Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Self-care Compliance among Patients with Liver Cirrhosis

간경변증 환자의 자가간호 이행에 미치는 영향요인

  • Received : 2017.03.10
  • Accepted : 2017.04.08
  • Published : 2017.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study were to examine self-efficacy, severity, social support, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: A total of 160 outpatients with liver cirrhosis visiting the gastroenterology clinic at an university hospital located in Busan were enrolled in this study. Data were collected via self-report questionnaires including self-efficacy, severity of disease, social support, and self-care compliance measures. The collected data were analyzed using t-test, ANOVA, $Scheff\acute{e}-test$, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were self-efficacy, severity of disease, age, and sex. These factors explained 28.4% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: Therefore, nursing interventions that enhance patients' self-efficacy are needed to promote self-care compliance in patients with liver cirrhosis. In addition, patients must be taught of the importance of self-care compliance so that even young patients and those with relatively mild disease. That would also be motivated to comply with self-care instructions.

Keywords

References

  1. Ahn, S. O. (2005). A study on type of, and factors related with, self-care performance of liver cirrhosis patient. Unpublished master's thesis, Korea University, Seoul.
  2. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037//0033-295x.84.2.191
  3. Chung, J. M. (2002). Management of the patients with liver cirrhosis. Inje Medical Journal, 23(2), 91-98.
  4. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://doi.org/10.1037//0033-2909.112.1.155
  5. Dienstag, J. L., Goldin, R. D., Heathcote, E. J., Hann, H., Woessner, M., Stephenson, S. L., et al. (2003). Histological outcome during long-term lamivudine therapy. Gastroenterology, 124(1), 105-117. https://doi.org/10.1053/gast.2003.50013
  6. Durand, F., & Valla, D. (2008). Assessment of prognosis of cirrhosis. Seminars in Liver Disease, 28(1), 110-122. https://doi.org/10.1055/s-2008-1040325
  7. Hansen, L., Sasaki, A., & Zucker, B. (2010). End-stage liver disease: Challenges and practice implications. Nursing Clinics of North America, 45(3), 411-426. https://doi.org/10.1016/j.cnur.2010.03.005
  8. Jung, K. S., & Min, H. S. (2007). The relations among self-care, symptom experiences, and disease status of the patient with liver cirrhosis. Journal of Korean Academic Society of Adult Nursing, 19(2), 318-328.
  9. Kang, S. J. (2003). The relationships among self efficacy, practice of self care and quality of life in patients with liver cirrhosis. Unpublished master's thesis, Gyeongsang National University, Jinju.
  10. Ki, T. S., Baik, S. K., Yoon, J. H., Cheong, J. Y., Paik, Y. H., Lee, H., et al. (2012). Revision and update on clinical practice guideline for liver cirrhosis. Korean Journal of Hepatology, 18(1), 1-21. https://doi.org/10.3350/kjhep.2012.18.1.1
  11. Kim, B. H., Kim, Y. S., Kim, H. R., Cho, M. S., & Kwon, M. H. (2004). The experience of patients with liver cirrhosis. Journal of Korean Academic Society of Adult Nursing, 16(4), 608-616.
  12. Kim, H. K., Choi, M. N., Kim, S. S., & Kim, S. I. (2015). Self-care, social support, and biological markers in liver transplant recipients. Journal of Korean Academic Society of Adult Nursing, 27(2), 170-179. https://doi.org/10.7475/kjan.2015.27.2.170
  13. Kim, N. Y. (2003). The influence of family support on self-care and disease status of the patient with liver cirrhosis. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. 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.
  15. Oh, H. S. (1993). Health promoting behaviors and quality of life of Korean women with arthritis. Journal of Korean Academy of Nursing, 23(4), 617-630. https://doi.org/10.4040/jnas.1993.23.4.617
  16. Ok, J. S., Ko, I. S., Ryu, K. H., Kim, S. H., & Lim, S. J. (2013). Factors affecting to adherence to self-care behaviors among inpatients with heart failure in Korea. Journal of Korean Critical Care Nursing, 6(2), 51-64.
  17. Pack, J. W. (1985). A study to development a scale of social support. Unpublished doctoral dissertation, Yonsei University, Seoul.
  18. Seo, Y. S., & Do, E. S. (2015). Affecting factors of the drinking behavior of liver cirrhosis patients - The aspects of convergence of drinking behavior and disease-related of factors. Journal of Digital Convergence, 13(7), 249-258. https://doi.org/10.14400/jdc.2015.13.7.249
  19. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51(2), 663-671. http://doi:10.2466/pr0.1982.51.2.663
  20. Statistics Korea. (2015a, September 27). 2015 Annual report of the causes of death statistics. Retrieved September 27, 2016, from http://kosis.kr/wnsearch/totalSearch.jsp#
  21. Statistics Korea. (2015b, December 27). 2015 Annual rate of alcohol rate. Retrieved December 27, 2016, from http://kosis.kr/wnsearch/totalSearch.jsp#
  22. Statistics Korea. (2017, March 21). Population survey economically aged 2016. Retrieved November 11, 2016, from http://kosis.kr/wnsearch/totalSearch.jsp#
  23. 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. https://doi.org/10.1038/ajg.2012.214
  24. Yang, J. H. (2011). Factors influencing self-management compliance of patients with chronic hepatitis B. Korean Academy of Fundamentals of Nursing, 18(4), 520-528.
  25. Yang, N. H., Pack, J. K., Jung, Y. J., Yu, G. W., Ha, Y. J., & Kim, Y. K. (2008). The effect of self efficacy on the relationships between familial support and self care of diabetes mellitus patients. The Korean Society of Human Ecology, 11(1), 73-85.
  26. Yun, M. J. (2016). Development and application of autonomy support program for liver cirrhosis patients - based on the self-determination theory. Unpublished doctoral dissertation, Dong-A University, Busan.
  27. Yun, M. J., & Min, H. S. (2015). Relationships among dietary compliance, nutritional status and stages of disease in patients with liver cirrhosis. Korean Society of Muscle and Joint Health, 22(3), 219-227. https://doi.org/10.5953/jmjh.2015.22.3.219