The Outcome
The Outcome of Two Teaching Methods on Creating
Awareness for Hepatitis C Patients Adherent to Therapeutic Regimen
1Soad M. Hegazy, 2Mimi M. Mekkawy, 3Marwa
M. Ragheb, 4Hyam R. Tantawi and 5Ashraf M.
Osman
Medical- Surgical Nursing
Department, Faculty of Nursing, 1Ain Shams University, 2 Assuit
University, 3Benha University,4Pediatric Nursing
Department, Faculty of Nursing, Ain Shams University, 5Tropical
Medicine and Gastroenterology Department, Faculty of Medicine, Assuit
University
Abstract: Hepatitis
C represents a challenge to the health and well being of the patients and to
health care system. In recent years remarkable progress has been made in
hepatitis management and peg interferon/ribavirin combination therapy has
become the slandered of care. Aim: This
study aimed to evaluate the outcome of two teaching methods on creating
awareness for hepatitis C patients adherent to therapeutic regimen namely
interferon and ribavirin therapy. Methods: A
quasi-experimental design was utilized to conduct this study, the study was
carried out at Assuite health population, and treatments unite of viral
hepatitis and National Hepatology and Tropical Medicine Research Institute at
Cairo. Sample: A purposive sample included 110 patients, 80
were adults and the rest of them 30 were adolescents from the previously
mentioned settings. Tools:1) Patients’ interviewing sheet to assess
their knowledge about therapeutic regimen (pre / post tests), 2) An observation
checklist to evaluate patients’ practices regarding therapeutic regimen (pre /
post tests), 3) Psychomotor assessment to determine patients’ levels of anxiety
and fatigue (pre / post test), 4) Patients condition assessment sheet (pre /
post tests) and 5) Self-report weekly diary. Results: Showed
that nearly two thirds of studied patients had poor knowledge and
practices as regards their therapeutic regimen in pre / testcompared to post/
tests. In addition, majority of them had sever anxiety and fatigue in pre -
test compared topost tests. Moreover, significant reduction was indicated
on treatment side effects in post tests. There are statistically
significant differences between the effects of two teaching methods on the
studied patients.Conclusion: The two teaching methods (educational program and
instructional Booklet) were helpful in creating awareness for
hepatitis C patients adherent to therapeutic regimen namely interferon and ribavirin therapy and reduction of treatment
side – effects, added to educational program was more better and
assistance for the studied patients compared to instructional
Booklet. Recommendations: Further studies should be carried out on a
large number of hepatitis C patients for evidence of the results and
generalization.
[Soad M. Hegazy, Mimi M. Mekkawy, Marwa M. Ragheb,
Hyam R. Tantawi and Ashraf M. Osman. The Outcome of Two Teaching
Methods on Creating Awareness for Hepatitis C Patients Adherent to Therapeutic
Regimen. Life Sci J 2013;10(1):73-81]
(ISSN:1097-8135). http://www.lifesciencesite.com. 12
Key words: Therapeutic regimen (interferon and ribavirin) - treatment adherence - teaching methods. Full Text 12
