Journal of Qualitative Research in Health Sciences

Authors

university

Abstract

Introduction: Hepatitis is a chronic disease which greatly impacts patients’ lives. Since patients with chronic hepatitis have special care needs, they experience many challenges. Therefore, the purpose of this study was to explore self-care in patients with chronic hepatitis.

Method: This qualitative study was conducted through directed content analysis method among patients with chronic hepatitis in 2013 at Tehran University of Medical Sciences, Iran. The study participants were selected through purposive sampling and data was collected through semi-structured interviews. Content analysis was used to extract data from verbatim transcripts of the participants’ interviews.

Results: In this study, the 4 themes of requirements in the matrix of time and place, self-care agency, the need for change in self-care, and disease outcome were extracted.

Conclusion: The results of this study showed that patients with hepatitis have specific vital, basic, sexual, physical, economical, and psychological-behavioral needs, and need for respect and belonging. These needs had a negative impact on self-care in patients with hepatitis.

Keywords

1. Akyol AD, Cetinkaya Y, Bakan G, Yaralı S, Akkuş S. Self‐care agency and factors related to this agency among patients with hypertension. Journal of clinical nursing. 2007;16(4):679-87. 2. Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M, et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes care. 2004;27(9):2154-60. 3. Groessl EJ, Weingart KR, Kaplan RM, Clark JA, Gifford AL, Ho SB. Living with hepatitis C: qualitative interviews with hepatitis C-infected veterans. Journal of general internal medicine. 2008;23(12):1959-65. 4. Apinundecha C, Laohasiriwong W, Cameron MP, Lim S. A community participation intervention to reduce HIV/AIDS stigma, Nakhon Ratchasima province, northeast Thailand. AIDS care. 2007;19(9):1157-65. 5. Noghabi AAA, Zandi M, Mehran A, Alavian SM, Dehkordi AH. The effect of education on quality of life in patients under interferon therapy. Hepatitis monthly. 2010;10(3):218. 6. Gary R. Self-care practices in women with diastolic heart failure. Heart & Lung: The Journal of Acute and Critical Care. 2006;35(1):9-19. 7. Hassanpour Dehkordi A, Mohamadi N, Nikbakht nasrabadi A. A. self-care in patients with Chronic Hepatitis: Re-designing Orem’s self care theory. theran: Thran medical univercity; 2013. 8. Heydarnejad M, Hassanpour DA, Solati DK. Factors affecting quality of life in cancer patients undergoing chemotherapy. African health sciences. 2012;11(2). 9. Kraus MR, Schäfer A, Csef H, Scheurlen M. Psychiatric side effects of pegylated interferon alfa-2b as compared to conventional interferon alfa-2b in patients with chronic hepatitis C. World journal of gastroenterology: WJG. 2005;11(12):1769-74. 10. Mohammadi N, HassanpourDehkordi A, NikbakhatNasrabadi A. Iranian Patients with Chronic Hepatitis Struggle to Do Self-Care. Life Science Journal 2013;10(1):457-62. 2013;10(1):457-62. 11. Chou F-Y, Holzemer WL. Linking HIV/AIDS clients’ self-care with outcomes. Journal of the Association of Nurses in AIDS Care. 2004;15(4):58-67. 12. Hobbs LM. From Neglect to Care: A Theory to GuideHIV-Positive Incarcerated Women in Self-Care. . journal of the assaciation of nursing in Aids care. 2003;14(5):25-38. 13. Dehkordi AH, Heydarnejad MS. Factors-related to quality of life in post myocardial infarction patients. JHMU. 2009;7:010. 14. Sakhayi S. The study of applying rate of life style healthy promotion method in medical personal. Tabbib shargh. 2005;7(2):95-100. 15. Hassanpour-Dehkordi A, Jivad N. Comparison of regular aerobic and yoga on the quality of life in patients with multiple sclerosis. Medical Journal of The Islamic Republic of Iran (MJIRI). 2014;28:141-0. 16. Riff D, Lacy S, Fico F. Analyzing media messages: Using quantitative content analysis in research: Routledge; 2014. 17. Rowan P, Dunn N, El‐Serag H, Kunik M. Views of hepatitis C virus patients delayed from treatment for psychiatric reasons. Journal of viral hepatitis. 2007;14(12):883-9. 18. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative health research. 2005;15(9):1277-88. 19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12. 20. Polit D, Beck CT, editors. Nursing Research: Generating and Assessing Evidence for Nursing Practice Nursing Research. Philadelphia: Lippincott; 2008. 21. Baillie L. Patient dignity in an acute hospital setting: a case study. International journal of nursing studies. 2009;46(1):23-37. 22. Bova C, Jaffarian C, Himlan P, Mangini L, Ogawa L. The symptom experience of HIV/HCV-Coinfected Adults. Journal of the Association of Nurses in AIDS Care. 2008;19(3):170-80. 23. Butt G, Paterson BL, McGuinness LK. Living with the stigma of hepatitis C. Western Journal of Nursing Research. 2008;30(2):204-21. 24. Dickson VV, Buck H, Riegel B. Multiple comorbid conditions challenge heart failure self-care by decreasing self-efficacy. Nursing research. 2013;62(1):2-9. 25. Tufts KA, Wessell J, Kearney T. Self-care behaviors of African American women living with HIV: A qualitative perspective. Journal of the Association of Nurses in AIDS Care. 2010;21(1):36-52. 26. Dehkordi A, Heydarnejad MS, Fatehi D. Quality of life in cancer patients undergoing chemotherapy. Oman medical journal. 2009;24(3):204. 27. Castera L, Constant A, Bernard P-H, de Ledinghen V, Couzigou P. Psychological impact of chronic hepatitis C: comparison with other stressful life events and chronic diseases. World Journal of Gastroenterology. 2006;12(10):1545. 28. Hardee K, Clark B, Yuana V, Manchester T, Bradlev S, Shen Z. hiv and aids stigma and discrimination in china:result from a national survey. Asia pacific population journal. 2009;24(2):7-23.