Journal of Research in Nursing and Midwifery

Journal of Research in Nursing and Midwifery (JRNM) (ISSN: 2315-568) Vol. 6(3) pp. 040-046, August, 2017. DOI: http:/dx.doi.org/10.14303/JRNM.2014.009. Copyright © 2017 International Research Journals

 

Full Length Research Paper

Evaluation of health profiles of sickle-cell patients managed in University of Nigeria Teaching Hospital, Enugu Southeast, Nigeria

*Anyachukwu CC1, Ezema CI2, Onuegbu GC3, Eze SB4

*1,2,3Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Nsukka, Enugu Campus, Enugu Nigeria

4Department of Health Administration and Management, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Nsukka, Enugu Campus, Enugu Nigeria

*Corresponding author email: canice.anyachukwu@unn.edu.ng

Received July 3, 2014;  Accepted August 29, 2014

Abstract

 

Sickle cell anemia is a progressive hemoglobinopathy producing chronic hemolytic anemia, microvascular thrombosis, ischemic pain, tissue infarction, decreased quality of life, shortened life expectancy. The study evaluated health profiles of sickle-cell anaemia (SCA) patients. This simple random cross-sectional survey sampled 68 subjects undertaking treatment at the Sickle-Cell Clinic, University of Nigeria Teaching Hospital, Ituku-Ozalla between January to December, 2010; using an adapted and modified questionnaire which also used Visual Analogue scale to assess the pain levels. After which, data collected were analysed decriptively.  30(44%) and 38(56%) subjects were males and females respectively. 13(19.0%) SCD patients within <1-5years were most frequently treated and 2(2.9%) of 31-35 & >45years-the least. Prevalence of pain occurred among the entire 68 SCA patients. Pain provocative factors include Stress 53 (77.9%), Sitting 4(5.9%), and cold 2 (2.9%). 62 (91.2%) respondents reported direct proportional relationship between pain and Activities of Daily Living; with complications in all patients. Experts’ management involved 68(100%) haematologist and 9 (13.2%) physiotherapists. Patients’ percception of pain relief recorded 61(89.7%) temporal; anger and depression respectively recorded 1 (1.5%) post-treatment; and non in 5 (7.4%). Conclusively, pain perception was an important psychologic and therapeutics factor for the patients wellbeing post-treatment. However, SCA patients’ pain management required qualitative and clinical evidence-based multiagency healthcare services approach especially physiotherapy.

 

Keywords: Profiles, pain perceptions, management, sickle-cell patients, multiagency healthcare approach, Southeast and Nigeri

 

 

 

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