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Self-Management and Associated Factors among Patients with Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study

Author

Listed:
  • Oh Young Kwon

    (College of Nursing and the Brain Korea 21 FOUR Project, Yonsei University, Seoul 03722, Republic of Korea)

  • Seung Up Kim

    (Department of Internal Medicine, Institute of Gastroenterology, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea)

  • Sang Hoon Ahn

    (Department of Internal Medicine, Institute of Gastroenterology, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea)

  • Yeonsoo Jang

    (Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Republic of Korea)

Abstract

Self-management is critical and essential for controlling non-alcoholic fatty liver disease, delaying progression, and preventing complications. However, information about the self-management characteristics of this population is scarce. This study explores the characteristics and self-management levels and the factors associated with self-management in patients with non-alcoholic fatty liver disease in Korea. A convenience sample of 150 patients diagnosed with non-alcoholic fatty liver disease was recruited from April to November 2019. Demographics and clinical findings were collected, and self-management, self-efficacy, fatigue, and depressive symptoms were assessed using questionnaires. Multiple linear regression analysis was performed to examine the factors associated with self-management. Self-management levels were moderate (Mean = 3.4, SD = 0.61). Self-management differed significantly by age, sex, marital status, occupation, and health education experience. Self-efficacy (β = 0.074, p = 0.020) showed a significant association with self-management, which explained 25.0% of the variance after controlling for age, sex, marital status, health education experience, occupation, controlled attenuation parameter score, and body mass index. Self-efficacy is a critical determinant of self-management among patients with non-alcoholic fatty liver disease. The study findings could assist healthcare professionals in facilitating self-management compliance and developing multidisciplinary team-based interventions for sustainable self-management.

Suggested Citation

  • Oh Young Kwon & Seung Up Kim & Sang Hoon Ahn & Yeonsoo Jang, 2022. "Self-Management and Associated Factors among Patients with Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:667-:d:1020115
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    References listed on IDEAS

    as
    1. Ning Dong & Wei-Ti Chen & Meijuan Bao & Yan Lu & Yuqian Qian & Hongzhou Lu, 2020. "Self-Management Behaviors Among Patients With Liver Cirrhosis in Shanghai, China: A Cross-Sectional Study," Clinical Nursing Research, , vol. 29(7), pages 448-459, September.
    2. Yeonsoo Jang & Jeong Hyun Kim & Kyunghwa Lee, 2017. "Validation of the revised piper fatigue scale in Koreans with chronic hepatitis B," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-11, May.
    3. Cameron, James E. & Voth, Jennifer & Jaglal, Susan B. & Guilcher, Sara J.T. & Hawker, Gillian & Salbach, Nancy M., 2018. "“In this together”: Social identification predicts health outcomes (via self-efficacy) in a chronic disease self-management program," Social Science & Medicine, Elsevier, vol. 208(C), pages 172-179.
    Full references (including those not matched with items on IDEAS)

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