Exploring the Meaning of Life in Individuals Suffering from Thalassemia
Abstract
People with Thalassemia live their lives with blood transfusions and take medication for the rest of their lives. This study aims to explore the meaning of life in individuals suffering from Thalassemia. The experience as an individual suffering from Thalassemia disease and the life meaning that the three participants achieved were explored qualitative, which was further analyzed using Interpretive Phenomenological Analysis (IPA). Participants were determined by the nonprobability sampling technique, which is purposive sampling with certain considerations as a sample and data source with the characteristics of individuals suffering from Thalassemia between 13-35 years old who have been diagnosed with Thalassemia disease since birth and always have blood transfusions at least 1 time a week. The themes that emerge from the three dimensions of the meaning of life are the personal, social dimensions and the dimensions of values. The life lived can make individuals feel more meaningful when they are able to accept their circumstances, live their routines well and do what they like and are considered goals. The findings of this study help individuals suffering from Thalassemia disease broadly to be more self-accepting, dare to have life goals and achieve them by still doing blood transfusions and taking medication regularly. The importance of structured psychosocial support, meaning-based counseling, and inclusive policies for individuals suffering from Thalassemia disease as well as enriching the understanding of the construction of life meaning through a phenomenological-interpretive approach that uncovers the role of cultural factors and subjective dynamics in dealing with chronic disease.
Downloads
References
Andersen, A. H., Assing Hvidt, E., Huniche, L., Hvidt, N. C., & Roessler, K. K. (2021). Why we suffer? Existential challenges of patients with chronic illness: A kierkegaardian inspired interpretative phenomenological analysis. Journal of Humanistic Psychology, 1–25. https://doi.org/10.1177/00221678211002439
Bahtiar, B., Sahar, J., & Winarsih, W. (2020). Meaning of life among elderly individuals with chronic diseases living with family: A qualitative study. Makara Journal of Health Research, 24(1), 35–40. https://doi.org/10.7454/msk.v24i1.1161
Bastaman, H. D. (2007). Logoterapi: Psikologi untuk menemukan makna hidup dan meraih hidup bermakna (Ed. 1 Cet.1). Jakarta Raja Grafindo Persada.
Bonino, S. (2020). Coping with chronic illness (1st ed.). Routledge. https://doi.org/10.4324/9780367822231
Bravo, L., Killela, M. K., Reyes, B. L., Santos, K. M. B., Torres, V., Huang, C.-C., & Jacob, E. (2020). Self-management, self-efficacy, and health-related quality of life in children with chronic illness and medical complexity. Journal of Pediatric Health Care, 34(4), 304–314. https://doi.org/10.1016/j.pedhc.2019.11.009
Budhiningtyas, K. A., & Astuti, R. S. (2025). Kebermaknaan hidup informal caregiver bagi anggota keluarga dengan penyakit kronis. EXPERIENTIA: Jurnal Psikologi Indonesia, 13(1), 21. https://doi.org/https://doi.org/10.33508/exp.v13i1.7292
Ferreira-Valente, A., Fontes, F., Pais-Ribeiro, J., & Jensen, M. P. (2021). The meaning making model applied to community-dwelling adults with chronic pain. Journal of Pain Research, 14, 2295–2311. https://doi.org/10.2147/JPR.S308607
Hasanah, I., Nursalam, Lei, C. P., Sari, A. S., Simanjuntak, S. R., Supinganto, A., Zulkahfi, Halid, S., Hadi, I., & Mulianingsih, M. (2025). Factors related to quality of life in children with chronic illness from their own perspectives: A cross-sectional study. Journal of Pediatric Nursing, 80, 218–227. https://doi.org/10.1016/j.pedn.2024.12.016
Hertini, R., Kurniati, E., & Suriany, S. (2024). Gambaran diri dengan kualitas hidup penderita Thalassemia di ruang anak blud RSU Kota Banjar. Jurnal Keperawatan Galuh, 6(1), 87–94. https://doi.org/10.25157/jkg.v6i1.12958
Himawan, F., Siska Laksanano, G., Studi, P. D., & Tegal Poltekkes Kemenkes Semarang, K. (2022). Pemberdayaan remaja dalam upaya sadar bebas thalasemia (SABET). JABI: Jurnal Abdimas Bhakti Indonesia, 3(2), 77–81. https://doi.org/https://ejournal.bhamada.ac.id/index.php/JABI/article/download/434/310
Inayati, A., Hasanah, U., & Maryuni, S. (2020). Dukungan keluarga dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di RSUD Ahmad Yani Metro. Jurnal Wacana Kesehatan, 5(2), 588–595. https://doi.org/https://doi.org/10.52822/jwk.v5i2.153
Kattamis, A., Forni, G. L., Aydinok, Y., & Viprakasit, V. (2020). Changing patterns in the epidemiology of β‐Thalassemia. European Journal of Hematology, 105(6), 692–703. https://doi.org/10.1111/ejh.13512
Khan, T., & Rauf, K. (2024). Examining meaning in life among patients with Thalassemia: A cross. Pakistan Journal of Clinical Psychology, 23(1), 19–31.
