The Effect Of Empowerment Education On Self-management Behavior Of Patients With Liver Cirrhosis

Objective:1.To explore the mediating mechanism of coping styles in the process of self-efficacy of patients with liver cirrhosis on self-management.2.To investigate the application effect of empowerment health education on coping styles and self-efficacy in patients with liver cirrhosis.Methods:1.A total of 336 patients with liver cirrhosis from two tertiary hospital in Shanxi Province were investigated with a demographic data questionnaire,Coping Style Questionnaire,General self-Efficacy scale,The patients’ self-management behavior quantification chart.2.Using convenient sampling method to select 80 cases of liver cirrhosis patients who meet the standard of digestive department of a third-class hospital in Shanxi Province as the research object.According to the random number table method,the experimental group and the control group were divided into 40 cases in each group.The experimental gro up received authorized health education,while the control group received routine health ed ucation.Two groups were assessed by MCMQ,GSES and The patients’ self-management behavior quantification chart before and after the experiment.Results:1.The scores of "avoidance" and "submission" in the medical coping style of patients with cirrhosis were higher than those of the normal model patients,the distinction was definitely unlikeness(P < 0.05),indicating that patients mostly used "avoidance" and "submission" coping style.Self-efficacy and self-management of patients with liver cirrhosis were in the low and medium level,the average score respectively were(27±5.542)and(70.75±11.295);Self-efficacy with self-management is obvious correlation(r=0.278,P< 0.01)and coping styles(r=0.249,P < 0.01),coping styles was evidently related with self-management(r=0.263,P < 0.01);coping styles played a middle role between self-control and self-management,and the mediating effect is 26%.Bootstrap test resultsshowed that 95% confidence interval of medical coping style between self-efficacy and self-management was 0.067-0.003 in impatients with cirrhosis.2.Prior to meddler,there was no distinct distinction in the scores of medical coping style,self-efficacy and self-management between the two groups(P > 0.05);after intervention,the scores of medical coping style,self-efficacy and self-management in the test collection were obviously excel than these in the contrast crowd(P<0.05).Conclusion:1.In patients with cirrhosis,coping style can mediate between self-efficacy and self management.In clinical work,we should focus on the evaluation and improvement of patients’ self-efficacy,and guide them to adopt positive and effective coping styles,which will help to improve patients’ self-management ability scientifically.2.Empowerment education can reform reply mode,enhance self-efficacy and improve self-management level of patients with cirrhosis.