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Development of Educational Materials for Management and Prevention of Chronic Hepatitis
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Mae Ja Kim, Gye Young Shin, Sun Ock Lee
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J Korean Acad Community Health Nurs. 2002;13(3):503-512. Published online September 30, 2002
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 Abstract
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- PURPOSE
This study was conducted to develop educational materials for preventing type B viral hepatitis infection. Prior to this study, a survey had been conducted to define the educational needs of persons with hepatitis B antigen.
METHOD
Based on the results of the former study and a review of the literature, the content of the educational materials was confined to the transmission cycle and its prevention in type B hepatitis. A professional team that consisted of writers and producers videotaped the lectures provided by professors and instructors in a nursing school. A professional graphic designer produced the leaflet to enhance the visual effects.
RESULTS
The contents of the educational materials for type B hepatitis were composed of six parts: (1) the prevalence rate (or morbidity) of type B hepatitis antigen positive and its recent trend, (2) transformation of hepatitis, (3) transmission cycle of hepatitis infection, (4) persons who are susceptible to hepatitis and need a vaccination, (5) preventive approach - hepatitis vaccination and the guideline for patients' daily lives for preventing infection and (6) questions and answers. The materials were delivered in the form of lectures, visual charts, graphics, and multi-media.
CONCLUSION
The educational materials developed in this study may provide practical information and knowledge on strategies to prevent type B hepatitis. The educational materials may be utilized in primary health care centers or school health services.
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Health Management and Educational Needs of Chronic Type B Hepatitis
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Mae Ja Kim, Sun Oak Lee, Gye Young Shin, Eun Kyung Kim, Mi Ra Jang
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J Korean Acad Community Health Nurs. 2002;13(1):57-67. Published online March 31, 2002
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Abstract
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- PURPOSE
Chronic hepatic disease is caused by inappropriate management of the hepatitis B virus. In Korea, there is an increasing number of chronic hepatic patients, who are at risk of dying from liver failure or hepatocellular carcinoma. Therefore it is important to manage the hepatitis B virus appropriately.
METHOD
The patients diagnosed with chronic hepatic disease or HBV carrier who registered at a community health center or hospital were assessed regarding health man agement status and educational needs. The data was collected from 179 persons by convenient sampling between May, 2000 and April, 2001. The data were was analyzed for general characteristics using the descriptive method, factors influencing educational needs and health management using t-test and ANOVA.
RESULTS
1. The average health management score was 18.2 from 12 to 24 range. Those who unknown were unaware of the presence of HBsAg, attending the educational program and keeping undergoing treatment at the community health center or hospital were had a higher management score(p<.05).
2. The educational needs regarding nutritional management(64.8%) was the highest topic with chronic hepatitis patients. The second highest topic was spreading prevention among family members (52.0%), and keeping medication (45.8%), the degree of physical activities(44.1%), and spreading prevention in public(39.1%). Those who were unaware of the presence of HBsAg (p<.001), less than 12 months after HBsAg (+)(p<.05), keeping treatment (p<.05) were higher educational needs. 3. The use of alternative therapy was 27.9% of subjects. The subjects thought it was helpful for disease management(42.1%), mostly, family members and relatives recommended to use (57.9%), and medical regimen was ignored during the alternative therapy.
CONCLUSION
Based on the results, an educational program about prevention of type B hepatitis and management for patients having type B hepatitis should be developed.
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KACHN
