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Published in: Health and Quality of Life Outcomes 1/2005

Open Access 01-12-2005 | Research

Effects of a self-care program on quality of life of cirrhotic patients referring to Tehran Hepatitis Center

Authors: Mitra Zandi, Mohsen Adib-Hajbagheri, Robabeh Memarian, Anooshiravan Kazem Nejhad, Seyed Moayed Alavian

Published in: Health and Quality of Life Outcomes | Issue 1/2005

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Abstract

Background

Chronic liver disease especially liver cirrhosis is one of the medical problems that substantially reduces the quality of life of its victims. Because of the chronic and irreversible nature of the disease, it needs self-care programs to be developed according to client's needs and to maintain their independence and sense of well-being. The purpose of this study was to determine the effects of a self-care educational program on Quality of Life (QoL) of a sample of Iranian cirrhotic patients.

Methods

A quasi-experimental study was conducted on 44 cirrhotic patients in Tehran Hepatitis Center. Longitudinal case registry and random allocation technique were used to divide the sample into experimental (n = 21) and control (n = 23) groups. Chronic liver disease questionnaire (CLDQ) was used for measuring the quality of life. The experimental group was given a questionnaire to assess their educational needs. A self-care educational program was conducted and the patients were followed for 3 months. Then the quality of life of both groups was compared using descriptive and analytical statistics.

Results

The experimental and control groups were the same concerning the effective factors on the quality of life, such as age, sex, etc (P > 0.05). There was no significant difference between QOL mean score of both groups before the intervention, however the QoL significantly improved in the experimental group after the intervention (P= 0.001), while the QoL decreased in control group.

