Self-Management and Health-Related Quality of Life Among Persons with Liver Cirrhosis in Chengdu, the People’s Republic of China
Keywords:
Liver cirrhosis, Self-management, Health-related quality of lifeAbstract
The purposes of this study were to examine self-management and health-related quality of life (HRQoL) among persons with liver cirrhosis (LC), including the relationship between self-management and HRQoL. Purposive sampling was used to recruit 153 participants from the affiliated hospital of Chengdu University in Chengdu, Sichuan province, the People’s Republic of China. The research instruments included a demographic form, the Self-Management Behavior Scale (SMBS), and the Chronic Liver Disease Questionnaire (CLDQ). The Cronbach’s alpha coefficients of the SMBS and CLDQ questionnaires were 0.93 and 0.96, respectively. Data were analyzed using descriptive statistics, the Pearson product-moment coefficient test, and Spearman’s rank-order correlation test.
The results indicated that the mean score for self-management behavior and HRQOL were 69.58 (SD = 7.29), and 4.95 (SD = 0.78), respectively. There was a weak positive correlation between self-management and HRQOL (r = .23, p < .01). Regarding each dimension of self-management behavior, medication management had a moderate positive correlation with HRQoL (rs = .37, p < .01) and daily life management had a weak positive correlation with HRQoL (rs = .26, p < .01). However, the two dimensions of illness-monitoring management and dietary management were not significantly related with HRQoL.
The results of this study could be useful for clinical nurses by providing information to promote self-management among persons with LC in China. Good medication and daily life management may improve the HRQoL among persons with LC.
References
Dong, N., Chen, W. T., Bao, M., Lu, Y., Qian, Y., & Lu, H. (2018). Self-management behaviors among patients with liver cirrhosis in Shanghai, China: A cross-sectional study. Clinical Nursing Research, 29(7), 448-459. doi: 10.1177/1054773818777914
Gao, F., Gao, R., Li, G., Shang, Z. M., & Hao, J. Y. (2013). Health-related quality of life and survival in Chinese patients with chronic liver disease. Health and Quality of Life Outcomes, 11, 131. doi: 10.1186/1477-7525-11-131
Hayward, K. L., Horsfall, L. U., Ruffin, B. J., Cottrell, W. N., Chachay, V. S., Irvine, K. M., … Valery, P. C. (2017). Optimising care of patients with chronic disease: Patient-oriented education may improve disease knowledge and self-management. Internal Medicine Journal, 47(8), 952-955. doi: 10.1111/imj.13505
Hou, J. Y. (2018). Status and influential factors of self-health management of patients with liver cirrhosis (Unpublished master’s thesis). North China University of Science and Technology, Heibei.
Kok, B., Whitlock, R., Ferguson, T., Bailey, R. J., Burak, K. W., Kowalczewski, J., & Tandon, P. (2020). Health-related quality of life: A rapid predictor of hospitalization in patients withcirrhosis. Journal of the American College of Gastroenterology, 115(4), 575-583.
Liu, Y., Sai, Z., Zhao, Y., Du, J., Jin, G., Shao, S., & Lu, X. (2016). Development and application of the Chinese (Mainland) version of chronic liver disease questionnaire to assess the health-related quality of life (HRQoL) in patients with chronic hepatitis B. PloS One, 11(9), e0162763.
Mansouri, P., Ghadami, M., Najafi, S. S., & Yektatalab, S. (2016). The effect of self-management training on self-efficacy of cirrhotic patients referring to Transplantation Center of Nemazee Hospital: A randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery, 5(3), 256-263.
Peng, J-K., Hepgul, N., Higginson, I. J., & Gao, W. (2019). Symptom prevalence and quality of life of patients with end-stage liver disease: A systematic review and meta-analysis. Palliative Medicine, 33(1), 24-36. doi: 10.1177/0269216318807051
Perumpail, B. J., Li, A. A., Cholankeril, G., Kumari, R., & Ahmed, A. (2017). Optimizing the nutritional support of adult patients in the setting of cirrhosis. Nutrients, 9(10). doi: 10.3390/nu9101114
Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods. Philadelphia: Lippincott Williams & Wilkins.
