Effect of Self Management Program on Health Outcomes of the Patients with Liver Cirrhosis

Document Type : Scientific peer reviewed journal

Authors

1 Assistant lecturer of Medical Surgical Nursing, Benha University, Egypt

2 Professor of Medical Surgical Nursing, Benha University, Egypt

3 Assistant Professor of Medical Surgical Nursing, Benha University, Egypt

Abstract

 Background: Liver cirrhosis defined as a chronic liver illness characterized by extensive hepatic
cell death and fibrotic cell regeneration. Self-management program has proven to be a key tool in
disease management, providing significant benefit in knowledge and behavioral modifications,
reduce experience of symptoms which improving patients’ HRQOL. Aim of the study: Was to
evaluate the effect of self-management program on health outcomes of LC patients. Design: Quasiexperimental design was used. Setting: Hepatology department at Benha University Hospital.
Subject: A purposive sample of (58) LC patients from both sexes (third stage). Tool of data
collection: Two tools were used. Tool I: Structure questionnaire was divided into 4 parts (1):
Demographic data, (2): Medical history, (3): Patients’ knowledge assessment, (4) Self-management
behavior. Tool II: Health outcomes assessment divided into two parts (1): Health related quality of
life (HRQOL), (2): Symptoms experience. Results: The LC patients' total knowledge & behavior
were improved post program implementation from (23.8% & 41.3%) to (71.5% to 58.0%) of the
studied patients, respectively and patients’ HRQOL improved from 54.6% to 58.2% on 1st month,
respectively. Conclusion: Self-management program has been shown to be effective on improving
patients’ knowledge, behavior and HRQOL. Recommendation: Continuous education for LC
patients about self management to manage symptoms and improve their quality of life. 

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Journal of Nursing Science Benha University
Volume 4, Issue 2
July 2023
Pages 748-760

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