Abstract:
To describe self‐management recommendations for sickle cell disease
(SCD) care among health professionals who manage SCD in Ghana.
Method: Nine health care professionals (nurses, doctors, and physician assistants)
who work in SCD were interviewed. The semistructured interviews were recorded,
transcribed, and analysed using the qualitative content analysis method. Self‐management
recommendations were conceptualised as preventive health, self‐monitoring,
self‐diagnosis, self‐treatment, and self‐evaluation.
Results: Preventive health recommendations were the commonest, where the pro fessionals described similar topics including avoidance of cold temperature, frequent
oral hydration, and healthy nutrition. Self‐monitoring recommendations included
regular checks for pallor, urine colour, and splenic enlargement. Self‐diagnosis recom mendations were captured as warning signs and included pain, fever, unusual feelings,
and enlarged spleen. Pain and fever management were the focus of most self‐treat ment advice, and there were some self‐treatment recommendations for dactylitis,
anaemia, and priapism. There was considerable variation in the strategies recom mended for the management of individual SCD‐related problems.
Conclusion: Ghanaian health professionals involved in SCD care provide limited and
inconsistent self‐management recommendations. There is a need for the development
of SCD standards and guidelines that support effective self‐management. Health
professionals working in SCD require continuing education in self‐management.