Poordad, F. F. (2015). Presentation and complications associated with cirrhosis of the liver. Current Medical Research and Opinion, 31(5), 925-937. doi: 10.1185/03007995.2015.1021905
Rabiee, A., Ximenes, R. O., Nikayin, S., Hickner, A., Juthani, P., Rosen, R. H., & Garcia‐Tsao, G. (2021). Factors associated with health‐related quality of life in patients with cirrhosis: A systematic review. Liver International, 41(1), 6-15.
Ren, H., Liu, C., Wang, R., Zhang, M., Tang, L., & Liu, F. (2018). Self-management behavior and its influencing factors of patients with cirrhosis: A cross-sectional survey. West China Medical Journal, 33(5), 574-578.
Sepanlou, S. G., Safiri, S., Bisignano, C., Ikuta, K. S., Merat, S., Saberifiroozi, M., … Malekzadeh, R. (2020). The global, regional, and national burden of cirrhosis by cause in 195 countries and territories, 1990-2017: A systematic analysis for the global burden of disease study 2017. The Lancet Gastroenterology & Hepatology, 5(3), 245-266. doi: 10.1016/s2468-1253(19)30349-8
Sharma, P., Gupta, C., Kumar, A., Arora, A., Anikhindi, S. A., Singla, V., & Jasrotia, S. (2021). Nutritional assessment and factors affecting dietary intake in patients with cirrhosis: A single-center observational study. Nutrition, 84, 111099.
Shetty, A., Yum, J. J., & Saab, S. (2019). The gastroenterologist's guide to preventive management of compensated cirrhosis. Gastroenterology & Hepatology, 15(8), 423-430.
Su, C. W., Yang, Y. Y., & Lin, H. C. (2018). Impact of etiological treatment on prognosis. Hepatology International, 12(Suppl. 1), 56-67. doi: 10.1007/s12072-017-9807-0
Tandon, P., & Berzigotti, A. (2020). Management of lifestyle factors in individuals with cirrhosis: A pragmatic review. In Seminars in Liver Disease (Vol. 40, No. 01, pp. 020-028).Thieme Medical Publishers.
Volk, M. L., Fisher, N., & Fontana, R. J. (2013). Patient knowledge about disease self-management in cirrhosis. American Journal of Gastroenterology, 108(3), 302-305. doi: 10.1038/ajg.2012.214
Wang, W. L. (2012). Regional differences in Chinese food culture. Geography teaching, (18), 6-8.
Wang, Q., Wang, Y., Gao, J., Han, J., & Li, Y. (2015). Development of a self-management behaviour scale for LC. International Journal of Nursing Sciences, 2(1), 73-79. doi: 10.1016/j.ijnss.2014.10.015
Xiao, J., Wang, F., Wong, N., He, J., Zhang, R., Sun, R., … Li, C. (2019). Global liver disease burdens and research trends: Analysis from a Chinese perspective. Journal of Hepatology, 71(1), 212-221. doi: 10.1016/j.jhep.2019.03.004
Younossi, Z. M., Guyatt, G., Kiwi, M., Boparai, N., & King, D. (1999). Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut, 45(2), 295-300. doi: 10.1136/gut.45.2.295
Zhang, N., & Ma, G. (2020). Nutritional characteristics and health effects of regional cuisines in China. Journal of Ethnic Foods, 7(1). doi: 10.1186/s42779-020-0045-z
Zhang, X., Xi, W., Liu, L., & Wang, L. (2019). Improvement in quality of life and activities of daily living in patients with liver cirrhosis with the use of health education and patient health empowerment. Medical Science Monitor, 25, 4602-4608. doi:10.12659/MSM.914487
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว