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Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

Assessment of Educational Needs and Quality of Life of Chronic Hepatitis Patients

Authors: Ming-Chuan Chen, Hung-Chang Hung, Hsiu-Ju Chang, Sheng-Shun Yang, Wen-Chen Tsai, Shu-Chuan Chang

Published in: BMC Health Services Research | Issue 1/2017

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Abstract

Background

Patient education is crucial in improving the health-related quality of life (HRQOL) of patients. At the same, understanding the concerns and needs of patients is essential in providing appropriate education. This study assessed the educational needs and HRQOL experienced by chronic hepatitis patients.

Methods

We developed structured questionnaires with satisfactory validity and reliability to assess the educational needs of patients. HROQL was measured using a generic Short Form 36 (SF-36) and a liver disease-specific Chronic Liver Disease Questionnaire (CLDQ). Descriptive statistic measures and Pearson’s correlation analysis were applied for data analysis.

Results

A total of 135 subjects were recruited from two regional teaching hospitals in Taiwan. “Disease characteristics and management” exhibited the highest mean score (3.17) among all the subscales of educational needs. In comparison with those without antiviral therapy, chronic hepatitis patients undergoing antiviral treatment scored significantly higher on all subscales of educational needs, especially on “side effects of antiviral treatment” (p < 0.010). The median range of the physical component summary score was 45.94, the mental component summary score was 49.37, and the mean CLDQ was 5.70. Several domains of educational needs were significantly inversely correlated with the CLDQ and SF-36 subscales.