Klein, T. M., Andrees, V., Kirsten, N., Protz, K., Augustin, M., & Blome, C. (2021). Social participation of people with chronic wounds: A systematic review. International Wound Journal, 18(3), 287–311. https://doi.org/10.1111/iwj.13533
Kristianti, J., Widani, N. L., & Anggreaini, L. D. (2020). Pengalaman pertama menjalani hemodialisa pada pasien gagal ginjal kronik. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(03), 65–71. https://doi.org/10.33221/jiiki.v10i03.619
Kurniawati, A. M. W., & Monika, R. (2025). The relationship between family support and quality of life in adolescents with Thalassemia major. Holistic Nursing Plus, 3(1), 62–71. https://doi.org/10.58439/hnp.v3i1.327
Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors contributing to medication adherence in patients with a chronic condition: A scoping review of qualitative research. Pharmaceutics, 13(7), 1–41. https://doi.org/10.3390/pharmaceutics13071100
La Kahija, Y. F. (2018). Penelitian fenomenologis: Jalan memahami pengalaman hidup (Ke-2). PT Kanisius. https://doi.org/9789792154092
Latifah, U., & Suwarti. (2022). Meaning of life for prostate cancer patients. PSIMPHONI, 1(2), 2775–1805. https://doi.org/https://doi.org/10.30595/psimphoni.v1i2.8129
Liddiard, K. J., Brown, C. A., & Raynor, A. J. (2024). Positive association between patients’ perception of chronic pain rehabilitation as a personally meaningful experience and the flourishing aspect of well-being. Healthcare, 12(16), 1–11. https://doi.org/10.3390/healthcare12161655
Mariani, D., & Rochimat, I. (2023). Kebutuhan self-management bagi penyandang Thalassemia. Media Informasi, 19(1), 116–121. https://doi.org/10.37160/bmi.v19i1.194
Michalski, C. A., Diemert, L. M., Helliwell, J. F., Goel, V., & Rosella, L. C. (2020). Relationship between sense of community belonging and self-rated health across life stages. SSM - Population Health, 12, 100676. https://doi.org/10.1016/j.ssmph.2020.100676
Moore, T. L. (2024). Resilience of individuals with chronic illness who reside in low resource communities: a concept analysis. International Journal of Nursing Studies Advances, 7, 100215. https://doi.org/10.1016/j.ijnsa.2024.100215
Nunes, B., Riada, M. R., & Amseke, F. V. (2025). Peran dukungan sosial keluarga terhadap kebermaknaan hidup pasien hemodialisa di rumah sakit [The role of family social support on the meaningfulness of life of hemodialysa patients in the hospital]. Al-Qalbu: Jurnal Pendidikan, Sosial Dan Sains, 3(1), 8–17. https://doi.org/https://doi.org/10.59896/qalbu.v3i1.155
Nur, D. M., Marianti, L., & Aini, A. (2021). Konseling Individu Dengan Teknik Self Management dalam Proses Rehabilitas Orang dengan HIV/AIDS (ODHA). Ghaidan: Jurnal Bimbingan Konseling Islam dan Kemasyarakatan, 5(1), 35-40. https://doi.org/10.19109/ghaidan.v5i
Paloma, I. D. A. N. C. (2023). Talasemia : Sebuah tinjauan pustaka. Biocity Journal of Pharmacy Bioscience and Clinical Community, 1(2), 89–100. https://doi.org/10.30812/biocity.v1i2.2525
Pambuka, F. R. S., Rahmadi, S., Hidayat, W., Saputra, T. D. N. I., & Alamsyah, M. B. (2024). Pendekatan spiritualitas untuk kebermaknaan hidup penderita hipertensi. Indonesian Journal of Islamic Education and Local Culture, 2(1), 1–12. https://doi.org/10.22437/ijielc.v2i1.30888
Pasyar, N., Rambod, M., & Behrouzi, Z. (2020). The predictor role of perceived social support and spiritual intelligence in hope among Thalassemia patients. Malaysian Journal of Medical Sciences, 27(3), 75–83. https://doi.org/10.21315/mjms2020.27.3.8
Purc-Stephenson, R. J., & Edwards, R. (2024). Finding meaning in chronic illness and its relationship to psychological well-being: A mixed-methods study. PLOS Mental Health, 1(4), e0000121. https://doi.org/10.1371/journal.pmen.0000121
Purnama, H., Calisani, N. N. P., & Wulandari, E. S. R. (2021). Kebutuhan spiritualitas lansia dengan penyakit kronis: Literature Review. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(3), 26. https://doi.org/https://doi.org/10.33023/jikep.v7i3.811
Rishworth, A., Cao, T., Niraula, A., & Wilson, K. (2023). Navigating the quality-of-life impacts of a chronic inflammatory disease (CID) among South Asian children and parents. Social Science & Medicine, 326, 115. https://doi.org/10.1016/j.socscimed.2023.115914
Saprudin, N., & Sudirman, R. M. (2020). Peningkatan sikap dan motivasi orang tua tantang perawatan pasca transfusi pada anak thalasemia melalui pemberian komunikasi informasi berbasis audio visual di Kabupaten Kuningan. Journal of Nursing Practice and Education, 1(1), 43–57. https://doi.org/10.34305/jnpe.v1i1.195
Sartika, N., & Allenidekania. (2020). Masalah psikososial remaja dengan thalasemia mayor: Literature review. Keperawatan Dan Kesehatan, 8(2), 140–149. https://doi.org/10.20527/dk.v8i1.8008
Soteriades, S., Angastiniotis, M., Farmakis, D., Eleftheriou, A., & Maggio, A. (2023). The heed for translational epidemiology in beta Thalassemia syndromes. Hematology/Oncology Clinics of North America, 37(2), 261–272. https://doi.org/10.1016/j.hoc.2022.12.011
Steptoe, A., & Fancourt, D. (2020). An outcome-wide analysis of bidirectional associations between changes in meaningfulness of life and health, emotional, behavioural, and social factors. Scientific Reports, 10(1), 1–12. https://doi.org/10.1038/s41598-020-63600-9
Sugiyono, Prof. Dr. (2024). Metode penelitian kualitatif: Untuk penelitian yang bersifat: eksploratif, enterpretif, interaktif dan konstruktif (ke-3). Alfabeta.
