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Yang: Development and Evaluation of a Program to Promote Self Management in Patients with Chronic Hepatitis B
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(2): 258-268.

Published online: 30 April 2012

DOI: https://doi.org/10.4040/jkan.2012.42.2.258

Development and Evaluation of a Program to Promote Self Management in Patients with Chronic Hepatitis B

Jin-Hyang Yang

Associate professor, Department of Nursing, Inje University, Busan, Korea.

Address reprint requests to: Yang, Jin Hyang. Department of Nursing, Inje University, 633-165 Gaegum-dong, Busanjingu, Busan 614-735, Korea. Tel: +82-51-890-6839, C.p: +82-11-803-1203, Fax: +82-51-896-9840, jhyang@inje.ac.kr

Received 6 June 2011       Accepted 26 April 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to identify the effects of the program to promote self management for patients with chronic hepatitis B.

Methods

The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 61 patients, 29 in the experimental group and 32 in the control group. A pretest and 2 posttests were conducted to measure main variables. For the experimental group, the self-management program, consisting of counseling-centered activities in small groups, was given for 6 weeks. Data were analyzed using χ2, t-test, and repeated measures ANOVA with PASW statistics program.

Results

There were statistically significant increases in knowledge, self-efficacy, active ways of coping, and self-management compliance but not in passive ways of coping in the experimental group compared to the control group over two different times.

Conclusion

The results of this study indicate that the self-management program is effective in increasing knowledge, self-efficacy, active ways of coping, and self-management compliance among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic disease as a nursing intervention for people with chronic hepatitis B.

Keywords: Chronic hepatitis B, Program development, Program evaluation, Self care

Figures and Tables

Figure 1
Outlines of a program to promote self-management in patients with hepatitis B.
jkan-42-258-g001
Table 1
Homogeneity Test of Characteristics between Experimental and Control Groups (N=61)
jkan-42-258-i001

Exp.=Experimental group; Cont.=Control group; CHB=Chronic hepatitis B.

Table 2
Homogeneity Test of Dependent Variables between Experimental and Control Groups (N=61)
jkan-42-258-i002

Exp.=Experimental group; Cont.=Control group.

Table 3
Repeated Measures ANOVA in Dependent Variables (N=61)
jkan-42-258-i003

Exp.=Experimental group; Cont.=Control group.

Table 4
Differences in Dependent Variables between Groups Over Time (N=61)
jkan-42-258-i004

Notes

This research was supported by Basic Science Research program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-0024688).

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