Abstract : Background: Thalassemia is a chronic, inherited blood disease that causes severe and transfusion-dependent anaemia. The disease burden affects patients' quality of life (QoL) and their families. Objective: To assess the caregivers’ burdens and their QoL. Patients and Methods: This quantitative–descriptive study was conducted from February 2022 to April 2023 in Sulaimani Thalassemia and Blood Disorder Center, Sulaimaniyah, Iraq, on 304 thalassemia patients’ caregivers. A validated questionnaire collected participants' data, including sociodemographic characteristics, caregiving-related factors, QoL, and caregivers’ burden points. Results: Participants mean age was 42.43 ± 8.12 years. Most of them (67.1%) were middle-aged (36-49 years), females (59.2%), housewives (56.6%), had no formal education (48.7%), their income was less than their expenditure (57.9%), and were mothers (61.8%). On the other hand, 23.7% had a chronic disease, did not perform the premarital test (81.6%), were ready to perform the antenatal test (63.2%), and 60.5% were prepared to abort the fetus if diagnosed as thalassemia. Regarding QoL domains, 68.4% had a poor physical domain, 67.1% of each environment domain, and overall QoL was poor; 59.2% had a poor psychological domain. In comparison, the proportion of poor social relations domain was 53.9%. Most (39.5%) had moderate to severe caregiving burdens, and 34.2% had severe caregiving burdens. A negative correlation was found between QoL and caregiving burd

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