Construction and Application of Patient-Participated Health Care Guidance Plan for Patients with Decompensated Hepatitis B Cirrhosis

Abstract

Dan Su, Xiange Zeng, Yinliang Tang, Wenjing Wang Department of Gastroenterology, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan Province, 421001, People’s Republic of ChinaCorrespondence: Wenjing Wang, Department of Gastroenterology, The Second Affiliated Hospital, Hengyang Medical School, University of South, No. 35, Jiefang Avenue, Zhengxiang District, Hengyang City, Hunan Province, 421001, People’s Republic of China, Email [email protected]: The goal of this study was to develop and assess the effectiveness of a patient-engaged healthcare guidance plan for individuals with decompensated hepatitis B cirrhosis.Methods: This study employed literature review, situational analysis, and expert consultations to create a healthcare guidance plan that includes patient participation for those suffering from decompensated hepatitis B cirrhosis. Between January 2022 and January 2023, 86 patients with this condition admitted to our hospital were selected through convenience sampling and randomly assigned into two groups using a random number table. The control group (n=43) received standard care, while the intervention group (n=43) received the novel patient-engaged healthcare guidance in addition to standard care. We compared both groups in terms of anxiety and depression levels, self-care capability, uncertainty about their illness, and overall quality of life.Results: Upon discharge, scores for the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Mishel’s Uncertainty in Illness Scale (MUIS) decreased in both groups compared to their scores at admission (P< 0.05), with the intervention group showing more significant improvements than the control group (P< 0.05). Additionally, scores for the Self-Care Ability Scale (ESCA) and the component threshold scores of the Health Survey Short Form (SF-36) increased for both groups from admission to discharge (P< 0.05), with the intervention group showing greater improvements than the control group (P< 0.05).Conclusion: The patient-engaged healthcare guidance plan developed for individuals with decompensated hepatitis B cirrhosis proved to be highly effective. It significantly reduced patient anxiety and depression, enhanced self-care capabilities, diminished illness uncertainty, and improved overall quality of life.Keywords: hepatitis B, cirrhosis, decompensation period, patient participation, health care guidance plan

Keywords

• hepatitis b
• cirrhosis
• decompensation period
• patient participation
• health care guidance plan