Self-management behaviors in adults with chronic hepatitis B: A structural equation model. (April 2021)

• Record Type: Journal Article
• Authors: Kong, Ling-Na; Zhu, Wen-Fen; Li, Lin; Lei, Qing-Song; Wang, Tian; Li, Yi-Lan
• Is Part Of: International journal of nursing studies. Volume 116(2021)
• Publication Date: 2021-04
• Subjects: Self-management -- Chronic hepatitis B -- Social support -- Self-efficacy -- Disease knowledge -- Structural equation model; Nursing -- Periodicals; Nursing -- Periodicals; Soins infirmiers -- Périodiques; Nursing; Periodicals; 610.73
• DOI: 10.1016/j.ijnurstu.2019.06.013
• Languages: English
• ISSNs: 0020-7489

Abstract

Abstract: Background: Chronic hepatitis B is a serious and chronic health problem, requiring self-management to control the disease and related complications. Objectives: To develop a structural model to identify how social support, self-efficacy and disease knowledge contribute to their self-management behaviors in adults with chronic hepatitis B. Design: A cross-sectional study. Settings: Hepatology units in two hospitals in Chongqing, China. Participants: A total of 306 patients with chronic hepatitis B were recruited. Methods: Data were collected using Social Support Rating Scale, Self-Efficacy for Managing Chronic Disease, Hepatitis B Knowledge Questionnaire and Chronic Hepatitis B Self-Management Scale. Structural equation model was applied to analyze the data. Results: The final model showed good model fit. Social support directly influenced self-management behaviors (β = 0.19, p < 0.01), and indirectly influenced self-management behaviors (β = 0.20, p < 0.01) through self-efficacy. Self-efficacy directly influenced self-management behaviors (β = 0.37, p < 0.05). Disease knowledge indirectly influenced self-management behaviors (β = 0.12, p < 0.05) through self-efficacy. Conclusions: Our findings indicated that social support, self-efficacy and disease knowledge directly or indirectly affected self-management behaviors in adults with chronic hepatitis B. This provides a theoretical basis for developing self-management interventions for patients with chronic hepatitis B, which may lead to health improvements in this population.