한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제31권2호
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  • Pages.257-271
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  • 2017
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  • 1226-0290(pISSN)
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  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
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B형간염 바이러스 보유 환자의 질환 활성도에 따른 B형간염 지식, 자가간호수행 및 삶의 질 비교

Comparison for Hepatitis B Knowledge, Self Care Practice and Quality of Life according to the Disease Activity among Patients with the Hepatitis B Virus

  • 서임선 (백석문화대학교 간호학과) ;
  • 송명준 (대전성모병원 소화기내과) ;
  • 유양숙 (가톨릭대학교 간호대학 간호학과) ;
  • 김형숙 (서울성모병원 간호부)
  • 투고 : 2017.05.18
  • 심사 : 2017.08.18
  • 발행 : 2017.08.31
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초록

Purpose: The hepatitis B virus is a major cause of chronic liver disease. The clinical guidelines recommend that inactive chronic hepatitis (ICH) patients also check their liver function every 6 to 12 months and manage the potential risks. This study compared the hepatitis B knowledge, self-care practice, and quality of life in patients with HBV according to the disease activity. Methods: This study was conducted in a university hospital and surveyed on 65 ICH patients and 68 progressive chronic liver disease (PCLD) patients from November in 2012 to September in 2013. Results: The knowledge of hepatitis B was lower in the group of a lately perceived HBV infection and ICH. Self-care practice was lower in the male and the patients group with a perceived HBV infection within 5 years. The "taking regular liver function test" score was lower in the ICH. Eight out of 12 Liver Disease Quality of Life instrument (LDQOL) subscales were lower in PCLD. Conclusion: The hepatitis B knowledge and self-care practice are relatively lacking in ICH and the patients group with a perceived HBV infection within 5 years. More effective education programs will be necessary to enhance the hepatitis B knowledge and self-care for patients with HBV and even for ICH.

