Nursing Care of a Patient Diagnosed with Thalassemia Major According to Gordon’s Functional Health Patterns Model: A Case Report
Abstract
Introduction: Thalassemia is a subtype of Mediterranean anemia, a genetic disease, and is caused by genetic defects during the synthesis of the hemoglobin molecule. It is closely associated with errors in the α and β globin synthesis genes. This genetic disorder can cause various problems in basic health areas.
Case Report: B.A., a 15-year-old girl, was diagnosed with thalassemia and type 1 diabetes, resulting in frequent hospitalizations due to fatigue, infections, and blood sugar management issues. She also faced stress, emotional instability, and a decline in her quality of life. A comprehensive assessment using Gordon’s Functional Health Patterns Model identified nursing diagnoses by NANDA-I (North American Nursing Diagnosis Association - International). B.A.’s family, with limited knowledge about her conditions, actively participated in educational programs. Interventions included stress management, patient education, family training, psychosocial support, and physical rehabilitation.
Conclusion: Results of these interventions lead to improvements in B.A.’s stress, self-esteem, sleep, attention, and physical activity. This case highlights the effectiveness of Gordon’s Model in managing thalassemia and diabetes, positively impacting B.A.’s quality of life. It is recommended that future qualitative and quantitative studies or case presentations, be conducted with larger sample sizes.
Ethical Statement
The study has been approved by the Ethics Committee of the Faculty of Social and Humanities, Dicle University (Date: 26/12/2023 / No: 624911).
References
- Altundağ, S. (2016). Nursing theories in thalassemia disease. Gümüşhane University Health Sciences Journal, 5(3), 133-138.
- Atagün, Ö.S., and Altuntaş, D.A. (2022). Evaluation of oral and periodontal status of thalassemia patients. Health & Science, 2022: Odontology-II, 69.
- Ceylan, S.S., Çetinkaya, B., Sarıkaya Karabudak, S., Becit, N., and Kahraman, S. (2018). Investigation of factors affecting the quality of life in children and adolescents with beta-thalassemia. Bulletin of Clinical Hematology & Diseases, 1, 1-9. https://doi.org/10.5222/buchd.2018.015
- Cin, A., and Hintistan, S. (2022). Nursing care of patients with congestive heart failure, hypertension, type 2 diabetes, cardiomegaly, and acromegaly according to Gordon's model of functional health patterns and NANDA nursing diagnoses: A case report. Turkish Journal of Diabetes Nursing, 2(1). https://doi.org/10.29228/tjdn.58093
- Ertuğrul, T. (2009). Evaluation of diastolic functions in children and adolescents with beta thalassemia major by tissue doppler method [Unpublished master's thesis]. Istanbul University, Department of Child Health and Diseases.
- Herdman, T. H., Kamitsuru, S., and Lopes, C. (Eds.). (2024). NANDA-I international nursing diagnoses: Definitions & classification, 2024-2026 (13th ed.). Thieme.
- Karaaziz, M., and Okyayuz, Ü.H. (2020). Examination of the compliance of a thalassemia patient with the disease: A case report. Cukurova Medical Journal, 45(1), 362–369. https://doi.org/10.17826/cumj.631649
- Kazgan, T., and Küpeli, B.Y. (2017). Respiratory system disorders in thalassemia. Archive Source Scanning Journal, 26(3), 352-377. https://doi.org/10.17827/aktd.303592
- Keklik, D., Nazik, E., and Karaçay Yıkar, S. (2023). Applying Gordon’s functional health patterns model to a child with thalassemia major and Watson’s human caring theory to the child’s mother: A holistic case report. Uluborlu Mesleki Bilimler Dergisi, 6(1), 43-56.
- Konca, Ç., Yıldırım, R., Dikici, B., and Taş, M.A. (2013). Splenectomy in patients with thalassemia major: Evaluation of thirty-five cases. Journal of Dr. Behcet Uz Children's Hospital, 3(3). https://doi.org/10.5222/buchd.2013.186
- Sürer Adanır, A., Taşkıran, G., Koparan, C., and Özatalay, E. (2017). Evaluation of social, emotional and behavioral difficulties in adolescents with beta thalassemia and psychopathology in their parents. Current Pediatrics, 15(3), 26-32.
- Turkish Statistical Institute (TUIK). (2022). Consanguineous marriage statistics, 2022. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Aile-2022-49683.
Gordon’un Fonksiyonel Sağlık Örüntüleri Modeline Göre Talasemi Majör Tanısı Konan Bir Hastanın Hemşirelik Bakımı: Bir Vaka Sunumu
Abstract
Giriş: Talasemi, Akdeniz anemisinin bir alt tipi olan genetik bir hastalıktır ve hemoglobin molekülünün sentezi sırasında oluşan genetik kusurlardan kaynaklanır. α ve β globin sentez genlerindeki hatalarla yakından ilişkilidir. Bu genetik bozukluk temel sağlık alanlarında çeşitli sorunlara neden olabilir.