Conclusion

The result of the present study confirmed the positive effects of the educational and self care programs on the QoL of cirrhotic patients. Extensive educational and self-care programs along with long-term follow up such as the program conducted in this study are suggested.
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Literature
1.
go back to reference Andreoli T: Cecil essential of the medicine. 4th edition. U.S.A., Saunders Company; 1997. Andreoli T: Cecil essential of the medicine. 4th edition. U.S.A., Saunders Company; 1997.
3.
go back to reference Alavian SM, Azimi K, Sarafi M, Alavi M, Malek Zadeh R: To determine etiologic factors of liver cirrhosis in hospitalized patients in shariaty hospital. Iranian Journal of Gastroenteria 2002, 38: 19–26. Alavian SM, Azimi K, Sarafi M, Alavi M, Malek Zadeh R: To determine etiologic factors of liver cirrhosis in hospitalized patients in shariaty hospital. Iranian Journal of Gastroenteria 2002, 38: 19–26.
4.
go back to reference Younossi ZM, Boparai N, Price LL, Kiwi ML, McCormick M, Guyatt G: Health related quality of life in chronic liver disease: the impact of type and severity of disease. Am J Gastroenterol 2001, 96: 2199–2205. 10.1111/j.1572-0241.2001.03956.xPubMedCrossRef Younossi ZM, Boparai N, Price LL, Kiwi ML, McCormick M, Guyatt G: Health related quality of life in chronic liver disease: the impact of type and severity of disease. Am J Gastroenterol 2001, 96: 2199–2205. 10.1111/j.1572-0241.2001.03956.xPubMedCrossRef
6.
go back to reference Younossi ZM, Guyatt G, Kiwi M, Boparai N, King D: Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut 1999, 45: 295–300.PubMedCentralPubMedCrossRef Younossi ZM, Guyatt G, Kiwi M, Boparai N, King D: Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut 1999, 45: 295–300.PubMedCentralPubMedCrossRef
7.
go back to reference Younossi ZM, Boparai N, Price LL, Kiwi ML, McCormick M, Guyatt G: Health-related quality of life in chronic liver disease: the impact of type and severity of disease. Am J Gastroenterol 2001, 96: 2199–2205. 10.1111/j.1572-0241.2001.03956.xPubMedCrossRef Younossi ZM, Boparai N, Price LL, Kiwi ML, McCormick M, Guyatt G: Health-related quality of life in chronic liver disease: the impact of type and severity of disease. Am J Gastroenterol 2001, 96: 2199–2205. 10.1111/j.1572-0241.2001.03956.xPubMedCrossRef
8.
go back to reference Marchesini G, Bianchi G, Amodio P, Salerno F, Merli M, Panella C, Loguercio C, Apolone G, Niero M, Abbiati R: Factors associated with poor health-related quality of life of patients with cirrhosis. Gastroenterology 2001, 120: 170–178.PubMedCrossRef Marchesini G, Bianchi G, Amodio P, Salerno F, Merli M, Panella C, Loguercio C, Apolone G, Niero M, Abbiati R: Factors associated with poor health-related quality of life of patients with cirrhosis. Gastroenterology 2001, 120: 170–178.PubMedCrossRef
9.
go back to reference De Bona M, Ponton P, Ermani M, Iemmolo RM, Feltrin A, Boccagni P, Gerunda G, Naccarato R, Rupolo G, Burra P: The impact of liver disease and medical complications on quality of life and psychological distress before and after liver transplantation. J Hepatol 2000, 33: 609–615. 10.1034/j.1600-0641.2000.033004609.xPubMedCrossRef De Bona M, Ponton P, Ermani M, Iemmolo RM, Feltrin A, Boccagni P, Gerunda G, Naccarato R, Rupolo G, Burra P: The impact of liver disease and medical complications on quality of life and psychological distress before and after liver transplantation. J Hepatol 2000, 33: 609–615. 10.1034/j.1600-0641.2000.033004609.xPubMedCrossRef
10.
go back to reference Borgaonkar MR, Irvine EJ: Quality of life measurement in gastrointestinal and liver disorders. Gut 2001, 47: 444–454. 10.1136/gut.47.3.444CrossRef Borgaonkar MR, Irvine EJ: Quality of life measurement in gastrointestinal and liver disorders. Gut 2001, 47: 444–454. 10.1136/gut.47.3.444CrossRef
11.
go back to reference Davis GL, Balart MD, Schiff ER, Lindsay K, Bodenheimer HC, Perrillo RP, Carey W, Jacobson IM, Payne J, Dienstag JL: Assessing health-related quality of life in chronic hepatitis C using the sickness impact profile. Clin Ther 1994, 16: 334–343.PubMed Davis GL, Balart MD, Schiff ER, Lindsay K, Bodenheimer HC, Perrillo RP, Carey W, Jacobson IM, Payne J, Dienstag JL: Assessing health-related quality of life in chronic hepatitis C using the sickness impact profile. Clin Ther 1994, 16: 334–343.PubMed
12.
go back to reference Ware JE, Bayliss MS, Mannocchia M, Davis GL, the International Hepatitis Interventional Therapy Group: Health-related quality of life in chronic hepatitis C: Impact of disease and treatment response. Hepatology 1999, 30: 550–555. 10.1002/hep.510300203PubMedCrossRef Ware JE, Bayliss MS, Mannocchia M, Davis GL, the International Hepatitis Interventional Therapy Group: Health-related quality of life in chronic hepatitis C: Impact of disease and treatment response. Hepatology 1999, 30: 550–555. 10.1002/hep.510300203PubMedCrossRef
