Behavioral Factors Related to the Occurrence, Exacerbation, and Control of Hemophilic Bleeding

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  • 血友病性出血の発生・悪化及び抑制に関わる行動的要因
  • ケツユウビョウセイ シュッケツ ノ ハッセイ アッカ オヨビ ヨクセイ ニ カ

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Abstract

Prompt treatment of children with hemophilia can prevent chronic arthropathy and physical dysfunction. It is important to recognize hemophilic bleeding at an early stage, to ensure prompt treatment. The purposes of the present paper are as follows: (1) to investigate the factors that interfere with the recognition of hemophilic bleeding and with effective treatment of it; and (2) to investigate the factors that facilitate recognition and effective treatment of hemophilic bleeding. Six bleeding episodes in four adult patients with hemophilia were analyzed. The results indicate that the following 8 factors interfere with the recognition and effective treatment of hemophilic bleeding: (1)an unusual cause of the bleeding; (2) a failure to maintain the pattern of daily activity; (3) succumbing to social pressure; (4) a delay in investigating and identifying the cause of the bleeding; (5) neglect of early symptoms of bleeding; (6) a delay in confirming that there is bleeding; (7) inappropriate coping behavior; and (8) a delay in coping behavior. Also, the results indicate that the following 6 factors facilitate the recognition and effective treatment of hemophilic bleeding; (1) maintenance and improvement of daily activity patterns; (2) confronting social pressure; (3) attempts to determine the cause of bleeding; (4) investigating the early symptoms of bleeding; (5) coping behavior based on confirmation of the bleeding; and (6) coping behavior based on previous bleeding experiences. These findings are discussed from the perspective of the organization of experience with hemophilic bleeding, psychological defense mechanism, and self-efficacy.

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