Assessment of educational health problems among liver cirrhosis patients to improve their Quality Of Life in Minia University Hospital

Abstract

Back ground: Liver cirrhosis is a serious chronic disease, affects most of body systems and reduce patient's quality of life (QOL). It needs a nursing guidelines to be developed according to patient's needs. Aim of this study was to assess educational needs of liver cirrhosis patients, (assessment of QOL domains, liver cirrhosis health problems and complications) to improve their quality of life. Descriptive research design has been used to carry out this study. Patients and methods:The study sample included 50 male and female patients with liver cirrhosis. Setting internal medical department, Minia University Hospital. Structured interview was utilized for data collection. Three tools were utilized for data collection; Tool I-Liver cirrhosis patient's knowledge questionnaire sheet, Tool II-Knowledge assessment questionnaire, Tool III-Chronic Liver Disease Questionnaire. Results: the majority of patients were married, housewives, illiterate, and come from rural areas (82%, 50%, 80%, 88% respectively) and their age ranged between 50 and 59 years, patient's QOL domains mean scores were low with worry, activity, fatigue, abdominal and systemic symptoms. The patient's mean knowledge scores about liver cirrhosis, complications, and diet were also low. Conclusion, continuous education of liver cirrhosis patients is needed to prevent complications of cirrhosis and improvement of health related quality of life.

Effect of Nursing Intervention on Health profile and Symptoms among Patients with Liver Cirrhosis

“…However, there were insignificant difference between pre and post intervention regarding -experienced bodily pain‖ and experienced abdominal pain‖. Taha et al, (2015) who studied "Assessment of educational health problems among liver cirrhosis patients to improve their Quality Of Life in Minia University Hospital", as regards the domain of abdominal symptoms, the majority of the patients in the study sample felt abdominal bloating a little of time, pain and discomfort most of time during the last two weeks in the time of data collection. Also Furate et al, (2013) who studied "The Impact of Self-Care Instructional program on Quality of Life of Patients with Liver cirrhosis at El-Kasr EL Ainy Cairo University Hospital" found that, In relation to the domain of abdominal symptoms, the majority of the patients in the study sample felt abdominal distension, pain and discomfort most of time during the last two weeks in the time of data collection, more than one third of them felt abdominal pain and discomfort all time, while the minority of them felt it little of time.…”