Effect of collaboration care model on diseases attitude and self-efficacy of patients with chronic hepatitis B

Abstract

Objective To investigate the effect of collaborative care model on diseases attitude and self-efficacy of patients with chronic hepatitis B. Methods Ninety-six cases of patients with chronic hepatitis B were selected. Forty-seven cases who were hospitalized from June 2015 to December 2015 were seemed as the control group, while 49 cases who were hospitalized from January 2016 to June 2016 were seemed as the collaboration group. Patients in control group were accepted routine care measures for chronic hepatitis B. Patients in collaboration group were accepted collaboration care measure on the basis of routine care, including patient assessment and collaboration care program development, health knowledge for patients and their families guiding and basic skills training, and psychological guidance intervention. Respectively, at admitting to hospital and after intervention 4 weeks, the diseases attitude of patients with chronic hepatitis B diseases, self-care ability and self-efficacy were assessed. Results There were no significant differences in attitude score, self-care ability score, self-efficacy score before intervention between two groups (P > 0.05). They were improved after intervention compared with before intervention, the difference was statistically significant (t = 3.197 -25.376, P < 0.01 or 0.05). The attitude in the face, avoid and give up score respectively in collaborative nursing group after intervention were(28.2±5.3), (9.8±4.2), (5.1±1.7) points, and (23.4±4.1), (14.1±3.8), (8.2±1.9) points in control group, the difference was statistically significant (t = 4.393, 4.220, 9.285, P < 0.01). The health knowledge of self-care ability, self-care skill, since the sense of responsibility, self-concept scale in collaborative nursing group after intervention were (48.2±3.4), (39.5±4.0), (33.1±5.5), (29.1±3.7) points, and (39.4±4.2), (30.2±3.5), (24.7±4.8), (25.2±3.5) points in control group, the difference was statistically significant (t = 5.137-11.286, P < 0.01). The self-efficacy in each entry score and total score in collaborative nursing group were (3.4±0.7), (31.5±4.6) points and (2.8±0.4), (20.7±5.1) points in control group, the difference were statistically significant (t = 5.288, 14.579, P < 0.01). Conclusions Collaborative care model could help chronic hepatitis B patients to establish correct disease attitude, improve self-care ability and enhance self-efficacy. Key words: Hepatitis B, chronic; Collaborative care; Disease attitude; Self-efficacy