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[Illness experience of people with chronic hepatitis B in Korea]
Myungsun Yi1, Eun Ok Choi, Seung Woon Paik
1College of Nursing, Seoul National University, 28 Yongon-dong, Jongno-gu, Seoul 110-799, Korea. donam@snu.ac.kr
Insights
People with chronic hepatitis B (CHB) in Korea manage their illness through self-reliance. They face psychosocial challenges, requiring both informational and emotional support from healthcare professionals for improved quality of life.
Area of Science:
- Hepatology
- Psychosocial Medicine
- Qualitative Research
Context:
- Chronic hepatitis B (CHB) is a significant health concern in Korea.
- Understanding patient experiences is crucial for effective management.
- Limited research exists on the specific challenges faced by CHB patients in Korea.
Purpose:
- To explore the lived experiences of individuals with chronic hepatitis B in Korea.
- To identify the primary challenges encountered by CHB patients.
- To uncover coping strategies employed by individuals managing CHB.
Summary:
- Grounded theory analysis of 12 CHB patients revealed "illness management with self-reliance and will" as the core category.
- Key strategies include positive attitudes, work/greed restraint, information control, adherence to prevention, healthy lifestyle choices, and alternative therapies.
- Outcomes of these strategies involve burden, depression, helplessness, compliance stress, and strained relationships.
Impact:
- Findings highlight significant psychosocial issues among CHB patients in Korea.
- Healthcare professionals should offer both informational and emotional support.
- Interventions aimed at improving the quality of life for CHB patients are recommended.
Purpose:
The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with.
Methods:
A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea.
Results:
After constant comparative analysis, a core category emerged as "illness management with self-reliance and will." Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships.
Conclusion:
The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.
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