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Mi Ra Jang 1 Article
Health Management and Educational Needs of Chronic Type B Hepatitis
Mae Ja Kim, Sun Oak Lee, Gye Young Shin, Eun Kyung Kim, Mi Ra Jang
J Korean Acad Community Health Nurs. 2002;13(1):57-67.   Published online March 31, 2002
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PURPOSE
Chronic hepatic disease is caused by inappropriate management of the hepatitis B virus. In Korea, there is an increasing number of chronic hepatic patients, who are at risk of dying from liver failure or hepatocellular carcinoma. Therefore it is important to manage the hepatitis B virus appropriately.
METHOD
The patients diagnosed with chronic hepatic disease or HBV carrier who registered at a community health center or hospital were assessed regarding health man agement status and educational needs. The data was collected from 179 persons by convenient sampling between May, 2000 and April, 2001. The data were was analyzed for general characteristics using the descriptive method, factors influencing educational needs and health management using t-test and ANOVA.
RESULTS
1. The average health management score was 18.2 from 12 to 24 range. Those who unknown were unaware of the presence of HBsAg, attending the educational program and keeping undergoing treatment at the community health center or hospital were had a higher management score(p<.05). 2. The educational needs regarding nutritional management(64.8%) was the highest topic with chronic hepatitis patients. The second highest topic was spreading prevention among family members (52.0%), and keeping medication (45.8%), the degree of physical activities(44.1%), and spreading prevention in public(39.1%). Those who were unaware of the presence of HBsAg (p<.001), less than 12 months after HBsAg (+)(p<.05), keeping treatment (p<.05) were higher educational needs. 3. The use of alternative therapy was 27.9% of subjects. The subjects thought it was helpful for disease management(42.1%), mostly, family members and relatives recommended to use (57.9%), and medical regimen was ignored during the alternative therapy.
CONCLUSION
Based on the results, an educational program about prevention of type B hepatitis and management for patients having type B hepatitis should be developed.

RCPHN : Research in Community and Public Health Nursing