Level of health behaviours of HCV infected patients treated with dialysotherapy

• Main Authors: Lidia Sierpińska (Author), Karolina Lis (Author)
• Format: Book
• Published: Kazimierz Wielki University, 2019-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<p class="MsoNormal"><em><span style="font-family: 'Times New Roman';">Introduction.</span></em><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;"> Hepatitis C virus (HCV) infection is one of the greatest epidemiological risks worldwide </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">(3% infected globally). Dialysis patients are the group at high risk of infections transmitted via blood, are often infected with HCV virus, and suffer from acute or chronic hepatitis. </span><span style="font-family: 'Times New Roman';">Anti-health behaviours enhance the process of liver fibrosis. The objective of the study was recognition</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; color: #008000; font-size: 12,0000pt;"> </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">of the level </span><span style="font-family: 'Times New Roman';">of health behaviours in HCV-infected haemodialysis patients</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">.</span><strong><span style="font-family: 'Times New Roman'; color: #7030a0;"> </span></strong></p><p class="MsoNormal"><em><span style="font-family: 'Times New Roman';">Materials and Method.</span></em><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;"> The study included 149 adult patients on dialysis infected with HCV, hospitalized in two dialysotherapy centres: the Military Medical Institute and Clinical Hospital in Warsaw. In the study there also participated family members and</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-bidi-font-family: 'Times New Roman'; font-size: 11,0000pt;"> </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">acquaintances of students of the Higher School in Radom. The study was conducted during the first half of </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">2017 by a diagnostic survey, using research instrument </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">Health Behaviours Inventory (HBI) according to Z. Juczyński. </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">The questionnaire concerned: eating habits, prophylactic behaviours, everyday health practice, and positive psychological attitude.</span></p><p class="MsoNormal"><em><span style="font-family: 'Times New Roman';">Results</span></em><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">. 73.8% of respondents presented a high level of health behaviours (7</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">-</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">10 sten scores), mediocre - 19.5% (5</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">-</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">6 sten scores), and low - 6.7% (1</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">-</span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">4 sten scores). </span><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">The highest mean value evidencing health promoting life style of the patients was observed with respect to prophylactic behaviours (4.0±0.4), while eating habits and health practices were on the level 3.9±0.4-0.5.</span><strong><span style="font-family: 'Times New Roman';"> </span></strong><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; font-size: 12,0000pt;">The lowest value indicating the least pro-health behaviours concerned positive psychological attitude (3.7±0.4).</span><strong><span style="font-family: 'Times New Roman'; color: #7030a0;"> </span></strong></p><p class="MsoNormal"><em><span style="font-family: 'Times New Roman';">Conclusions</span></em><span style="mso-spacerun: 'yes'; font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; font-size: 12,0000pt;">. The overall rate of health behaviours of dialysed HCV patients was high. The dominant category was prophylactic behaviours, whereas the lowest results were obtained with respect to positive psychological attitude. The respondents infected with HCV for longer than 10 years, mainly males, those aged 60-84, with primary vocational education, living in rural areas, and non-active occupationally, had the greatest needs for psychotherapy. It is necessary to provide psychological support for dialysis patients infected with HCV.</span></p>

Item Description

2391-8306
10.12775/JEHS.2019.09.12.017