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Self-Management Behaviors Among Patients With Liver Cirrhosis in Shanghai, China: A Cross-Sectional Study

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  • Ning Dong
  • Wei-Ti Chen
  • Meijuan Bao
  • Yan Lu
  • Yuqian Qian
  • Hongzhou Lu

Abstract

Effective self-management of liver cirrhosis requires medication adherence and lifestyle modifications. The purpose of this study was to investigate the self-management behaviors of liver cirrhosis patients and how their knowledge of cirrhosis, psychological status, and self-efficacy contributes to self-management practices in Shanghai, China. Subjects were recruited from the hepatology units in an infectious hospital in Shanghai, China. Self-administered questionnaires were collected and medical charts were reviewed by the research staff. A total of 134 subjects were enrolled from November 2016 to March 2017. The results indicate that the self-management behaviors mean score was 2.51 out of 4 and that depression, severity of cirrhosis, and self-efficacy significantly affected self-management behaviors and explained 22.9% of the total variance. The findings also indicate that psychological stress, disease severity, and self-efficacy affected self-management behaviors in liver cirrhosis patients. Interventions focusing on decreasing depression and enhancing self-efficacy according to disease severity should improve self-management behaviors in this population.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:clnure:v:29:y:2020:i:7:p:448-459
    DOI: 10.1177/1054773818777914
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    References listed on IDEAS

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    1. Li‐Jan Wu & Ming‐Shun Wu & GI‐Shih Lien & Feng‐Chia Chen & Jen‐Chen Tsai, 2012. "Fatigue and physical activity levels in patients with liver cirrhosis," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(1‐2), pages 129-138, January.
    2. Chin-Lin Perng & Cheng-Che Shen & Li-Yu Hu & Chiu-Mei Yeh & Mu-Hong Chen & Chia-Fen Tsai & Huey-Ling Chiang & Yi-Ping Hung & Vincent Yi-Fong Su & Yu-Wen Hu & Tung-Ping Su & Pan-Ming Chen & Jeng-Hsiu H, 2014. "Risk of Depressive Disorder following Non-Alcoholic Cirrhosis: A Nationwide Population-Based Study," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-6, February.
    3. Suzanne Polis & Ling Zang & Bhawana Mainali & Rachel Pons & Gokulan Pavendranathan & Amany Zekry & Ritin Fernandez, 2016. "Factors associated with medication adherence in patients living with cirrhosis," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 204-212, January.
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    Cited by:

    1. 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.

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