Factors Influencing Health Behavior of Patients with Chronic Hepatitis B

만성 B형 간염환자의 건강행위 수준 및 영향요인

  • Received : 2010.08.17
  • Accepted : 2011.01.10
  • Published : 2011.02.28

Abstract

Purpose: The aim of this study was to examine patients with Chronic Hepatitis B (CHB) and their level of knowledge of their disease, uncertainty, stress and health behaviors and to identify factors influencing their health behavior. Methods: A cross-sectional, descriptive design was used. The sample included 136 patients in a gastroenterology outpatient department at one hospital located in Seoul. The mean age of the subjects was 41 and 77.2% were male. Data were collected using a structured questionnaire from April to June 2009. The collected data were analyzed using SPSS/WIN 15.0. Results: The reported scores for knowledge of the disease, uncertainty, stress, and health behaviors were 14.43, 81.50, 26.50, 52.11, respectively. There were statistically difference between health behaviors and gender, age, marital status and antivirus treatment. A positive correlation existed between knowledge of disease and health behaviors (r=.199, p=.020). In contrast, there was a negative correlation between uncertainty and health behaviors (r=-.250, p=.003). The factors influencing health behaviors were knowledge of disease, gender, age, uncertainty, antivirus treatment, and marital status ($R^2$=.267, p<.001). Conclusion: These findings support that strategies for enhancing knowledge of disease and reducing uncertainty are needed to promote health behavior in patients with CHB.

Keywords

References

  1. Atesci, F. C., Cetin, B. C., Oguzhanoglu, N. K., Karadag, F., & Turgut, H. (2005). Psychiatric disorders and functioning in hepatitis B virus carriers. Psychosomatics, 46 (2), 142-147.
  2. Bang, Y. S. (2004). Relationship among stress, depression and self-care behaviors in diabetes mellitus patients. Unpublished master's thesis, Daejeon University, Daejeon.
  3. Choi, E. S., Park, J. H., & Kim, H. M. (1994). Relationship of uncertainty level in illness, coping style, and hope in cancer patient. The Kyungpook University Medical Journal, 35 (3), 331-342.
  4. Chu, C. M., & Liaw, Y. F. (1997). Natural history of chronic hepatitis B virus infection: An immunopathological study. Journal of Gastroenterology and Hepatology, 12, S218-222.
  5. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
  6. Folkman, S., & Lazarus, R. S. (1986). Stress-processes and depressive symptomatology. Journal of Abnormal Psychology, 95 (2), 107-113.
  7. Je, M. S., & Lee, S. S. (2007). A study of middle-aged women's health beliefs and their intention to practice health behaviors to prevent and improve hypertension. Journal of Korean Academic of Adult Nursing, 19 (1), 109-120.
  8. Kim, S. H. (1989). A study on the relationship between the family support perceived by the patient, knowledge of hepatitis and compliance in B hepatitis patients. Unpublished master's thesis, Yonsei University, Seoul.
  9. Kim, Y. O. (1998). A study of factors predicting self-care behavior in diabetics. Journal of Korean Academic of Nursing, 28 (3), 625-637.
  10. Korea National Statistical Office (2008). Summary of census population: 2007. Retrieved July 30, 2009, from http:// www.kosis.kr/index.html
  11. Lee, C. H. (2005). Hepatitis. Seoul: Koonja
  12. Lee, M. K., Han, O. S., & Lee, Y. S. (1996). The study on psychological characteristics of chronic viral B hepatitis patients. Journal of Korean Neuropsychiatric Association, 35 (2), 320-328.
  13. 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.
  14. Lim, E. J. (2003). The effects of nursing information on uncertainty and anxiety in post-operative gastric cancer. Unpublished master's thesis, Catholic University, Pusan.
  15. Lok, A. S., & Mcmahon, B. J. (2009). Chronic hapatitis B: update 2009. Hepatology, 50 (3), 661-662.
  16. Mishel, M. H. (1981). The measurement of uncertainty in illness. Nursing Research, 30 (5), 258-263.
  17. Mishel, M. H., Hostetter, T., King, B., & Graham, V. (1984). Predictors of psychosocial adjustment in patients newly diagnosed with gynecological cancer. Cancer Nursing, 7 (4), 291-299.
  18. Oh, H. S. (2001). Theory construction in nursing of uncertainty. Journal of Korean Academy of Adult Nursing, 13 (2), 200- 208.
  19. Park, J. D. (2005). Hepatitis B and the health habits. Unpublished master's thesis, Yonsei University, Seoul.
  20. Park, H. W., Jung, G. C., Park, S. G., Han, J. H., Lee, D. C., & Lee, H. R. (1997). Knowledge of hepatitis B and follow-up test in HBs-Ag positive patients. Journal of the Korean Academy of Family Medicine, 18 (7), 706-713.
  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. Santacroce, S. J., & Lee, Y. L. (2006). Uncertainty, posttraumatic stress, and health behavior in young adult childhood cancer survivors. Nursing Research, 55 (4), 259-266.
  23. Song, R. (2006). Analyzing motivational factors to predict health behaviors among older adults. Journal of Korean Academy of Adult Nursing, 18 (4), 523-532.
  24. Song, Y. S. (2002). Effect of management program for asthma on asthma patient's uncertainty, coping and quality of life. Unpublished doctoral thesis, Chungnam National University, Daejeon.
  25. Yang, J. H., Cho, M. O., & Lee, H. O. (2009). Qualitative research investigating patterns of health care behavior among Korean patients with chronic hepatitis B. Journal of Korean Academy of Nursing, 39 (6), 805-817.
  26. Yi, M. S., Choi, E. O., Paik, S. W., Kim, K. S., Kwak, S. M., & Lee, H. J. (2007). Illness experience of people with chronic hepatitis B in Korea. Journal of Korean Academy of Nursing, 37 (5), 665-675.
  27. Yoo, K. H. (2001). An exploratory study of factors affecting on adaptation to uncertainty in rheumatoid arthritis patients. The Journal of Rheumatology Health, 8 (2), 230-249.
  28. Yu, K. S. (1995). Depression and uncertainty in the patients with systemic lupus erythematosus. Unpublished master's thesis, Yonsei University, Seoul.