Olgu Sunumu: 15 yaşında bir kız olan B.A.'ya talasemi ve tip 1 diyabet teşhisi kondu ve bu da yorgunluk, enfeksiyonlar ve kan şekeri yönetimi sorunları nedeniyle sık sık hastaneye yatmasına neden oldu. Ayrıca stres, duygusal dengesizlik ve yaşam kalitesinde düşüş yaşadı. Gordon’un Fonksiyonel Sağlık Modelleri Modeli kullanılarak yapılan kapsamlı bir değerlendirme, NANDA-I (Kuzey Amerika Hemşirelik Tanı Derneği - Uluslararası) tarafından konulan hemşirelik tanılarını belirledi. B.A.'nın ailesi, onun durumu hakkında sınırlı bilgiye sahip olmalarına rağmen, eğitim programlarına aktif olarak katıldı. Müdahaleler arasında stres yönetimi, hasta eğitimi, aile eğitimi, psikososyal destek ve fiziksel rehabilitasyon yer aldı.
Sonuç: Bu müdahalelerin sonuçları B.A.'nın stresinde, öz saygısında, uykusunda, dikkatinde ve fiziksel aktivitesinde iyileşmelere yol açmıştır. Bu vaka, Gordon Modeli’nin talasemi ve diyabetin yönetimindeki etkinliğini vurgulayarak B.A.'nın yaşam kalitesini olumlu yönde etkilemektedir. Gelecekte yapılacak nitel ve nicel araştırmaların veya vaka sunumlarının daha geniş örneklem büyüklükleriyle yapılması önerilmektedir.
Ethical Statement
Çalışma Dicle Üniversitesi Sosyal ve Beşeri Bilimler Fakültesi Etik Kurulu tarafından onaylanmıştır (Tarih: 26/12/2023 / Sayı: 624911).
References
- Altundağ, S. (2016). Nursing theories in thalassemia disease. Gümüşhane University Health Sciences Journal, 5(3), 133-138.
- Atagün, Ö.S., and Altuntaş, D.A. (2022). Evaluation of oral and periodontal status of thalassemia patients. Health & Science, 2022: Odontology-II, 69.
- Ceylan, S.S., Çetinkaya, B., Sarıkaya Karabudak, S., Becit, N., and Kahraman, S. (2018). Investigation of factors affecting the quality of life in children and adolescents with beta-thalassemia. Bulletin of Clinical Hematology & Diseases, 1, 1-9. https://doi.org/10.5222/buchd.2018.015
- Cin, A., and Hintistan, S. (2022). Nursing care of patients with congestive heart failure, hypertension, type 2 diabetes, cardiomegaly, and acromegaly according to Gordon's model of functional health patterns and NANDA nursing diagnoses: A case report. Turkish Journal of Diabetes Nursing, 2(1). https://doi.org/10.29228/tjdn.58093
- Ertuğrul, T. (2009). Evaluation of diastolic functions in children and adolescents with beta thalassemia major by tissue doppler method [Unpublished master's thesis]. Istanbul University, Department of Child Health and Diseases.
- Herdman, T. H., Kamitsuru, S., and Lopes, C. (Eds.). (2024). NANDA-I international nursing diagnoses: Definitions & classification, 2024-2026 (13th ed.). Thieme.
- Karaaziz, M., and Okyayuz, Ü.H. (2020). Examination of the compliance of a thalassemia patient with the disease: A case report. Cukurova Medical Journal, 45(1), 362–369. https://doi.org/10.17826/cumj.631649
- Kazgan, T., and Küpeli, B.Y. (2017). Respiratory system disorders in thalassemia. Archive Source Scanning Journal, 26(3), 352-377. https://doi.org/10.17827/aktd.303592
- Keklik, D., Nazik, E., and Karaçay Yıkar, S. (2023). Applying Gordon’s functional health patterns model to a child with thalassemia major and Watson’s human caring theory to the child’s mother: A holistic case report. Uluborlu Mesleki Bilimler Dergisi, 6(1), 43-56.
- Konca, Ç., Yıldırım, R., Dikici, B., and Taş, M.A. (2013). Splenectomy in patients with thalassemia major: Evaluation of thirty-five cases. Journal of Dr. Behcet Uz Children's Hospital, 3(3). https://doi.org/10.5222/buchd.2013.186
- Sürer Adanır, A., Taşkıran, G., Koparan, C., and Özatalay, E. (2017). Evaluation of social, emotional and behavioral difficulties in adolescents with beta thalassemia and psychopathology in their parents. Current Pediatrics, 15(3), 26-32.
- Turkish Statistical Institute (TUIK). (2022). Consanguineous marriage statistics, 2022. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Aile-2022-49683.
Details
| Primary Language | English |
|---|---|
| Subjects | Pediatric Health and Illnesses Nursing |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | April 14, 2025 |
| Submission Date | December 5, 2024 |
| Acceptance Date | March 28, 2025 |
| Published in Issue | Year 2025 Issue: 11 |
Artuklu Health is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License.