Improvement in Quality of Life and Activities of Daily Living in Patients with Liver Cirrhosis with the Use of Health Education and Patient Health Empowerment

Zhang, Xiancui; Xi, Weizhen; Liu, Ling; Wang, Lingling

doi:10.12659/msm.914487

Cited by 20 publications

(47 citation statements)

References 27 publications

(25 reference statements)

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“…Goldworthy et al ( 19 ) demonstrated the utility of a video‐based educational intervention, improving knowledge assessment questionnaires from 25.0% to 66.7% before and after intervention, respectively. Zhang et al ( 20 ) showed that modifying patient education with a focus on patient empowerment yields statistically significant improvement in patient disease management knowledge and improvement in activities of daily living scores in a study of 60 patients. Zandi et al ( 21 ) found that educational sessions on the nature of cirrhosis, coping strategies for symptoms/comorbidities, and therapies for treatment side effects resulted in increased patient quality of life and decreased fatigue, anxiety, and abdominal symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…There must be a focus on patient empowerment rather than externally imposed interventions, given its demonstrated improvement both within cirrhosis and other chronic diseases. ( 20 )…”

Section: Discussionmentioning

confidence: 99%

“…Zhang et al (20) To evaluate the effect of education using health empowerment theory on ADL and patient knowledge in hospitalized patients n = 30…”

Section: Compensated and Decompensatedmentioning

confidence: 99%

“…There must be a focus on patient empowerment rather than externally imposed interventions, given its demonstrated improvement both within cirrhosis and other chronic diseases. (20) Additionally, to expand implementation, we must be able to assess improvement in patient knowledge after interventions, which could involve the use of a validated knowledge-assessment questionnaire. (23) Furthermore, the educational intervention must be studied both in terms of knowledge improvement as an outcome, in addition to effect on clinical outcomes, quality of life, and patient satisfaction.…”

Section: Future Directionsmentioning

confidence: 99%

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How Do Patients With Cirrhosis and Their Caregivers Learn About and Manage Their Health? A Review and Qualitative Study

Saleh¹,

Bloom

Grzyb

et al. 2020

Hepatol Commun

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The complexity of cirrhosis requires patients and their caregivers to be well educated to improve outcomes. Data are lacking regarding how to best educate patients and their caregivers in the setting of cirrhosis. Our aim is to understand (both through existing literature and by asking patients and their caregivers) how patients learn about their disease, barriers in their education and disease management, and self‐management strategies. We performed a structured search of published articles in PubMed (1973 to 2020) using keywords “cirrhosis” plus “barriers”, “education”, “self‐management”, or “self‐care”. Additionally, we conducted a focus group of a representative sample of patients and their caregivers to understand how knowledge about cirrhosis is found and incorporated into self‐management. Of 504 returned manuscripts, 11 pertained to barriers in cirrhosis, interventions, or educational management. Barriers are well documented and include disease complexity, medication challenges, comorbid conditions, and lack of effective education. However, data regarding addressing these barriers, especially effective educational interventions, are scarce. Current strategies include booklets and videos, patient empowerment, and in‐person lectures. Without widespread use of these interventions, patients are left with suboptimal knowledge about their disease, a sentiment unanimously echoed by our focus group. Despite linkage to subspecialty care and consistent follow‐up, patients remain uncertain about their disease origin, prognosis, and therapies to manage symptoms. It is clear that more data are needed to assess effective strategies to address unmet educational needs. Existing strategies need to be blended and improved, their effectiveness evaluated, and the results distributed widely.

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Section: Resultsmentioning

confidence: 99%

“…There must be a focus on patient empowerment rather than externally imposed interventions, given its demonstrated improvement both within cirrhosis and other chronic diseases. ( 20 )…”

Section: Discussionmentioning

confidence: 99%

“…Zhang et al (20) To evaluate the effect of education using health empowerment theory on ADL and patient knowledge in hospitalized patients n = 30…”

Section: Compensated and Decompensatedmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

See 2 more Smart Citations

How Do Patients With Cirrhosis and Their Caregivers Learn About and Manage Their Health? A Review and Qualitative Study

Saleh¹,

Bloom

Grzyb

et al. 2020

Hepatol Commun

View full text Add to dashboard Cite

show abstract

“…The increased VO 2max and functional capacity bene ts from performing aerobic exercise [19] and progressive resistance training [20] had a signi cant impact on improved QOL in liver disease patients. In addition, liver disease patients who received health empowerment education, including clinical symptoms, diet, and nutrition, were shown to have improved cognitive levels, activities of daily living, and QOL [21,22]. With regard to symptoms and performing exercise, one study reported that LC patients commonly had impairments in maximal exercise capacity and pulmonary gas exchange abnormalities [23] and that the subsequent fatigue can alter their aerobic capacity.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Symptoms and Stage of Change in Both Adopting a Healthy Life Style and Quality of Life in Patients with Liver Cirrhosis: A Cross-Sectional Study

Lee

Chung

2020

Preprint

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Background: Previous studies of patients with liver cirrhosis have not considered the broad range of symptoms or the association between healthy behavior and quality of life. The purposes of this study were to examine the association between symptoms and adopting exercise and consuming fruits and vegetables and to identify factors associated with quality of life in patients with liver cirrhosis.Methods: This cross-sectional study enrolled 91 consecutive patients with liver cirrhosis in one tertiary general hospital in South Korea between February 2016 and January 2017. Each study participant completed a self-administered questionnaire that measured symptom, stage of change in engaging in exercise and consumption of fruits and vegetables, and the Korean version of the 36-item Short-Form Health Survey. Multivariate ordinal logistic regression analysis and multiple regression models was used, respectively, to examine the association between each symptom with stage of change in engaging in exercise and consumption of fruits and vegetables and to evaluate factors affecting quality of life.Results: Experiencing nausea was associated with a higher stage of change in engaging in exercise, but experiencing shortness of breath was associated with a lower stage of change in engaging in exercise. Experiencing right upper quadrant pain was associated with a higher stage of change in engaging in consumption of fruits and vegetables. Muscle cramps, anorexia, right upper quadrant pain and body pain, itching, ascites or edema, bruising, and change in appearance negatively affected quality of life.Conclusions: The results suggest that the types of symptoms experienced by a patient with liver cirrhosis hinder or promote the patient’s adoption of exercise and dietary behavior. Experiencing symptoms may negatively affect quality of life. Caregivers should provide supportive care to patients with liver cirrhosis, which includes assessing and managing symptoms to improve quality of life.

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Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia

Skladaný

Líška

Liptáková

et al. 2023

Sci Rep

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Liver cirrhosis is associated with a poor quality of life (QOL). The COVID-19 pandemic has led to several restriction measures and psychosocial consequences whose impact on QOL has combined with that of cirrhosis in an unknown way. Therefore, we have used our cirrhosis registry to assess the quality of life before the pandemic (on the first admission to the tertiary liver unit) and during the most pronounced phase of the first lockdown. In this cross-sectional study conducted during the first lockdown in Slovakia (from April to May 2020), we have repeated the QOL measurement of QOL in cirrhotic patients previously enrolled in the RH7 registry. Patients who were alive (according to the national registry of deaths) were identified and contacted by phone with a structured and standardized interview led by trained professionals. The tool used for both QOL measurements (at enrolment in RH7 and during lockdown) was a standardized and validated EuroQOL-5D (EQ-5D) questionnaire. The study included 97 patients, of which 37 (38.1%) were women and 60 (61.9%) were men. Responses were achieved from 75 patients (68.18%). In general, patients scored their quality of life significantly higher during the pandemic compared to examination at admission to RH7 (that is, at admission to our tertiary liver unit with cirrhosis) (p = 0.005). In particular, of the domains included in EQ-5D: (1) self-care was better during lockdown compared to the first record on admission to RH7 (p < 0.001). (2) the ability to perform daily activities has also improved during lockdown (p = 0.002). On the other hand, (3) pain and discomfort did not change significantly during the lockdown compared to the previous measurement (p = 0.882). (4) anxiety and depression were lower during lockdown compared to admission to RH7 (p = 0.01). The quality of life in patients with liver cirrhosis was better during the lockdown of SARS-CoV-2 compared to the previous measurement at admission to the tertiary liver unit.

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Improvement in Quality of Life and Activities of Daily Living in Patients with Liver Cirrhosis with the Use of Health Education and Patient Health Empowerment

Cited by 20 publications

References 27 publications

How Do Patients With Cirrhosis and Their Caregivers Learn About and Manage Their Health? A Review and Qualitative Study

How Do Patients With Cirrhosis and Their Caregivers Learn About and Manage Their Health? A Review and Qualitative Study

Relationship Between Symptoms and Stage of Change in Both Adopting a Healthy Life Style and Quality of Life in Patients with Liver Cirrhosis: A Cross-Sectional Study

Comparison of the quality of life of patients with liver cirrhosis before and during the COVID-19 lockdown in Slovakia

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