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韩国慢性乙型肝炎患者自我管理促进在线项目的开发与验证

Development and Validation of an Online Program for Promoting Self-Management among Korean Patients with Chronic Hepatitis B.

作者信息

Yang Jinhyang

机构信息

Department of Nursing, College of Medicine, Inje University, 633-165 Gaegum-dong, Busanjin-gu, Busan 614-735, Republic of Korea.

出版信息

Nurs Res Pract. 2013;2013:702079. doi: 10.1155/2013/702079. Epub 2013 Jan 15.

Abstract

The hepatitis B virus is second only to tobacco as a known human carcinogen. However, chronic hepatitis B usually does not produce symptoms and people feel healthy even in the early stages of live cancer. Therefore, chronically infected people should perceive it as a serious health problem and move on to appropriate health behaviour. The purpose of this paper is to develop and validate an online program for promoting self-management among Korean patients with chronic hepatitis B. The online program was developed using a prototyping approach and system developing life cycle method, evaluated by users for their satisfaction with the website and experts for the quality of the site. To evaluate the application of the online program, knowledge and self-management compliance of the subjects were measured and compared before and after the application of the online program. There were statistically significant increases in knowledge and self-management compliance in the user group. An online program with high accessibility and applicability including information, motivation, and behavior skill factors can promote self-management of the patient with chronic hepatitis B. Findings from this study allow Korean patients with chronic hepatitis B to engage in proactive and effective health management in the community or clinical practice.

摘要

乙肝病毒作为一种已知的人类致癌物,仅次于烟草。然而,慢性乙肝通常不会产生症状,即使在肝癌早期人们也感觉身体健康。因此,慢性感染者应将其视为严重的健康问题,并采取适当的健康行为。本文的目的是开发并验证一个在线项目,以促进韩国慢性乙肝患者的自我管理。该在线项目采用原型法和系统开发生命周期法进行开发,并由用户对网站满意度以及专家对网站质量进行评估。为评估该在线项目的应用效果,在应用该在线项目前后对受试者的知识水平和自我管理依从性进行测量和比较。用户组的知识水平和自我管理依从性有统计学意义的提高。一个具有高可及性和适用性、包含信息、动机和行为技能因素的在线项目可以促进慢性乙肝患者的自我管理。本研究结果使韩国慢性乙肝患者能够在社区或临床实践中进行积极有效的健康管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/170e/3557620/1549fd56c59b/NRP2013-702079.001.jpg

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