Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Factors Influencing Self-Management Compliance of Patients with Chronic Hepatitis B

만성B형간염 환자의 자가관리이행에 대한 영향요인

  • Received : 2011.10.11
  • Accepted : 2011.11.06
  • Published : 2011.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.

Keywords

References

  1. Alizadeh, A. H., Ranjbar, M., & Yadollahzadeh, M. (2008). Patient concerns regarding chronic hepatitis B and C infection. Eastern Mediterranean Health Journal, 14, 1142-1147.
  2. Cho, M. J., & Kim, K. H. (1998). Use of the center for epidemiologic studies depression (CES-D) scale in Korea. The Journal of Nervous & Mental Disease, 186, 304-310. https://doi.org/10.1097/00005053-199805000-00007
  3. Colvin, H. M., & Mitchell, A. E. (2009). Hepatitis and liver cancer: a national strategy for prevention and control of hepatitis B and C. Institute of Medicine of the National Academies. Washington, DC: The National Academies Press.
  4. Eum, S. J. (1998). Effect of the structured education for knowledge of hepatitis B type and self- care behavior in chronic hepatitis B patients. The Korean Journal of Fundamentals of Nursing, 5, 65-79.
  5. Gifford, A. L., & Groessl, E. J. (2002). Chronic disease self-management and adherence to HIV medications. Journal of Acquired Immune Deficiency Syndrome, 31, S163-S166.
  6. Hsu, C. E, Zhang, G., Yan, F. A., Shang, N., & Le, T. (2010). What made a successful hepatitis B program for reducing liver cancer disparities: an examination of baseline characteristics and educational intervention, infection status, and missing responses of at-risk Asian Americans. Journal of Community Health, 35, 325-335. https://doi.org/10.1007/s10900-010-9238-5
  7. Jeong, C. W. (2011). Prevention of perinatal hepatitis B transmission in Korea. Public Health Weekly Report, 4, 497-499.
  8. Kang, S. J. (2003). The relationships among self efficacy, practice of self-care and quality of life in patients with liver cirrhosis. Unpublished master's thesis, Gyeongsang National University, Jinju.
  9. Kim, K. S., Yi, M., Choi, E. O., Paik, S. W., Kwak, S., & Kwon, S. H. (2007). Quality of life and related factors in patients with chronic hepatitis B. Journal of Korean Fundamental Nursing, 14, 331-339.
  10. Koh, K. C. (2008). Introduction, natural process of chronic hepatitis B and terminology. The Korean Journal of Hepatology, 14(Suppl 1), 5-10.
  11. Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean Journal of Preventive Medicine, 30, 251-266.
  12. Korea National Health and Nutrition Examination Survey. (2010). 2009 Korea National Health and Nutrition Examination Survey. Retrieved July 25, 2011, from http://knhanes.cdc.go.kr/
  13. Lee, H., & Baik, S. Y. (2011). Health disparities or data disparities: sampling issues in hepatitis B Virus infection among Asian American Pacific Islander studies. Applied Nursing Research, 24, e9-e15. https://doi.org/10.1016/j.apnr.2009.12.005
  14. Lee, H., Yang, J. H., Cho, M. O., & Fawcett, J. (2010). Complexity and uncertainty of living with an invisible virus of hepatitis B in Korea. Journal of Cancer Education, 25, 337-342. https://doi.org/10.1007/s13187-010-0047-4
  15. Lee, J, E., Kim, S. S., Kim, S., Han, K. H., Kim, S. H., Ji, E. J., et al. (2011). Factors influencing health behavior of patients with chronic hepatitis B. Korean Journal of Adult Nursing, 23, 20-30.
  16. Lee, M. K., Han, O. S., & Lee, Y. S. (1996). The study on psychological characteristics of chronic viral B hepatitis patients. Journal of the Korean Neuropsychiatric Association, 35, 320-328.
  17. Levy, A. R., Kowdley, K. V., Iloeje, U., Tafesse, E., Mukherjee, J., Gish, R., et al. (2008). The impact of chronic hepatitis B on quality of life: a multinational study of utilities from infected and uninfected persons. Value in Health, 11, 527-538. https://doi.org/10.1111/j.1524-4733.2007.00297.x
  18. National Cancer Information Center. (2011). Cancer mortality rate. Retrieved May 25, 2011, from http://www.cancer.go.kr/ cms/statics/mortality/index.html
  19. Nyamathi, A., Liu, Y., Marfisee, M., Shoptaw, S., Gregerson, P., Saab, S., et al. (2009). Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults. Nursing Research, 58, 13-22. https://doi.org/10.1097/NNR.0b013e3181902b93
  20. Park, J. Y. (2011). Check point in chronic hepatitis B. The Korean Journal of Hepatology, 17(Suppl 3), 313-319.
  21. Park, M. J. (2002). Knowledge, health belief and preventive health behavior on hepatitis in hepatitis B carriers. Unpublished master's thesis, Yonsei University, Seoul.
  22. Perrillo, R. (2006). Management of chronic hepatitis B virus infection: Current perspectives for the nurse practitioner. Journal of the American Academy of Nurse Practitioners, 18, 203-215. https://doi.org/10.1111/j.1745-7599.2006.00124.x
  23. Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied psychological measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  24. Slonim, A. B., Roberto, A. J., Downing, C. R., Adams, I. F., Fasano, N. J., Davis-Satterla, L., et al. (2005). Adolescents' knowledge, beliefs, and behaviors regarding hepatitis B: Insights and implications for programs targeting vaccine-preventable diseases. The Journal of adolescent health, 36, 178-186. https://doi.org/10.1016/j.jadohealth.2004.08.002
  25. Suh, D. J. (2008). Current treatment in chronic hepatitis B. The Korean Journal of Hepatology, 14, 39-43.
  26. Tan, N. C., & Cheah, S. L. (2005). What barriers do primary care physicians face in the management of patients with chronic hepatitis B infection in primary care? Singapore Medical Journal, 46, 333-339.
  27. Tan, N. C., Cheah, S. L., & Teo, E. K. (2005). A qualitative study of health-seeking behavior of hepatitis B carriers. Singapore Medical Journal, 46, 6-10.
  28. Wang, W. L., Wang, C. J., & Tseng, H. F. (2009). Comparing knowledge, health beliefs, and self-efficacy toward hepatitis B prevention among university students with different hepatitis B virus infectious statuses. The Journal of Nursing Research, 17, 10-19. https://doi.org/10.1097/JNR.0b013e3181999ca3
  29. Ware, J. E. Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473-483. https://doi.org/10.1097/00005650-199206000-00002
  30. Wu, H., Yim, C., Chan, A., Ho, M., & Heathcote, J. (2009). Sociocultural factors that potentially affect the institution of prevention and treatment strategies for prevention of hepatitis B in Chinese Canadians. Canadian Journal of Gastroenterology, 23, 31-36.