Surjoseto, R., & Sofyanty, D. (2023). Kebermaknaan hidup dan kecemasan terhadap kematian pada pasien kanker. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 1(3), 71–84. https://doi.org/10.55606/termometer.v1i3.1901
Szcześniak, M., Świątek, A. H., Cieślak, M., & Świdurska, D. (2020). Disease acceptance and eudemonic well-being among adults with physical disabilities: The mediator effect of meaning in life. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.525560
Updegraff, J. A., & Taylor, S. E. (2000). From vulnerability to growth: Positive and negative effects of stressful life events. In Loss and Traumaa: General and Close Relationship Perspectives (1st Edition, pp. 3–28).
Van Hout, F., Van Rooden, A., & Slatman, J. (2023). Chronicling the chronic: narrating the meaninglessness of chronic pain. Medical Humanities, 49(1), 1–8. https://doi.org/10.1136/medhum-2021-012331
Van Wilder, L., Pype, P., Mertens, F., Rammant, E., Clays, E., Devleesschauwer, B., Boeckxstaens, P., & De Smedt, D. (2021). Living with a chronic disease: Insights from patients with a low socioeconomic status. BMC Family Practice, 22(1), 1–11. https://doi.org/10.1186/s12875-021-01578-7
Wangi, K., Birriel, B., & Smith, C. (2023). Psychosocial burden in transfusion dependent beta-Thalassemia patients and its impact on the quality of life and the problem of dignity. Journal of Taibah University Medical Sciences, 18(6), 1217–1219. https://doi.org/10.1016/j.jtumed.2023.05.002
Wati, F. D., & Satwika, Y. W. (2024). Makna hidup pada perempuan dengan systemic lupus erythematosus yang menginisiasi lembaga SAPUAN (sahabat perempuan dan anak). INNOVATIVE: Journal of Social Science Research, 4(3), 2351–2367. https://doi.org/10.31004/innovative.v4i3.10767
Winarningsih, K., Rianita, M., Sinaga, E., Bethesda, S., & Yogyakarta, Y. (2025). Gambaran pengetahuan dan sikap peserta prolanis dalam pencegahan penyakit tidak menular di klinikMardi Waluyo Lampung Timur. Prosiding STIKES Bethesda, 5(1), 452–458. https://jurnal.stikesbethesda.ac.id/index.php/p/article/view/1019
Yulia, D. S., Wahyuni, S., & Amir, Y. (2025). Literature review: Kualitas hidup remaja talasemia. Jurnal Ners: Research & Learning in Nursing Science, 9(2), 1504–1515. http://journal.universitaspahlawan.ac.id/index.php/ners
Yun, J.-Y., & Yun, Y. H. (2023). Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: Anetwork approach. Scientific Reports, 13(1), 1–15. https://doi.org/10.1038/s41598-023-31867-3
Yusuf, Y., Zainuri, M. I., & Kadir, A. (2025). Nilai-nilai pembelajaran kebermaknaan hidup bagi penyandang disabilitas non genetik di kota Palopo, Indonesia. Kelola: Journal of Islamic Education Management, 10(1), 1–20. https://doi.org/10.24256/kelola.v10i1.6028
Copyright (c) 2026 Skolastika Febriana Anggraini, Arthur Huwae

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal the right to first publication, with the work simultaneously licensed under the Creative Commons Attribution that allows the sharing of articles published with the acknowledgement of authorship and the initial publication in this magazine.
2) The authors are authorized to make additional contracts separately for distribution of the version of the work published in this journal (for example, publication in an institutional repository or as a chapter of the book), as long as there is recognition of authorship and initial publication in this journal.
3) Authors are authorized and encouraged to publish and distribute their work online (for example, in institutional repositories or on their personal pages) at any time before or during the editorial process, as it increases the impact and reference of the published work.





