Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study

IntroductionPrimary immunodeficiency diseases (PIDs) are chronic diseases that affect the various aspects of a patient’s life. However, the impact of living with PIDs is poorly described.ObjectiveThis study aimed to explore the living experience challenges among the Malaysian caregivers of the patie...

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Main Authors: Ruwaydah Ahmed Meelad, Intan Juliana Abd Hamid, Ilie Fadzilah Hashim, Zarina Thasneem Zainudeen, Firdaus Farhani Abu Bakar, Fahisham Taib, Norsarwany Mohamad, Ernest Mangantig, Intan Hakimah Ismail, Amir Hamzah Abdul Latiff, Lokman Mohd Noh
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.846393/full
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author Ruwaydah Ahmed Meelad
Intan Juliana Abd Hamid
Ilie Fadzilah Hashim
Zarina Thasneem Zainudeen
Firdaus Farhani Abu Bakar
Fahisham Taib
Norsarwany Mohamad
Ernest Mangantig
Intan Hakimah Ismail
Amir Hamzah Abdul Latiff
Lokman Mohd Noh
author_facet Ruwaydah Ahmed Meelad
Intan Juliana Abd Hamid
Ilie Fadzilah Hashim
Zarina Thasneem Zainudeen
Firdaus Farhani Abu Bakar
Fahisham Taib
Norsarwany Mohamad
Ernest Mangantig
Intan Hakimah Ismail
Amir Hamzah Abdul Latiff
Lokman Mohd Noh
author_sort Ruwaydah Ahmed Meelad
collection DOAJ
description IntroductionPrimary immunodeficiency diseases (PIDs) are chronic diseases that affect the various aspects of a patient’s life. However, the impact of living with PIDs is poorly described.ObjectiveThis study aimed to explore the living experience challenges among the Malaysian caregivers of the patients with PID who underwent a follow-up in the Universiti Sains Malaysia or those registered members of the Malaysian PIDs Society.MethodologyThe study was conducted from March 1 to May 30, 2021. The parents of children with PIDs were invited to participate for a semi-structured in-depth interview at the PID clinics in the USM. The estimated time of each interview was 30 min. The semi-structured interview was performed via a telephone call because of COVID-19 pandemic restrictions. The audio recording of each interview was transcribed and translated from Malay to English. Subsequently, a thematic analysis utilizing the ATLAS.ti software was performed.ResultsThe thematic analysis revealed five main themes, which are living with fear and anxiety with four sub-themes (sickness, psychological issues, fear of infections and hereditary issues), PID healthcare support struggles with four sub-themes (PID health system, treatment, diagnosis and financial issues), knowledge with two sub-themes (educational issues and disease understanding), social constraint with two sub-themes (relationships and social isolations) and coping with three sub-themes (acceptance, child health improvement and emotional hygiene).ConclusionLiving with fear and anxiety is a major theme impacting the living experiences of Malaysian patients with PIDs. Improvements in healthcare delivery and disease education are needed to ensure optimal quality of life.
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spelling doaj.art-3cced593558d4a1f9c69aea05e6642222022-12-21T18:20:49ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-03-011010.3389/fped.2022.846393846393Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative StudyRuwaydah Ahmed Meelad0Intan Juliana Abd Hamid1Ilie Fadzilah Hashim2Zarina Thasneem Zainudeen3Firdaus Farhani Abu Bakar4Fahisham Taib5Norsarwany Mohamad6Ernest Mangantig7Intan Hakimah Ismail8Amir Hamzah Abdul Latiff9Lokman Mohd Noh10Primary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaPrimary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaPrimary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaPrimary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaPrimary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaDepartment of Paediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MalaysiaDepartment of Paediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MalaysiaPrimary Immunodeficiency Diseases Group, Department of Clinical Medicine, Institut Perubatan dan Pergigian Termaju, Universiti Sains Malaysia, Kepala Batas, MalaysiaDepartment of Paediatrics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MalaysiaPantai Hospital, Kuala Lumpur, MalaysiaHospital Tunku Azizah, Kuala Lumpur, MalaysiaIntroductionPrimary immunodeficiency diseases (PIDs) are chronic diseases that affect the various aspects of a patient’s life. However, the impact of living with PIDs is poorly described.ObjectiveThis study aimed to explore the living experience challenges among the Malaysian caregivers of the patients with PID who underwent a follow-up in the Universiti Sains Malaysia or those registered members of the Malaysian PIDs Society.MethodologyThe study was conducted from March 1 to May 30, 2021. The parents of children with PIDs were invited to participate for a semi-structured in-depth interview at the PID clinics in the USM. The estimated time of each interview was 30 min. The semi-structured interview was performed via a telephone call because of COVID-19 pandemic restrictions. The audio recording of each interview was transcribed and translated from Malay to English. Subsequently, a thematic analysis utilizing the ATLAS.ti software was performed.ResultsThe thematic analysis revealed five main themes, which are living with fear and anxiety with four sub-themes (sickness, psychological issues, fear of infections and hereditary issues), PID healthcare support struggles with four sub-themes (PID health system, treatment, diagnosis and financial issues), knowledge with two sub-themes (educational issues and disease understanding), social constraint with two sub-themes (relationships and social isolations) and coping with three sub-themes (acceptance, child health improvement and emotional hygiene).ConclusionLiving with fear and anxiety is a major theme impacting the living experiences of Malaysian patients with PIDs. Improvements in healthcare delivery and disease education are needed to ensure optimal quality of life.https://www.frontiersin.org/articles/10.3389/fped.2022.846393/fullMalaysiaprimary immunodeficiencyinborn errors of immunitythematic analysisliving experiencequality of life
spellingShingle Ruwaydah Ahmed Meelad
Intan Juliana Abd Hamid
Ilie Fadzilah Hashim
Zarina Thasneem Zainudeen
Firdaus Farhani Abu Bakar
Fahisham Taib
Norsarwany Mohamad
Ernest Mangantig
Intan Hakimah Ismail
Amir Hamzah Abdul Latiff
Lokman Mohd Noh
Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
Frontiers in Pediatrics
Malaysia
primary immunodeficiency
inborn errors of immunity
thematic analysis
living experience
quality of life
title Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
title_full Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
title_fullStr Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
title_full_unstemmed Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
title_short Impact of Primary Immunodeficiency Diseases on the Life Experiences of Patients in Malaysia From the Caregivers’ Perspective: A Qualitative Study
title_sort impact of primary immunodeficiency diseases on the life experiences of patients in malaysia from the caregivers perspective a qualitative study
topic Malaysia
primary immunodeficiency
inborn errors of immunity
thematic analysis
living experience
quality of life
url https://www.frontiersin.org/articles/10.3389/fped.2022.846393/full
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