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참고문헌

  1. Cha, K. S., Yoo, Y. S., & Cho, O. H. (2014). Knowledge of hepatitis A, Health Perception and Health Promoting Behavior among young and meddle-age adults. Journal of Korean Public Health Nursing, 28(2), 298-309. http://dx.doi.org/10.5932/jkphn.2014.28.2.298
  2. Chae, H. B., Kim, J. H., Kim, J. K., & Yim, H. J. (2009). Current status of liver disease in Korea: hepatitis B. Korean Journal of Hepatology, 15(Suppl 6), S13-S24. http://dx.doi.org/10.3350/kjhep.2009.15.s6.s13
  3. Chen, Y. C., Sheen, I. S., Chu, C. M., & Liaw, Y. F. (2002). Prognosis following spontaneous HBsAg seroclearance in chronic hepatitis B patients with or without concurrent infection. Gastroenterology, 123, 1084-1089. http://dx.doi.org/10.1053/gast.2002.36026
  4. Cho, H. J. (2008). The knowledge, beliefs, and behaviors regarding Hepatitis B in college students. Unpublished master's Thesis, Yeonsei University, Graduate School of Medicine, Seoul.
  5. Gralnek, I. M., Hays, R. D., Kilbourne, A., Rosen, H. R., Keeffe, E. B., Artinian, L., et al. (2000). Development and evaluation of the Liver Disease Quality of Life instrument in persons with advanced, chronic liver disease-the LDQOL 1.0. The American Journal of Gastroenterology, 95, 3552-3565. http://dx.doi.org/10.1111/j.1572-0241.2000.03375.x
  6. Han, J. S., Cho, H., Kim, Y., & Kim, O. H. (2012). Nurses’ knowledge, attitudes and nursing intention toward AIDS and chronic hepatitis B. Korean Journal of Occupational Health Nursing, 21(3), 201-218. http://dx.doi.org/10.5807/kjohn.2012.21.3.201
  7. Hsu, C. E., Zhang, G., Yan, F. A., Shang, N., & Le, T. (2010). What made a successful hepatitis B program for reducing liver cancer disparities: An examination of baseline characteristics and educational intervention, infection status, and missing responses of at-risk Asian Americans. Journal of Community Health, 35, 325-335. http://dx.doi.org/10.1007/s10900-010-9238-5
  8. Institute of Medicine Committee on the Prevention and Control of Viral Hepatitis Infection. (2010). Hepatitis and Liver Cancer: A National Strategy for Prevention and Control of Hepatitis B and C. Washington, DC: Colvin, H. M., & Mitchell, A. E, editors.
  9. Invernizzi, F., Vigano, M., Grossi, G., & Lampertico, P. (2016). The prognosis and management of inactive HBV carriers. Liver International, 36, Suppl 1: 100-104. http://dx.doi.org/10.1111/liv.13006
  10. Jeon, J. H., & Kim, K. H. (2015). Development of disease knowledge instrument for patients with chronic hepatitis B. Journal of the Korean Data Analysis Society. 17(3), 1599-1617.
  11. Jeon, J. H., & Kim, K. H. (2016). Consumer’s needs for development of smartphone application for self care performance of patients with chronic hepatitis B. The Journal of the Korean Contents Association, 16(4), 729-740. http://dx.doi.org/10.5392/KCA.2016.16.04.729
  12. Kim, S. H., Choi, K. H., Hwang, S. G., Lee, J. H., Kwak, S. Y., Park, P. W., et al. (2007). Validation of the korean version of liver disease quality of life (LDQOL 1.0) instrument. The Korean Journal of Hepatology, 13(1), 44-50.
  13. Kim, J. O., Kim, M. W., Kim, J. S., Han, S. J., & Kim, S. H. (2014). Factors influencing health related quality of life among patients with chronic hepatitis B. Korean Journal of Adult Nursing, 26(3), 287-299. http://dx.doi.org/10.7475/kjan.2014.26.3.287
  14. Kim, M. J., & Park, J. (2012). The Association between health beliefs and receiving hepatitis B Vaccinations among college students. The Journal of Digital Policy and Management. 10(4), 309-316.
  15. Kim, H., Shin, A. R., Chung, H. H, Kim, M. K., Lee, J. S., Shim, J. J., et al. (2013). Recent trends in hepatitis B virus infection in the general Korean population. The Korean Journal of Internal Medicine, 28(4), 413-419. http://dx.doi.org/10.3904/kjim.2013.28.4. 413
  16. Korea Centers for Disease Control and Prevention. (2016, December 21). Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES VI-3). Retrieved August 16, 2017, from http://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7
  17. Lavanchy, D. (2004). Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures. Journal of Viral Hepatitis, 11(2), 97-107. http://dx.doi.org/10.1046/j.1365-2893.2003.00487.x
  18. Lee, H. S., Park, H. N., Kim, K. H., Kim, M. R., Kim, M. G., Kim, B. N., et al. (2015). A study on nursing and non-nursing college students' knowledge and attitudes of HIV/AIDS and hepatitis B. Journal of Korean Public Health Nursing, 29(3), 474-487. http://dx.doi.org/10.5932/JKPHN.2015.29.3.474
  19. Lee, H. J. (2004). Effect of Individual Health Education the Medical Clinic of Public Health Centers on Knowledge, Self-efficacy, and Self-care behavior in Clients with Hypertension. Journal of Korean Public Health Nursing, 18(1), 80-89.
  20. Lee, J, E., Kim, S. S., Kim, S., Han, K. H., Kim, S. H., Ji, E. J., et al. (2011). Factors influencing health behavior of patients with chronic hepatitis B. Korean Journal of Adult Nursing, 23(1), 20-30.
  21. Oh, E. J. (2013). The Korean Association for study of the Liver, The Report for "Survey on Liver Disease Perception in general population" to celebrate World Hepatitis Day. Retrieved May 10, 2017, from http://www.isnews.co.kr/news/articleView.html?idxno=28364
  22. Park, M. J. (2002). Knowledge, health belief and preventive health behavior on hepatitis in hepatitis B carriers. Unpublished master's Thesis, Yeonsei University, Graduate School of Education, Seoul.
  23. Schweitzer, A., Horn, J., Mikolajczyk, R. T., Krause, G., & Ott, J. J. (2015, October 17). Estimations of worldwide prevalence of chronic hepatitis B virus infection: a systematic review of data published between 1965 and 2013. Lancet. 386(10003), 1546-55. http://dx.doi.org/10.1016/S0140-6736(15)61412-X
  24. Shim, J. H., Lee, H. C., Kim, K. M., Lim, Y. S., Chung, Y. H., Lee, Y. S., et al. (2010). Efficacy of entecavir in treatment-naive patients with hepatitis B virus-related decompensated cirrhosis. Journal of Hepatology, 52, 176-182. http://dx.doi.org/10.1016/j.jhep.2009.11.007
  25. Statistics Korea. (2016, September 27). Causes of death statistics in 2015. Retrieved May 15, 2017, from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=356345
  26. The Korean Association for the Study of the Liver. (2011, December 1). Clinical guideline of Chronic hepatitis B. Retrieved May 15, 2017, from http://www.kasl.org/bbs/index.html?code=guide&category=&gubun=&idx=&page=1&number=49&mode=view&order=&sort=&keyfield=&key=
  27. World Health Organization. (2015, March). Guidelines for the prevention, care and treatment of persons with chronic hepatitis B infection. WHO press: Global Hepatitis Programme, Department of HIV/AIDS.
  28. Yang, J. H. (2012). Development and evaluation of a program to promote self management in patients with chronic hepatitis B. Journal of Korean Academy of Nursing, 42(2), 258-269. http://dx.doi.org/10.4040/jkan.2012.42.2.258
  29. Yang, J. H., Cho, M. O., & Lee, H. O. (2009). Qualitative research investigating patterns of health care behavior among korean patients with chronic hepatitis B. Journal of Korean Academy Nursing, 39(6), 805-817. http://dx.doi.org/10.4040/jkan.2009.39.6.805
  30. Yang, J. H., Lee, H. O., & Yoo, K. H. (2014). Development and evaluation of health care providers' counseling manual in mobile application for lifelong health care among patients with chronic hepatitis B. The Journal of Korean Academic Society of Nursing Education, 20(1), 108-117. http://dx.doi.org/10.5977/jkasne.2014.20.1.108