Effect of goal setting theory-guided health management on disease cognition, compliance with antiviral therapy and self-efficacy of patients with chronic hepatitis B
10.3760/cma.j.cn211501-20240227-00430
- VernacularTitle:目标设定理论指导的健康管理对慢性乙型肝炎患者疾病认知、抗病毒治疗依从性及自我效能的影响
- Author:
Guifang CHEN
1
;
Lili MA
1
;
Li LIU
1
Author Information
1. 安徽省中西医结合医院（安徽中医药大学第三附属医院）肝病科，合肥 230031
- Publication Type:Journal Article
- Keywords:
Goal setting theory;
Health management;
Chronic hepatitis B;
Disease cognition;
Compliance with antiviral therapy;
Self-efficacy
- From:
Chinese Journal of Practical Nursing
2025;41(6):459-465
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of goal setting theory-guided health management on disease cognition, compliance with antiviral therapy and self-efficacy of patients with chronic hepatitis B (CHB) so as to provide a theoretical basis for developing clinical nursing plans for patients with CHB.Methods:A quasi-experiment study was conducted, and 60 patients with CHB who were admitted to Anhui Provincial Hospital of Integrated Traditional Chinese and Western Medicine (the Third Affiliated Hospital of Anhui University of Chinese Medicine) from November 2022 to June 2023 were selected as the study subjects by convenience sampling method. They were randomly divided into the observation group and the control group by the envelope method, with 30 cases in each group. The control group received routine health management, and the observation group received goal setting theory-guided health management. Effects on disease cognition, compliance with antiviral therapy and self-efficacy of the two groups were analyzed.Results:There were 30 patients in each group completed the research. In the control group, there were 15 males, 15 females, aged (56.28 ± 5.97) years. In the observation group, there were 16 males, 14 females, aged (55.36 ± 6.21) years. After intervention, the scores for perceived benefit and acceptance [(20.36 ± 2.47) and (23.54 ± 2.67)] were higher than those of the control group [(16.33 ± 2.48) and (17.45 ± 2.68)], helplessness score of the observation group was (5.33 ± 0.67), lower than (10.21 ± 2.58) of the control group with significant differences ( t=6.31, 8.82, 10.03, all P<0.05). After intervention, compliance rate in the observation group [93.33% (28/30)] was higher than that in the control group [70.00% (21/30)], with significant difference ( χ2=5.46, P<0.05). After intervention, the General Self-Efficacy Scale score of the observation group was (31.25 ± 3.24), higher than (25.33 ± 2.67) of the control group, with significant difference ( t=7.72, P<0.05). Conclusions:Goal setting theory-guided health management can effectively improve compliance with antiviral therapy among patients with CHB, which may be related to the improvement of disease cognition and self-efficacy, and is worthy of clinical promotion.
