Self-management behavior and its influencing factors of patients with cirrhosis: a cross-sectional survey_West China Medical Journal

Authors：

REN Hongfei ¹ , LIU Changqing ² , WANG Rui ¹ ,  ZHANG Mingguang ¹ , TANG Li ¹ , LIU Fen ¹

1. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Anesthesia Surgery Centre, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHANG Mingguang, Email: xhkzmg@163.com

Keywords：

Patients with cirrhosis; Self-management behavior; Social support; Quality of life

DOI：

10.7507/1002-0179.201605099

Video：

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Objective To investigate the general situation of self-management behavior of patients with cirrhosis, and analyze its influencing factors. Method From January to June 2015, the in-patients with liver cirrhosis were recruited from Gastroenterology Ward of a comprehensive hospital in Chengdu city by convenience sampling method, and a series of questionnaires were used in the research, including self-management behavior scale, social support scale (SSRS), quality of life questionnaire (WHOQOL-BREF) and sociodemographic characteristics. Results One hundred and sixty-eight patients were enrolled. The self-management behavior of patients with cirrhosis scored an average of 50.4±11.3, which was in the medium level. Self management behavior was positively and significantly correlated with social support (r=0.488, P<0.001) and the overall quality of life (r=0.554, P<0.001). Multiple linear regression indicated that the gender and course of the disease were two influencing factors. Moreover, female experienced better self-management behavior than men (t=27.090, P<0.001); and the longer the course of the disease was, the better the self-management behavior could be found (t=34.057, P<0.001). Conclusion We should strengthen the health education of self-management in patients with cirrhosis, and make full use of the patients’ social support system, so as to improve the patients’ self-management behavior as well as the treatment of diseases and their quality of life.

Citation： REN Hongfei, LIU Changqing, WANG Rui, ZHANG Mingguang, TANG Li, LIU Fen. Self-management behavior and its influencing factors of patients with cirrhosis: a cross-sectional survey. West China Medical Journal, 2018, 33(5): 574-578. doi: 10.7507/1002-0179.201605099 Copy

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5.	Volk ML, Fisher N, Fontana RJ. Patient knowledge about disease self-management in cirrhosis. Am J Gastroenterol, 2013, 108(3): 302-305.
6.	嵇加佳, 劉林, 樓青青, 等. 2型糖尿病患者自我管理行為及血糖控制現狀的研究. 中華護理雜志, 2014, 49(5): 617-620.
7.	王麗, 李繼坪. 高血壓患者自我管理的研究進展. 中華現代護理雜志, 2009, 15(30): 3205-3207.
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10.	王倩, 王燕, 高健, 等. 肝硬化患者自我管理行為量表的研制. 中華護理雜志, 2014, 49(12): 1515-1520.
11.	肖水源. 《社會支持評定量表》的理論基礎與研究應用. 臨床精神醫學雜志, 1994, 4(2): 98-100.
12.	劉繼文, 李富業, 連玉龍. 社會支持評定量表的信度效度研究. 新疆醫科大學學報, 2008, 31(1): 1-3.
13.	郝元濤, 方積乾, Power MJ, 等. WHO生存質量評估簡表的等價性評價. 中國心理衛生雜志, 2006, 20(2): 71-75.
14.	Volk ML, Piette JD, Singal AS, et al. Chronic disease management for patients with cirrhosis. Gastroenterology, 2010, 139(1): 14-U34.
15.	韓揚揚, 嚴謹. 護理研究新領域: 自我管理. 護理研究, 2008, 22(11B): 2915-2916.
16.	鄭麗妹, 李春華. 自我管理在肝硬化患者中的應用研究進展. 中國醫藥指南, 2014, 12(36): 48-49.
17.	Dwarswaard J, Bakker EJ, Van Staa A, et al. Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies. Health Expect, 2016, 19(2): 194-208.
18.	侯彩秀, 趙紅莉, 宋亞華, 等. 肝硬化患者生活質量與社會支持研究. 護理學雜志, 2005, 20(3): 52-54.
19.	Zhang MG, Wang R. Psychological status of liver cirrhosis patients might impact disease self-management learning. Am J Gastroenterol, 2014, 109(1): 141-142.

1. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012, 380(9859): 2095-2128.
2. 姚楨, 姚宗歌, 汪耘, 等. 肝硬化的臨床流行病學分析. 臨床肝膽病雜志, 2001, 17(1): 38-40.
3. Lorig KR, Sobel DS, Ritter PL, et al. Effect of a self-management program on patients with chronic disease. Eff Clin Pract, 2001, 4(6): 256-262.
4. Barlow J, Wright C, Sheasby J, et al. Self-management approaches for People with chronic conditions: a review. Patient Educ Couns, 2002, 48(2): 177-187.
5. Volk ML, Fisher N, Fontana RJ. Patient knowledge about disease self-management in cirrhosis. Am J Gastroenterol, 2013, 108(3): 302-305.
6. 嵇加佳, 劉林, 樓青青, 等. 2型糖尿病患者自我管理行為及血糖控制現狀的研究. 中華護理雜志, 2014, 49(5): 617-620.
7. 王麗, 李繼坪. 高血壓患者自我管理的研究進展. 中華現代護理雜志, 2009, 15(30): 3205-3207.
8. 張彩虹. 慢性阻塞性肺疾病患者自我管理水平及影響因素研究. 長沙: 中南大學, 2009.
9. 唐承薇, 程南生. 消化系統疾病. 北京: 人民衛生出版社, 2011: 208-212.
10. 王倩, 王燕, 高健, 等. 肝硬化患者自我管理行為量表的研制. 中華護理雜志, 2014, 49(12): 1515-1520.
11. 肖水源. 《社會支持評定量表》的理論基礎與研究應用. 臨床精神醫學雜志, 1994, 4(2): 98-100.
12. 劉繼文, 李富業, 連玉龍. 社會支持評定量表的信度效度研究. 新疆醫科大學學報, 2008, 31(1): 1-3.
13. 郝元濤, 方積乾, Power MJ, 等. WHO生存質量評估簡表的等價性評價. 中國心理衛生雜志, 2006, 20(2): 71-75.
14. Volk ML, Piette JD, Singal AS, et al. Chronic disease management for patients with cirrhosis. Gastroenterology, 2010, 139(1): 14-U34.
15. 韓揚揚, 嚴謹. 護理研究新領域: 自我管理. 護理研究, 2008, 22(11B): 2915-2916.
16. 鄭麗妹, 李春華. 自我管理在肝硬化患者中的應用研究進展. 中國醫藥指南, 2014, 12(36): 48-49.
17. Dwarswaard J, Bakker EJ, Van Staa A, et al. Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies. Health Expect, 2016, 19(2): 194-208.
18. 侯彩秀, 趙紅莉, 宋亞華, 等. 肝硬化患者生活質量與社會支持研究. 護理學雜志, 2005, 20(3): 52-54.
19. Zhang MG, Wang R. Psychological status of liver cirrhosis patients might impact disease self-management learning. Am J Gastroenterol, 2014, 109(1): 141-142.

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