Effects of psycho-educational intervention on health-related quality of life (QOL) of patients with chronic liver disease referring to Shiraz University of Medical Sciences.
BACKGROUND
Chronic liver diseases (CLDs) are progressive disorder which has a significant impact on the well-being of patients and leads to significant morbidity. CLDs are characterized by disturbances in physical, psychological and social aspects of well-being. It causes significant health-related quality of life (QOL) impairment. Psycho-educational interventions targeting to functional factors could be beneficial for patients with CLDs.


METHODS
An interventional study was conducted on 110 patients with CLDs in Shiraz Liver Transplantation Center (SLTC). Subjects with the required CLDs criteria were selected and randomly divided into experimental (55) and control (55) groups. A two part questionnaire with 25 items concerning demographic and general information and 29 items regarding QOL was used. The psycho-educational needs of the experimental group were assessed in a session before the intervention, then the experimental group took part in 3 sessions individually and one session in groups. The questionnaires were filled in again for both groups but the control group did not receive the intervention program. The questionnaires were filled in again for both groups one day and three months after the intervention.


RESULTS
Findings revealed no significant differences between the two groups from the view point of demographic characteristics such as marital status, gender, etc... (p > 0.05) and from the point of clinical variables no statistically significant differences were found (p > 0.05). Findings revealed statistically significant differences in all domain of QOL in the experimental group three months after the intervention (p = 0.001), while there was no statistically significant differences in the control group.


CONCLUSIONS
The results of this study revealed that psycho-educational intervention had a significant effect on QOL of patients with CLDs.
Sharif
Farkhondeh
F
Psychiatric Nursing Department, Shiraz University of Medical Sciences, Shiraz, Iran. fsharif@mail.health.uottawa.ca
Mohebbi
Sadrollah
S
Tabatabaee
Hamid-Reza
HR
Saberi-Firoozi
Mehdi
M
Gholamzadeh
Sakineh
S
D000293:Adolescent; D000328:Adult; D001007:Anxiety; D002908:Chronic Disease; D003710:Demography; D005221:Fatigue; D005260:Female; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D007492:Iran; D008107:Liver Diseases / Q000503:physiopathology / Q000523:psychology*; D016031:Liver Transplantation / Q000193:education / Q000523:psychology; D008297:Male; D010353:Patient Education as Topic; D011615:Psychotherapy, Group; D011788:Quality of Life / Q000523:psychology*; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires