Congmin Gao

Date of Completion

2022

Document Type

Thesis

Degree Name

Master of Arts in Nursing

Keywords

Hepatitis B, Treatment Adherence and Compliance

Abstract

Introduction: Hepatitis B virus infection is one of the most common infectious diseases in the world. Chronic hepatitis B in China has a high incidence and prevalence, seriously endangering the health level of people's life. The purpose of this study is to identify the factors that influence the treatment compliance of clients with chronic hepatitis B.

Methods: This study will use a non-experimental cross-sectional research design to investigate the compliance status of patients with chronic hepatitis B and investigate the influencing factors of compliance. The respondents of the survey are 144 inpatients and outpatients in the Department of Infectious Liver Diseases of Ningguo People's Hospital. The data of the respondents were collected through questionnaires. The "General Questionnaire" was used to collect demographic data on the participants. The "Treatment Compliance Questionnaire" was used to collect data on the participants' treatment compliance status. The "Hepatitis B Knowledge Level Questionnaire" was used to collect data on the participants'

hepatitis B knowledge level. The "Health Beliefs Questionnaire" was used to collect data on the participants' health belief levels. The "Social Support Rating Scale (SSRS)" was used to measure the participants' social support status. The main statistical tools used in this study are percentage, percentage distribution, analysis of variance, and chi-square test. Percentages and percentage distributions were used to determine the sociodemographic profile of the participants. ANOVA and chi-square tests were used to determine the influencing factors of treatment compliance in hepatitis B clients.

Results: The profile of the respondents shows that there are more males (61.8%) than females (31.2%). Most of the respondents are between 30 and 50 years old (64.6%), and most of them are married (49.3%). In this study, the overall mean value of each item of treatment compliance is 2.70. The best compliance wisas taking the medication according to dose, and the worst is regular review. 50 (34.7%) have good compliance, while 94 (65.%) have poor compliance. The participants were grouped and compared according to sex, age, civil status, occupation, education level, economic income, medical payment method, visiting hospital, health belief, hepatitis B knowledge level and social support. Sex and age have no significant difference in treatment compliance. Civil status, occupation, education level, economic income, medical payment method, visiting hospital, hepatitis B knowledge, health beliefs, and social support have significant differences in the treatment compliance of respondents.

Conclusion: The results of this study show that the treatment compliance of patients with chronic hepatitis B is not optimistic, with only 34.7% patients with good compliance and 65.3% patients with poor compliance, indicating that the treatment compliance of patients with chronic hepatitis B is a problem worthy of our attention, which needs to be further improved through health education and health promotion. Treatment compliance is an important factor affecting the rehabilitation of patients with chronic hepatitis B, reducing or delaying the occurrence of complications and controlling the transmission of the disease to healthy people. The treatment compliance of patients with chronic hepatitis B can be improved through comprehensive health education to improve the disease knowledge level of patients and their families, establish correct health beliefs about the disease and obtain good family and social support.

First Advisor

Noriel P. Calaguas

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