13.
go back to reference Bonkovsky HL, Woolley JM: the Consensus Interferon Study Group. Reduction of health-related quality of life in HCV and improvement with interferon therapy. Hepatology 1999, 29: 264–270. 10.1002/hep.510290124PubMedCrossRef Bonkovsky HL, Woolley JM: the Consensus Interferon Study Group. Reduction of health-related quality of life in HCV and improvement with interferon therapy. Hepatology 1999, 29: 264–270. 10.1002/hep.510290124PubMedCrossRef
14.
go back to reference Foster GR, Goldin RD, Thomas HC: Chronic hepatitis C virus infection causes a significant reduction in quality of life in the absence of cirrhosis. Hepatology 1998, 27: 209–212. 10.1002/hep.510270132PubMedCrossRef Foster GR, Goldin RD, Thomas HC: Chronic hepatitis C virus infection causes a significant reduction in quality of life in the absence of cirrhosis. Hepatology 1998, 27: 209–212. 10.1002/hep.510270132PubMedCrossRef
15.
go back to reference Younossi ZM, Kiwi ML, Boparai N, Price LL, Guyatt G: Cholestatic liver diseases and health-related quality of life. Am J Gastroenterol 2000, 95: 497–502. 10.1111/j.1572-0241.2000.01774.xPubMedCrossRef Younossi ZM, Kiwi ML, Boparai N, Price LL, Guyatt G: Cholestatic liver diseases and health-related quality of life. Am J Gastroenterol 2000, 95: 497–502. 10.1111/j.1572-0241.2000.01774.xPubMedCrossRef
16.
go back to reference Craddock RB, Adams PF, Usui WM, Mitchell L: An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs 1999, 22: 312–319. 10.1097/00002820-199908000-00009PubMedCrossRef Craddock RB, Adams PF, Usui WM, Mitchell L: An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs 1999, 22: 312–319. 10.1097/00002820-199908000-00009PubMedCrossRef
17.
go back to reference Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literaturereview and proposed guidelines. J Clin Epidemiol 1993, 46: 1417–1432. 10.1016/0895-4356(93)90142-NPubMedCrossRef Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literaturereview and proposed guidelines. J Clin Epidemiol 1993, 46: 1417–1432. 10.1016/0895-4356(93)90142-NPubMedCrossRef
18.
go back to reference Ries AL, Kaplan RM, Limberg TM, Prewitt LM: Effects of Pulmonary Rehabilitation on Physiologic and Psychosocial Outcomes in Patients with Chronic Obstructive Pulmonary Disease. Ann Intern Med 1995, 122: 823–832.PubMedCrossRef Ries AL, Kaplan RM, Limberg TM, Prewitt LM: Effects of Pulmonary Rehabilitation on Physiologic and Psychosocial Outcomes in Patients with Chronic Obstructive Pulmonary Disease. Ann Intern Med 1995, 122: 823–832.PubMedCrossRef
19.
go back to reference Van der Plas SM, Hansen BE, de Boer JB, Stijnen T, Passchier J, de Man RA, Schalm SW: Generic and disease-specific health related quality of life in non-cirrhotic, cirrhotic and transplanted liver patients: a cross-sectional study. BMC Gastroenterol 2003, 3: 33. 10.1186/1471-230X-3-33PubMedCentralPubMedCrossRef Van der Plas SM, Hansen BE, de Boer JB, Stijnen T, Passchier J, de Man RA, Schalm SW: Generic and disease-specific health related quality of life in non-cirrhotic, cirrhotic and transplanted liver patients: a cross-sectional study. BMC Gastroenterol 2003, 3: 33. 10.1186/1471-230X-3-33PubMedCentralPubMedCrossRef
20.
go back to reference Glis H, Wiklund I: Health-related quality of life and gastrointestinal disease. Journal of Gastroenterology and Hepatology 2002, 17: S72-S84. 10.1046/j.1440-1746.17.s1.6.xCrossRef Glis H, Wiklund I: Health-related quality of life and gastrointestinal disease. Journal of Gastroenterology and Hepatology 2002, 17: S72-S84. 10.1046/j.1440-1746.17.s1.6.xCrossRef
22.
go back to reference Gralnek IM, Hays RD, Kilbourne A, Rosen HR, Keeffe EB, Artinian L, Kim S, Lazarovici D, Jensen DM, Busuttil RW, Martin P: Development and evaluation of the Liver Disease Quality of Life instrument in persons with advanced, chronic liver disease – the LDQOL 1.0. Am J Gastroenterol 2000, 95: 3552–3565.PubMed Gralnek IM, Hays RD, Kilbourne A, Rosen HR, Keeffe EB, Artinian L, Kim S, Lazarovici D, Jensen DM, Busuttil RW, Martin P: Development and evaluation of the Liver Disease Quality of Life instrument in persons with advanced, chronic liver disease – the LDQOL 1.0. Am J Gastroenterol 2000, 95: 3552–3565.PubMed
23.
go back to reference Johnston M: Mood in chronic disease: Questioning the answer. Curr Psychol 1999, 18: 71–89.CrossRef Johnston M: Mood in chronic disease: Questioning the answer. Curr Psychol 1999, 18: 71–89.CrossRef
Metadata
Title
Effects of a self-care program on quality of life of cirrhotic patients referring to Tehran Hepatitis Center
Authors
Mitra Zandi
Mohsen Adib-Hajbagheri
Robabeh Memarian
Anooshiravan Kazem Nejhad
Seyed Moayed Alavian
Publication date
01-12-2005
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2005
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-3-35

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