashkooli3 , Peyman Eshghi4 , Hamid Reihani * 5
1- Department of pediatric gastroenterology and hepatology, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Pediatric, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
4- Pediatric Congenital Hematologic Disorders, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran ,hmid.reihani@gmail.com
2- Department of Pediatric, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
4- Pediatric Congenital Hematologic Disorders, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract: (277 Views)
Background: This study aims to assess the safety level of the different home parts for children with a bleeding tendency disorder (especially hemophilia) and identify the elements that affect this safety.
Materials and methods: We conducted a cross-sectional study on the children referred to the Mofid Children’s Hospital from the beginning of 2018 to the end of 2020. Information was gathered via a checklist. Inclusion criteria were children between 1 to 5 years old with bleeding tendencies, and exclusion criteria were the presence of other disorders. The safety was measured in five areas at home: 1- physical conditions 2- kitchen 3- bathroom 4- toys 5- first aid equipment and essential phone numbers.
Results: Forty-one children participated in this study which 31 (75.61 %) were boys. Eleven (28.95 %) children experienced zero accidents at home and eight (21.05 %) children experienced more than three accidents at home. The Mean and 95% confidence interval scores were 7.97 (7.37-8.57) for the physical condition section, 8.22 (7.73-8.70) for the kitchen section, 8.15 (7.66-8.65) for the bathroom section, 7.93 (7.15-8.71) for the toys section, and 7.30 (6.60-8.01) for the first aid equipment and essential phone numbers section. The physical condition safety score was significantly higher in families whose fathers had a college education than in fathers with secondary and diploma education (P-value = 0.024). The kitchen section safety score was significantly higher in families where the father has a freelance job than the employee or worker (P-value = 0.040).
Materials and methods: We conducted a cross-sectional study on the children referred to the Mofid Children’s Hospital from the beginning of 2018 to the end of 2020. Information was gathered via a checklist. Inclusion criteria were children between 1 to 5 years old with bleeding tendencies, and exclusion criteria were the presence of other disorders. The safety was measured in five areas at home: 1- physical conditions 2- kitchen 3- bathroom 4- toys 5- first aid equipment and essential phone numbers.
Results: Forty-one children participated in this study which 31 (75.61 %) were boys. Eleven (28.95 %) children experienced zero accidents at home and eight (21.05 %) children experienced more than three accidents at home. The Mean and 95% confidence interval scores were 7.97 (7.37-8.57) for the physical condition section, 8.22 (7.73-8.70) for the kitchen section, 8.15 (7.66-8.65) for the bathroom section, 7.93 (7.15-8.71) for the toys section, and 7.30 (6.60-8.01) for the first aid equipment and essential phone numbers section. The physical condition safety score was significantly higher in families whose fathers had a college education than in fathers with secondary and diploma education (P-value = 0.024). The kitchen section safety score was significantly higher in families where the father has a freelance job than the employee or worker (P-value = 0.040).
Conclusion: The mother’s age, father’s educational level, and father’s job are the factors that affect the level of safety significantly. Providing toys that are age-appropriate and safe (without separable parts or holes) could be an important point for parents with children with bleeding disorders.
Keywords: Bleeding tendency disorders, Hemophilia, Home safety, Living condition, Blood Coagulation Disorders.
: Original Article |
Subject:
Pediatric Hematology & Oncology
Received: 2024/03/1 | Accepted: 2024/04/19 | Published: 2024/06/30
Received: 2024/03/1 | Accepted: 2024/04/19 | Published: 2024/06/30
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