title: Practice of Iranian Adolescents with Hemophilia in Prevention of Complications of Hemophilia.
abstract: BACKGROUND
  Prerequisite for management of a chronic disease involves knowledge about its complications and their prevention. Hemophilia in adolescents influences all the aspects of their lives and thier performance.
  
  
  OBJECTIVE
  The present study aimed to determine the performance of Iranian hemophilic adolescents in prevention of disease complications.
  
  
  METHODS
  In this descriptive-analytical study, 108 adolescents with hemophilia were selected through convenience sampling. Their performance in preventing the complications of hemophilia was evaluated by sending a semi-structured questionnaire to their addresses throughout Iran. Then, the data was analysed using the Statistical Package for Social Sciences (SPSS) software (v. 13) and descriptive and interferential statistics were used.
  
  
  RESULTS
  Overall, 32.1% of the participants controlled bleeding during the 1(st) hour. Inaccessibility of coagulation products was mainly responsible for inhibiting timely and proper bleeding control. In order to relieve bleeding associated pain, only 39.0% of the adolescents used analgesics. On the other hand, 19.8% of the subjects used nonpharmacological methods to relieve pain. The majority of the adolescents did not participate in sport activities (65.4%) others allocated less than 5 hours a week to physical activities (70.5%). In addition, the participants did not have favorable dietary patterns, exercise habits, and dental care. The results showed a significant relationship between the adolescents' preventive practice with coagulation disorders and utilization of pharmacological pain relief methods. Also, significant relationships were found between severity of the disease; participating in physical activities, number of hours of physical activities; and disease complications.
  
  
  CONCLUSIONS
  Iranian adolescents did not exhibit favorable practices towards complication prevention.
authors.affiliation: Department of Child and Family Health, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Valizadeh
authors.affiliation: Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Fahimeh Alsadat
authors.initials: FA
authors.lastname: Hosseini
authors.affiliation: Department of Medical-Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Zamanzadeh
authors.affiliation: Department of Medical-Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Heidarnezhad
authors.affiliation: Department of Medical-Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Madineh
authors.initials: M
authors.lastname: Jasemi
authors.affiliation: Department of Medical-Surgical Nursing, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Kamran Bagheri
authors.initials: KB
authors.lastname: Lankarani
keywords: Adolescents; Hemophilia; Practice; Prevention