Conclusions

Education is highly required by chronic hepatitis patients, especially those receiving antiviral therapy and patients with poor HRQOL. These findings can serve as a useful reference for nursing personnel who perform needs assessment to develop individual nursing instruction and thereby improve the quality of care for chronic hepatitis patients.
Literature
2.
go back to reference An K, Jallo N, Menzies V, Kinser P, Robins JLW, Starkweather A. Integrative review of Co-occurring symptoms across etiologies of chronic liver disease and implications for symptom management research and practice. J Nurs Scholarsh. 2015;47(4):310–7. doi:10.1111/jnu.12146.CrossRefPubMed An K, Jallo N, Menzies V, Kinser P, Robins JLW, Starkweather A. Integrative review of Co-occurring symptoms across etiologies of chronic liver disease and implications for symptom management research and practice. J Nurs Scholarsh. 2015;47(4):310–7. doi:10.​1111/​jnu.​12146.CrossRefPubMed
3.
go back to reference Nikolopoulos A, Oben JA. Non-alcoholic fatty liver disease. In: Sargent S, editor. Liver diseases: an essential guide for nurses and health care professionals. 2009th ed. UK: Wiley-Blackwell; 2009. Nikolopoulos A, Oben JA. Non-alcoholic fatty liver disease. In: Sargent S, editor. Liver diseases: an essential guide for nurses and health care professionals. 2009th ed. UK: Wiley-Blackwell; 2009.
5.
go back to reference Chen C, Yang P, Huang G, Lee H, Sung J, Sheu J. Estimation of seroprevalence of hepatitis B virus and hepatitis C virus in Taiwan from a large-scale survey of free hepatitis screening participants. J Formos Med Assoc. 2007;106(2):148–55. doi:10.2105/AJPH.2013.301357.CrossRefPubMed Chen C, Yang P, Huang G, Lee H, Sung J, Sheu J. Estimation of seroprevalence of hepatitis B virus and hepatitis C virus in Taiwan from a large-scale survey of free hepatitis screening participants. J Formos Med Assoc. 2007;106(2):148–55. doi:10.​2105/​AJPH.​2013.​301357.CrossRefPubMed
8.
go back to reference Chang S, Yang S, Chang C, Lin C, Chun Y, Li T. Assessment of health-related quality of life in antiviral-treated Taiwanese chronic Hepatitis C patients using SF-36 and CLDQ. health and quality of life outcomes. 2014;103. doi:10.1186/1477-7525-12-97. Chang S, Yang S, Chang C, Lin C, Chun Y, Li T. Assessment of health-related quality of life in antiviral-treated Taiwanese chronic Hepatitis C patients using SF-36 and CLDQ. health and quality of life outcomes. 2014;103. doi:10.​1186/​1477-7525-12-97.
11.
14.
go back to reference Younossi ZM, Stepanova M, Nader F, Lam B, Hunt S. The patient’s journey with chronic hepatitis C from interferon plus ribavirin to interferon- and ribavirin-free regimens: a study of health-related quality of life. Aliment Pharmacol Ther. 2015;42(3):286–95. doi:10.1111/apt.13269.CrossRefPubMed Younossi ZM, Stepanova M, Nader F, Lam B, Hunt S. The patient’s journey with chronic hepatitis C from interferon plus ribavirin to interferon- and ribavirin-free regimens: a study of health-related quality of life. Aliment Pharmacol Ther. 2015;42(3):286–95. doi:10.​1111/​apt.​13269.CrossRefPubMed
15.
go back to reference Conversano C, Carmassi C, Carlini M, Casu G, Gremigni P, Dell’Osso L. Interferon a therapy in patients with chronic hepatitis C infection: quality of life and depression. Hematol Rep. 2015;7(1):5–8. doi:10.4081/hr.2015.5632.CrossRef Conversano C, Carmassi C, Carlini M, Casu G, Gremigni P, Dell’Osso L. Interferon a therapy in patients with chronic hepatitis C infection: quality of life and depression. Hematol Rep. 2015;7(1):5–8. doi:10.​4081/​hr.​2015.​5632.CrossRef
17.
go back to reference Mahmoud BH, Shafik N, Attya S. Impact of a designed supportive nursing program for hepatitis C patients on their functional health status during interferon therapy in the national hepatology medicine institute. Nat Sci. 2013;11(6):80–90. doi:10.7537/j.issn.1545-0740. Mahmoud BH, Shafik N, Attya S. Impact of a designed supportive nursing program for hepatitis C patients on their functional health status during interferon therapy in the national hepatology medicine institute. Nat Sci. 2013;11(6):80–90. doi:10.​7537/​j.​issn.​1545-0740.
18.
go back to reference Sharif F, Mohebbi S, Tabatabaee H, Saberi-Firoozi M, Gholamzadeh S. Effects of psycho-educational intervention on health-related quality of life (QOL) of patients with chronic liver disease referring to Shiraz University of Medical Sciences. Health Qual Life Outcomes. 2005;3:81. doi:10.1186/1477-7525-3-81.CrossRefPubMedPubMedCentral Sharif F, Mohebbi S, Tabatabaee H, Saberi-Firoozi M, Gholamzadeh S. Effects of psycho-educational intervention on health-related quality of life (QOL) of patients with chronic liver disease referring to Shiraz University of Medical Sciences. Health Qual Life Outcomes. 2005;3:81. doi:10.​1186/​1477-7525-3-81.CrossRefPubMedPubMedCentral
25.
go back to reference Ware JE. SF-36 Physical and mental health summary scales: a user's manual. Boston: Health Assessment Lab: New England Medical Center; 1994. Ware JE. SF-36 Physical and mental health summary scales: a user's manual. Boston: Health Assessment Lab: New England Medical Center; 1994.
26.
go back to reference Tseng HM, Lu JR, Tsai YJ. Assessment of health-related quality of life in Taiwan (II): norming and validation of SF-36 Taiwan version. Taiwan J Public Health. 2003;22:512–8. doi:10.6288/TJPH2003-22-06-10. Tseng HM, Lu JR, Tsai YJ. Assessment of health-related quality of life in Taiwan (II): norming and validation of SF-36 Taiwan version. Taiwan J Public Health. 2003;22:512–8. doi:10.​6288/​TJPH2003-22-06-10.
28.
go back to reference Chang S, Chen T, Pai L, Yang S, Huang J. Factors associated with the quality of life of patients with chronic liver disease. Chang Gung Nurs. 2011;22(3):321–33. Chang S, Chen T, Pai L, Yang S, Huang J. Factors associated with the quality of life of patients with chronic liver disease. Chang Gung Nurs. 2011;22(3):321–33.
29.
go back to reference Balfour L, Cooper C, Tasca GA, Kane M, Kowal J, Garber G. Evaluation of health care needs and patient satisfaction among hepatitis C patients treated at a hospital-based, viral hepatitis clinic. Can J Public Health. 2004;95(4):272–7.PubMed Balfour L, Cooper C, Tasca GA, Kane M, Kowal J, Garber G. Evaluation of health care needs and patient satisfaction among hepatitis C patients treated at a hospital-based, viral hepatitis clinic. Can J Public Health. 2004;95(4):272–7.PubMed
30.
go back to reference Boulhosa RSSB, Oliveira LPM, Jesus RP, Cavalcante LN, Lemaire DC, Vinhas L, et al. The impact of nutritional supplementation on quality of life in patients infected with hepatitis C virus. J Hum Nutr Diet. 2013;26 Suppl 1:7–15. doi:10.1111/jhn.12087.CrossRefPubMed Boulhosa RSSB, Oliveira LPM, Jesus RP, Cavalcante LN, Lemaire DC, Vinhas L, et al. The impact of nutritional supplementation on quality of life in patients infected with hepatitis C virus. J Hum Nutr Diet. 2013;26 Suppl 1:7–15. doi:10.​1111/​jhn.​12087.CrossRefPubMed
33.
go back to reference Chang S, Yang S. The life experience of patients with chronic Hepatitis C treated with interferon plus ribavirin therapy. J Evid Based Nurs. 2006;2(1):34–42. doi:10.6225/JEBN.2.1.34. Chang S, Yang S. The life experience of patients with chronic Hepatitis C treated with interferon plus ribavirin therapy. J Evid Based Nurs. 2006;2(1):34–42. doi:10.​6225/​JEBN.​2.​1.​34.
35.
go back to reference Liao M, Chen P, Chen M, Chen S, Chen Y. Supportive care for Taiwanese women with suspected breast cancer during the diagnostic period: Effect on healthcare and support needs.2009;36(5):585–92. doi:10.1188/09.ONF.585-592. Liao M, Chen P, Chen M, Chen S, Chen Y. Supportive care for Taiwanese women with suspected breast cancer during the diagnostic period: Effect on healthcare and support needs.2009;36(5):585–92. doi:10.​1188/​09.​ONF.​585-592.
Metadata
Title
Assessment of Educational Needs and Quality of Life of Chronic Hepatitis Patients
Authors
Ming-Chuan Chen
Hung-Chang Hung
Hsiu-Ju Chang
Sheng-Shun Yang
Wen-Chen Tsai
Shu-Chuan Chang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2082-x

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